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1124225065
WALLACE F. MARTIN, M.D.
LAWRENCEVILLE, GA
NPI
1124225065
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Entity Type
Organization
Authorized Contact
WALLACE FORD MARTIN
Owner
770-962-9977
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 026153)
Enumeration Date
2007-07-02
Last Update Date
2010-09-01
Business Address
WALLACE F. MARTIN, M.D.
631 PROFESSIONAL DR SUITE 300
LAWRENCEVILLE, GA 30046-3371
Phone number: 770-962-9977
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Mailing Address
WALLACE F. MARTIN, M.D.
631 PROFESSIONAL DRIVE SUITE 300
LAWRENCEVILLE, GA 30046-3371
Phone number: 770-962-9977
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