Search › Georgia › 213ES0103X
Praya Mam, D.P.M
NPI 1710964408 · on the registry since 2005
Practice
- Address
- 4877 Bill Gardner Pkwy
Locust Grove, GA 30248 - Phone
- (404) 363-9944
- Fax
- (678) 432-7040
- Organisation at this address
- Physiotherapy Associates Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 425 Forest Pkwy, Forest Park, GA
- 1109 Eagles Landing Pkwy, Stockbridge, GA
- 425 Forest Pkwy Ste 101, Forest Park, GA
Registry record
- Primary taxonomy
- 213ES0103X
213ES0103X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia