Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wallace Ford Martin, MD

Individual provider Surgery Physician · NPI 1487651386

Wallace Ford Martin, MD is a Surgery Physician in Lawrenceville, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

631 Professional Dr Ste 300
Lawrenceville, GA 30046-3371
Phone: (770) 962-9977
Fax: (770) 339-9804
Show map & directions

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 number1487651386
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESSeptember 1, 2010
Mailing address631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371

Other providers in Lawrenceville