| Iris Castro-revoredo Md Inc | |
|
13957 Woolsey Rd Hampton GA 30228-2246 | |
| (770) 510-7866 | |
| (770) 603-1122 |
| Full Name | Iris Castro-revoredo Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13957 Woolsey Rd, Hampton, Georgia |
| Authorized Official Name and Position | Iris A Castro-revoredo (OWNER) |
| Authorized Official Contact | 7705107866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Castro-revoredo Md Inc 13957 Woolsey Rd Hampton GA 30228-2246 Ph: (770) 510-7866 | Iris Castro-revoredo Md Inc 13957 Woolsey Rd Hampton GA 30228-2246 Ph: (770) 510-7866 |
| NPI Number | 1588924252 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588924252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 56984 (Georgia) | Primary |
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