Wallace Ford Martin in Lawrenceville - Surgery
Wallace Ford Martin - NPI 1487651386
Wallace Ford Martin is a Surgery in Lawrenceville, Georgia. Wallace Ford Martin practices all healthcare services and medical treatments related to Surgery. The NPI Number for Wallace Ford Martin is 1487651386. The last update date is 2010-09-01.
Wallace Ford Martin's current location address is 631 Professional Drive, Lawrenceville, Georgia. You can contact this provider via phone number 7709629977 and fax number 7703399804. The mailing address for Wallace Ford Martin is 631 Professional Drive, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallace Ford Martin |
|---|---|
| Address | 631 Professional Drive, Lawrenceville, Georgia |
| Phone Number | 7709629977 |
| Fax Number | 7703399804 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487651386 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2010-09-01 |
Provider Mailing Address Detail
| Address | 631 Professional Drive |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300463371 |
| Phone Number | 7709629977 |
| Fax Number | 7703399804 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 26153 |
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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; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GRP1797 | GA | MEDICARE GROUP NUMBER | |
| 00301914A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Wallace Ford Martin by the Centers for Medicare & Medicaid Services?
The Wallace Ford Martin has been issued the NPI (National Provider Identifier) 1487651386, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Wallace Ford Martin's facilities are geographically located?
The facilities of Wallace Ford Martin are physically situated at the following location: 631 Professional Drive, Lawrenceville, GA, 300463371.
What is Wallace Ford Martin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wallace Ford Martin is Surgery, and the taxonomy classification code that categorizes this area of expertise is 208600000X.
When did Wallace Ford Martin receive its 1487651386 assignment?
The Wallace Ford Martin was assigned its 1487651386 on 2005-07-07, which is the date when this unique identifier was issued to the organization.
When was the Wallace Ford Martin's information last updated?
The Wallace Ford Martin's information was last updated on 2010-09-01.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA