person
Dr. Praya Mam, DPM
Foot & Ankle Surgery Podiatrist in Locust Grove, Georgia
NPI 1710964408

Praya Mam is a Foot & Ankle Surgery Podiatrist based in Forest Park, GA and is specialized in Foot & Ankle Surgery. Praya Mam practices in Locust Grove, GA and has the professional credentials of DPM. The NPI Number for Praya Mam is 1710964408 and holds a License No. 00723 (Georgia).

The current practice location address for Praya Mam is 4877 Bill Gardner Pkwy, Locust Grove, GA and can be reached out via phone at 404-363-9944 and via fax at 678-432-7040.

Location: 4877 Bill Gardner Pkwy, Locust Grove, GA, 30297-2185
person
Provider Profile Details
NPI Number
1710964408
Provider Name
Praya Mam
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
4877 Bill Gardner Pkwy, Locust Grove, GA, 30297-2185
Phone Number
404-363-9944
Fax Number
678-432-7040
Provider Enumeration Date
12/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00614105A 05 GA
institution
Provider Business Practice Location Address Details
Address
4877 Bill Gardner Pkwy
City
State
Zip
30248
Phone Number
404-363-9944
Fax Number
678-432-7040
person
Provider Business Mailing Address Details
Address
4877 Bill Gardner Pkwy
City
State
Zip
30248
Phone Number
404-363-9944
Fax Number
678-432-7040
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00723 (Georgia)
Definition
Definition to come...
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