# ZETA MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912388646
- **Authorized official:** DR. ZIAD MATTAR (MD)
- **Authorized official phone:** (803) 272-2220

## Contact information

- **Practice address:** 616 SOUTHGATE DR, CAMDEN, SC 29020-9278
- **Practice address phone:** (803) 272-2220
- **Mailing address:** 616 SOUTHGATE DR, CAMDEN, SC 29020-9278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | — | NULL | Yes |
| 302R00000X | Health Maintenance Organization | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2015
- **Last updated:** 06/18/2015