Organization
GASTROINTESTINAL ENDOSCOPY OF GWINNETT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACK ZEKE MARTIN (PRESIDENT CEO)
(770) 995-7989
Entity
Organization
Contact information
Practice address
600 PROFESSIONAL DR, STE 130, LAWRENCEVILLE, GA 30045-7651
(770) 995-7989
(770) 339-8646
Mailing address
600 PROFESSIONAL DR, STE 130, LAWRENCEVILLE, GA 30045-7651
(770) 995-7989
(770) 339-8646
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
111072
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00643365A
—
GA
01
—
4103
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/02/2005
Last updated
08/22/2020
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