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Individual

CHRISTIAN PODACA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
595 HURRICANE SHOALS RD NW STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(404) 645-7177
Mailing address
4104 PEACHFORD CIR, DUNWOODY, GA 30338-6488
(470) 774-5756

Taxonomy

Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
RN280762
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
2024089462
GA
363LA2200X
Adult Health Nurse Practitioner
ARNP.AP.70087582NP
WA

Other

Enumeration date
12/05/2022
Last updated
05/10/2026
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