Individual
DR. CALIXTO JOSE CORNAVACA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
578 S ENOTA DR NE, STE C, BUFORD, GA 30519-4392
(423) 619-8381
(470) 290-8474
Mailing address
578 S ENOTA DR NE STE C, GAINESVILLE, GA 30501-8947
(470) 892-6607
(470) 290-8474
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
74951
GA
Other
Enumeration date
04/04/2013
Last updated
03/15/2019
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