Martin, Zack Zeke

Martin, Zack Zeke is an individual health care provider with primary practice located at 721 Wellness Way Ste 100, Lawrenceville GA 30046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Martin, Zack Zeke can be contacted via phone (770) 995-7989.

Contact Information

Primary practice address
721 Wellness Way Ste 100 Lawrenceville GA 30046
Fax: (770) 339-8646
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 029348 Georgia

Profile Details

NPI number 1427042514
LBN Legal business name Martin, Zack Zeke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jan 25th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427042514 NPPES
Georgia Other 29-07010 UNITED HEALTHCARE
Georgia Other 1591576 UNITED HEALTHCARE
Georgia Other 582061514002 UNITED HEALTHCARE
Georgia Other 4083744 UNITED HEALTHCARE
Georgia Other 0793 UNITED HEALTHCARE
Georgia Other 0793 UNITED HEALTHCARE
Georgia Other 100011951 UNITED HEALTHCARE
Georgia Other 52237427 UNITED HEALTHCARE
Georgia MEDICAID 00340205A UNITED HEALTHCARE

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