WALLACE FORD MARTIN

LAWRENCEVILLE, GA
NPI1487651386
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: GA  026153)
Enumeration Date2005-07-07
Last Update Date2010-09-01
Business Address
-- WALLACE FORD MARTIN MD
631 PROFESSIONAL DRIVE SUITE 300
LAWRENCEVILLE, GA 30046-3371
Phone number: 770-962-9977
Mailing Address
-- WALLACE FORD MARTIN MD
631 PROFESSIONAL DRIVE SUITE 300
LAWRENCEVILLE, GA 30046-3371
Phone number: 770-962-9977
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