NPI age
20 years
Enumerated 2005-07-07
● Active
Type 1 · Individual
Wallace Ford Martin, MD
Martin is 1 of 20 surgery providers in Lawrenceville and 1 of 1389 in Georgia.
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-09-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1389 active surgery providers in Georgia.
NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
631 Professional Drive, Suite 300
Lawrenceville, GA 300463371
Mailing address
631 Professional Drive, Suite 300
Lawrenceville, GA 300463371
Specialties
-
Surgery PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | GRP1797 | MEDICARE GROUP NUMBER |
| 05 (GA) | 00301914A |
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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