| Wallace Ford Martin, MD | |
|
631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 | |
| (770) 962-9977 | |
| (770) 339-9804 |
| Full Name | Wallace Ford Martin |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 631 Professional Drive, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487651386 | NPI | - | NPPES |
| GRP1797 | Other | GA | MEDICARE GROUP NUMBER |
| 00301914A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 026153 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Ford Martin, MD 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 Ph: (770) 962-9977 | Wallace Ford Martin, MD 631 Professional Drive, Suite 300, Lawrenceville, GA 30046-3371 Ph: (770) 962-9977 |
Dr. Luttrell L Toussaint, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-3290 Fax: 678-312-2733 | |
Dr. Suraj Jose Menachery, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 300, Lawrenceville, GA 30046 Phone: 770-962-9977 | |
Romeo Pius Massoud, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3290 Fax: 678-442-2733 | |
Stephen Gerard Quill, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 771 Old Norcross Rd, Suite 300, Lawrenceville, GA 30046 Phone: 770-338-8362 Fax: 770-338-8364 | |
Georgia Hill, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Dr Ste 470, Lawrenceville, GA 30046 Phone: 770-513-2155 Fax: 770-513-7833 | |
Thomas Kobina Duncan, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-3290 Fax: 678-442-3282 | |
Taylor Norton, MD Surgery Medicare: Medicare Enrolled Practice Location: 631 Professional Dr Ste 360, Lawrenceville, GA 30046 Phone: 678-312-3290 |