Individual
DR. ZACK ZEKE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
721 WELLNESS WAY, STE 100, LAWRENCEVILLE, GA 30046
(770) 995-7989
(770) 339-8646
Mailing address
721 WELLNESS WAY, STE 100, LAWRENCEVILLE, GA 30046-3304
(770) 995-7989
(770) 339-8646
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
029348
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00340205A
—
GA
01
—
0793
PROMINA
GA
01
—
100011951
RAIL ROAD MEDICARE
GA
01
—
1591576
CIGNA PPO
GA
01
—
29-07010
UNITED HEALTHCARE
GA
01
—
4083744
MANAGE CARE
GA
01
—
52237427
BLUE CROSS BLUE SHIELD
GA
01
—
582061514002
PRUDENTIAL
GA
Enumeration date
09/06/2005
Last updated
01/25/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us