Zeta Medical, LLC

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ZETA MEDICAL, LLC

Practice address

616 Southgate Dr
Camden, SC 29020-9278

Phone

(803) 272-2220

NPI assigned

Jun 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ziad Mattar

Title

MD

Phone

(803) 272-2220

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddy Mattar

  • Pharmacist
  • Camden, SC
  • NPI 1518348242
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1912388646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 SOUTHGATE DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 SOUTHGATE DR",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290209278",
            "telephone_number": "803-272-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZETA MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "MATTAR",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "803-272-2220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Williams, PHARMD
• Lacretia Williams, RN
• Anndrea Nikole Williamson
• Thomas Bright Williamson, M.D.
• Laura Young
• Paul A Zimmermann, MD

• Local Education Agency (LEA) in Camden, SC
• Providers in Camden, SC by specialty
• Local Education Agency (LEA) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.