Wallace Ford Martin, MD

NPI #1487651386 in Lawrenceville, Georgia

Provider Information

NPI Number: 1487651386
Entity Type: Individual
Name: Wallace Ford Martin, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 7, 2005
Last Updated: Sep 1, 2010

Practice Location

Address: 631 PROFESSIONAL DRIVE
Address 2: SUITE 300
City: Lawrenceville
State: Georgia
ZIP Code: 30046-3371
Phone: (770) 962-9977

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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