# BURGAW MEDICAL CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hampstead Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700104775
- **Authorized official:** MOSTAFA MOHAMED REZK DO (OWNER)
- **Authorized official phone:** (910) 803-0340

## Contact information

- **Practice address:** 25 N HAMPSTEAD VILLAGE DR, HAMPSTEAD, NC 28443-3932
- **Practice address phone:** (910) 803-0340
- **Practice address fax:** (910) 803-0342
- **Mailing address:** 25 N HAMPSTEAD VILLAGE DR, HAMPSTEAD, NC 28443-3932
- **Mailing address phone:** (910) 803-0340
- **Mailing address fax:** (910) 803-0342

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 05/14/2010
- **Last updated:** 02/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5913552 | — | NC |
| 05 | — | 5917334 | — | NC |