Provider Demographics
NPI:1871551580
Name:HAMZA, MAGED S (MD)
Entity type:Individual
Prefix:
First Name:MAGED
Middle Name:S
Last Name:HAMZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1413 CHATTANOOGA AVE
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30720-2631
Mailing Address - Country:US
Mailing Address - Phone:706-279-2635
Mailing Address - Fax:706-279-2679
Practice Address - Street 1:715 QUEEN CITY PKWY STE 106
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-4335
Practice Address - Country:US
Practice Address - Phone:678-450-1222
Practice Address - Fax:706-279-2679
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101228976207L00000X, 207LP2900X
GA96749207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA251881OtherSOUTHERN HEALTH
VA1395328OtherCIGNA
VA7499235OtherAETNA
VA2001850OtherUNITED HEALTHCARE
VA3611639OtherUS HEALTHCARE-AETNA HMO
VA143873OtherANTHEM BC/BS
VA371483100OtherUS DEPT OF LABOR
VA79783OtherSENTARA-OPTIMA HEALTH
VA005538M70Medicare ID - Type Unspecified
VA7499235OtherAETNA
VA2001850OtherUNITED HEALTHCARE
VA79783OtherSENTARA-OPTIMA HEALTH
VA371483100OtherUS DEPT OF LABOR
VA53435OtherCARENET-MEDICAID