Organization · Type 2 NPI
Calixto J Cornavaca Diaz MD LLC
General Practice Physician · Gainesville, GA
NPI number
1487140349
Active
Practice location
578 S Enota Dr NE Ste C
Gainesville, GA 30501-8947
Fax (470) 290-8474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 028490 (GA) |
| General Practice Physician Primary | 208D00000X | 74951 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
Other general practice physician providers in Gainesville
About NPI 1487140349
Calixto J Cornavaca Diaz MD LLC's National Provider Identifier is 1487140349, issued on Jul 3, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gainesville, GA. The record was last updated on Jul 3, 2018.