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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE F. MARTIN, M.D.

Active Organization

WALLACE F. MARTIN, M.D. is a General Surgery organization located in LAWRENCEVILLE, Georgia. NPI 1124225065 is currently active in the NPPES registry. Verify at CMS.

General Surgery · LAWRENCEVILLE, GA

Registration Details

NPI Number
1124225065
Provider Type
Organization
NPI Issued
Jul 2, 2007 (19.150537100819 yrs)
Last Updated
Sep 1, 2010
License
026153 (GA)

Practice Information

Address
631 PROFESSIONAL DR
SUITE 300
LAWRENCEVILLE, GA, 300463371
Browse GA providers · Browse ZIP 30046
Phone
7709629977
Fax
7703399804
Primary Specialty
General Surgery
208600000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.