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 is a Family Medicine Physician 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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