MEDICARE: MAGED S HAMZA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	0101228976	VA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	0101228976	VA
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	96749	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871551580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGED S HAMZA MD

Provider Business Mailing Address
First Line	:	1413 CHATTANOOGA AVE
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2631
Country	:	US
Telephone Number	:	706-279-2635
Fax Number	:	706-279-2679

Provider Business Practice Location Address
First Line	:	715 QUEEN CITY PKWY STE 106
Second Line	:
City	:	GAINESVILLE
State	:	GA
Zip	:	30501-4335
Country	:	US
Telephone Number	:	678-450-1222
Fax Number	:	706-279-2679

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	04/03/2024

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Directions to “ MAGED S HAMZA MD” Practice Location

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