CALIXTO J CORNAVACA DIAZ MD LLC is a general practice in Gainesville, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee CALIXTO J CORNAVACA DIAZ MD LLC NPI is 1487140349. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cornavaca Clinic.
The provider's business location address is:
578 S ENOTA DR NE STE C
GAINESVILLE, GA
ZIP 30501-947
Phone: (470) 892-6607
Fax: (470) 290-8474
The provider's authorized official is Spring Cornavaca .
The authorized official title is Business Administrator and has the following contact phone number (470) 892-6607.
The CLIA number assigned to this NPI record is 11D2157968 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/3/2018 and was last updated on 7/3/2018.