Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Longevity Medical Center, PC

Organization Family Medicine Physician · NPI 1124596069

Longevity Medical Center, PC provides Family Medicine Physician services in Atlanta, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4646 N Shallowford Rd Ste 300
Atlanta, GA 30338-6308
Phone: (678) 736-6383
Fax: (678) 280-6761
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124596069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saira Sultan — Doo · (770) 676-6000
NPI enumeratedNovember 8, 2018
Last updated in NPPESNovember 8, 2018
Mailing address1551 Dunwoody Village Pkwy Unit 888426, Atlanta, GA 30356-0115

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