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Individual

REBECCA PODSTATA FAIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADVANCED PRACTICE NP

Contact information

Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1624
(404) 252-4755
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
RN231274
GA
363LW0102X
Women's Health Nurse Practitioner
231274
GA

Other

Enumeration date
06/11/2021
Last updated
06/25/2024
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