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Dr. Calixto Jose Cornavaca Diaz, MD
General Practice Physician in Buford, Georgia
NPI 1326381625

Calixto Jose Cornavaca Diaz is a General Practice Physician based in Gainesville, GA. Calixto Jose Cornavaca Diaz practices in Buford, GA and has the professional credentials of MD. The NPI Number for Calixto Jose Cornavaca Diaz is 1326381625 and holds a License No. 74951 (Georgia).

The current practice location address for Calixto Jose Cornavaca Diaz is 578 S Enota Dr Ne, Buford, GA and can be reached out via phone at 423-619-8381 and via fax at 470-290-8474.

Location: 578 S Enota Dr Ne, Buford, GA, 30501-8947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326381625
Provider Name
Calixto Jose Cornavaca Diaz
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
578 S Enota Dr Ne, Buford, GA, 30501-8947
Phone Number
423-619-8381
Fax Number
470-290-8474
Provider Enumeration Date
04/04/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
578 S Enota Dr Ne
City
Buford
State
Georgia
Zip
30519-4392
Phone Number
423-619-8381
Fax Number
470-290-8474
person
Provider Business Mailing Address Details
Address
578 S Enota Dr Ne
City
Buford
State
Georgia
Zip
30519-4392
Phone Number
423-619-8381
Fax Number
470-290-8474
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
74951 (Georgia)
Definition
Definition to come...
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