Iris Altagracia Castro-revoredo, MD | |
601 S 8th St, Griffin, GA 30224-4213 | |
(770) 467-6314 | |
(770) 467-6324 |
Full Name | Iris Altagracia Castro-revoredo |
---|---|
Gender | Female |
Speciality | Hospitalist |
Experience | 35 Years |
Location | 601 S 8th St, Griffin, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801984562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 56984 (Georgia) | Primary |
207R00000X | Internal Medicine | 056984 (Georgia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ctca Physicians Group Of Georgia, Llc. | 4880841212 | 109 |
Entity Name | Emory Medical Care Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
Entity Name | Georgia Inpatient Medicine Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558314112 PECOS PAC ID: 5496645525 Enrollment ID: O20040319001105 |
Entity Name | Cogent Healthcare Of Georgia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609827823 PECOS PAC ID: 2961483607 Enrollment ID: O20040527000856 |
Entity Name | Ctca Physicians Group Of Georgia, Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117 |
Entity Name | Hospitalist Medicine Physicians Of Georgia - East Point, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437637063 PECOS PAC ID: 5294088936 Enrollment ID: O20181029000008 |
Mailing Address | Practice Location Address |
---|---|
Iris Altagracia Castro-revoredo, MD 13957 Woolsey Rd, Hampton, GA 30228-2246 Ph: (770) 703-6601 | Iris Altagracia Castro-revoredo, MD 601 S 8th St, Griffin, GA 30224-4213 Ph: (770) 467-6314 |
Lewam Berhe, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 601 S 8th St, Griffin, GA 30224 Phone: 770-228-2721 |