Iris Castro-Revoredo MD INC

NPI #1588924252 in Hampton, Georgia

Provider Information

NPI Number: 1588924252
Entity Type: Organization
Organization Name: Iris Castro-Revoredo MD INC
Primary Specialty: Internal Medicine
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 13957 WOOLSEY RD
City: Hampton
State: Georgia
ZIP Code: 30228-2246
Phone: (770) 510-7866

Authorized Official

Name: IRIS A CASTRO-REVOREDO, MD
Title: OWNER
Phone: (770) 510-7866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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