DR. Calixto Jose Cornavaca Diaz, M.D.

NPI #1326381625 in Buford, Georgia

Provider Information

NPI Number: 1326381625
Entity Type: Individual
Name: DR. Calixto Jose Cornavaca Diaz, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Apr 4, 2013
Last Updated: Mar 15, 2019

Practice Location

Address: 578 S ENOTA DR NE
Address 2: STE C
City: Buford
State: Georgia
ZIP Code: 30519-4392
Phone: (423) 619-8381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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