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Individual

ZACHARY B MARTIN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
255 W 5TH ST SW, SUITE 150, ROME, GA 30165-2817
(706) 232-1545
(706) 232-3819
Mailing address
PO BOX 369, ROME, GA 30162-0369
(706) 291-2077

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
035471
GA
2085N0700X
Neuroradiology Physician
035471
GA
2085N0904X
Nuclear Radiology Physician
035471
GA
2085P0229X
Pediatric Radiology Physician
035471
GA
2085R0202X
Diagnostic Radiology Physician
Primary
035471
GA
2085R0203X
Therapeutic Radiology Physician
035471
GA
2085R0204X
Vascular & Interventional Radiology Physician
035471
GA
2085U0001X
Diagnostic Ultrasound Physician
035471
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000494777A
GA
01
027195
BCBS OF GEORGIA
GA
01
300034704
RAILROAD MEDICARE
GA
Enumeration date
11/14/2006
Last updated
10/28/2016
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