Individual provider · Type 1 NPI
Praya Mam, D.P.M.
Foot & Ankle Surgery Podiatrist · Locust Grove, GA
NPI number
1710964408
Active
Practice location
4877 Bill Gardner Pkwy
Locust Grove, GA 30248
Fax (678) 432-7040
Mailing address
425 Forest Pkwy, Suite 101
Forest Park, GA 30297-2185
Other practice locations
- 425 Forest Pkwy, Suite 101, Forest Park, GA 30297-2185 · (404) 363-9944
- 1109 Eagles Landing Pkwy, Stockbridge, GA 30281-6394 · (404) 363-9944
- 425 Forest Pkwy Ste 101, Forest Park, GA 30297-2135
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 00723 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
3 other providers at this address
About NPI 1710964408
Praya Mam, D.P.M.'s National Provider Identifier is 1710964408, issued on Dec 23, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Locust Grove, GA. The record was last updated on Jul 23, 2018.