Wallace F. Martin, MD
Wallace F. Martin, MD is a Surgery Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
631 Professional Dr Ste 300Lawrenceville, GA 30046-3371
Phone: (770) 962-9977
Fax: (770) 339-9804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 026153 (GA) |
|---|
Record details
| NPI number | 1124225065 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wallace Martin — Owner · (770) 962-9977 |
| NPI enumerated | July 2, 2007 |
| Last updated in NPPES | September 1, 2010 |
| Mailing address | 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 |
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