Calixto J Cornavaca Diaz MD LLC
Calixto J Cornavaca Diaz MD LLC is an Internal Medicine Physician in Gainesville, Georgia. Licensed in Georgia. Registered with an NPI since 2018.
- Licensed in
- GA
- In the registry since
- 2018
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
578 S Enota Dr NE Ste CGainesville, GA 30501-8947
Phone: (470) 892-6607
Fax: (470) 290-8474
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 74951 (GA) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 028490 (GA) |
Record details
| NPI number | 1487140349 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Spring Cornavaca — Business Administrator · (470) 892-6607 |
| Other names | Cornavaca Clinic |
| NPI enumerated | July 3, 2018 |
| Last updated in NPPES | July 3, 2018 |
| Mailing address | 578 S Enota Dr Ne Ste C, Gainesville, GA 30501-8947 |
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Amanda Cain, MD
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Paul H Chenard, MD
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