NPI age
20 years
Enumerated 2005-12-23
● Active
Type 1 · Individual
DR. Praya Mam, D.P.M.
Mam is 1 of 2 podiatrist providers in Locust Grove and 1 of 397 in Georgia.
Primary specialty
Podiatrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 397 active podiatrist providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
4877 Bill Gardner Pkwy
Locust Grove, GA 30248
Mailing address
425 Forest Pkwy, Suite 101
Forest Park, GA 302972185
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
425 Forest Pkwy, Suite 101
Forest Park, GA 302972185
Location 3
425 Forest Pkwy Ste 101
Forest Park, GA 302972135
Location 4
1109 Eagles Landing Pkwy
Stockbridge, GA 302816394
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00614105A |
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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