Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE FORD MARTIN, MD
ActiveWALLACE FORD MARTIN, MD is a General Surgery healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1487651386 is currently active in the NPPES registry. Verify at CMS.
General Surgery · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1487651386
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2005 (21.112713105024 yrs)
- Last Updated
- Sep 1, 2010
- License
-
026153 (GA)
Practice Information
- Address
-
631 PROFESSIONAL DRIVESUITE 300LAWRENCEVILLE, GA, 300463371Browse GA providers · Browse ZIP 30046
- Phone
- 7709629977
- Fax
- 7703399804
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| STEPHEN GERARD QUILL | MD | 1265439020 |
| DAVID ROBERT SCHMIDT | MD | 1366440992 |
| DR. SURAJ JOSE MENACHERY | M.D. | 1174583470 |
| KEVIN LEE JENSEN | M.D. | 1497855779 |
| THOMAS KOBINA DUNCAN | DO | 1316097439 |
| DR. GREGORY P SCHLEGEL | MD | 1518010313 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.