Individual
DR. MAGDY W REZK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3203 S CHEROKEE LN., STE 220 WEATHERSTONE MEDICAL CARE LLC., WOODSTOCK, GA 30188-4461
(770) 675-6025
(770) 675-7814
Mailing address
3203 S CHEROKEE LN. STE 220, WEATHERSTONE MEDICAL CARE LLC., WOODSTOCK, GA 30188
(770) 675-6025
(770) 675-7814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053936
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053936
GEORGIA MEDICAL LICENSE #
GA
01
—
249270
BLUE CROSS/BLUE SHIELD #
GA
Enumeration date
07/07/2005
Last updated
03/07/2023
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