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WALLACE FORD MARTIN MD
NPI 1487651386
Surgery in Lawrenceville, GA

Active since July 07, 2005
631 PROFESSIONAL DRIVE, SUITE 300, LAWRENCEVILLE, GA 30046(770) 962-9977(770) 339-9804 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wallace Ford Martin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALLACE FORD MARTIN MD (NPI 1487651386) is an individual surgery provider in Lawrenceville, Georgia, licensed in Georgia (026153) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1487651386
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameWALLACE FORD MARTINCredential: MD
Location Address631 PROFESSIONAL DRIVE, SUITE 300Lawrenceville, GA 30046-3371
Mailing Address631 Professional Drive, Suite 300Lawrenceville, GA 30046-3371 · (770) 962-9977 · Fax (770) 339-9804
Phone(770) 962-9977
Fax(770) 339-9804
Sole ProprietorNo
Enumeration DateJuly 7, 2005
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1487651386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 026153
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
631 PROFESSIONAL DRIVE, Lawrenceville, GA 30046
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Other Identifiers 3

OtherGRP1797GA · Medicare Group Number
Medicare UPIND46027
Medicaid00301914AGA

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARBARA O'CALLAGHAN RN, NP
Registered Nurse (Oncology)
631 PROFESSIONAL DRIVE, 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
HUGHSTON CLINIC PC
Durable Medical Equipment & Medical Supplies
631 PROFESSIONAL DRIVE, SUITE 170
LAWRENECEVILLE, GA 30046
Gwinnett County (678) 312-2663
DR. ALEXANDER SAKER JR. M.D.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
SATVIR SINGH M.D.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
SUBURBAN HEMATOLOGY ONCOLOGY ASSOCIATES, PC
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, SUITE 450
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-8030
SUDHINDRA K ANEGUNDI MD
Surgery (Vascular Surgery)
631 PROFESSIONAL DRIVE, SUITE 300
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 962-9977
JOHN A. CHANDLER PA
Physician Assistant (Surgical)
631 PROFESSIONAL DRIVE, SUITE 200
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 579-1894
DR. CHRISTOPHER T HAGENSTAD M.D.
Internal Medicine (Hematology & Oncology)
631 PROFESSIONAL DRIVE, STE 210
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-3235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Martin's NPI number?

The NPI number for Wallace Martin is 1487651386. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Wallace Martin located?

Wallace Martin practices at 631 Professional Drive Suite 300, Lawrenceville, GA 30046. The listed phone number is (770) 962-9977.

What is Wallace Martin's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Wallace Martin was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.