Provider Demographics
NPI:1669347167
Name:SAHBAZ, NATALIE PETRO (RD, LD, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:PETRO
Last Name:SAHBAZ
Suffix:
Gender:F
Credentials:RD, LD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 PINOAK DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-5153
Mailing Address - Country:US
Mailing Address - Phone:678-620-9967
Mailing Address - Fax:
Practice Address - Street 1:406 PINOAK DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-5153
Practice Address - Country:US
Practice Address - Phone:678-620-9967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86027348133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered