NPI 1487140349

Calixto J Cornavaca Diaz MD LLC

Organisation General Practice Physician Gainesville, GA

Practice location

Address: 578 S Enota Dr NE STE C, Gainesville, GA 30501-8947
Phone: (470) 892-6607
Fax: (470) 290-8474

Authorised official

Name: Spring Cornavaca
Title: Business Administrator
Phone: (470) 892-6607

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 74951 (GA)

Other General Practice providers in Georgia →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 028490 (GA)

Other Internal Medicine providers in Georgia →

Registry record

NPI: 1487140349
Entity type: Organization
NPI issued: 3 Jul 2018
Record last updated: 3 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.