Castro-Revoredo, Iris Altagracia

Castro-Revoredo, Iris Altagracia is an individual health care provider with primary practice located at 601 S 8Th St , Griffin GA 30224-4213. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Castro-Revoredo, Iris Altagracia can be contacted via phone (770) 467-6314.

Contact Information

Primary practice address
601 S 8Th St Griffin GA 30224-4213
Phone: (770) 467-6314
Fax: (770) 467-6324
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 56984 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056984 Georgia

Profile Details

NPI number 1801984562
LBN Legal business name Castro-Revoredo, Iris Altagracia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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