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Organization

IRIS CASTRO-REVOREDO MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRIS A CASTRO-REVOREDO MD (OWNER)
(770) 510-7866
Entity
Organization

Contact information

Practice address
13957 WOOLSEY RD, HAMPTON, GA 30228-2246
(770) 510-7866
(770) 603-1122
Mailing address
13957 WOOLSEY RD, HAMPTON, GA 30228-2246
(770) 510-7866
(770) 603-1122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
56984
GA

Other

Enumeration date
05/29/2012
Last updated
05/29/2012
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