Provider Demographics
NPI:1083268734
Name:JUSTICE, SABBATH JOY (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:SABBATH
Middle Name:JOY
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:SABBATH
Other - Middle Name:JOY
Other - Last Name:WOODROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5998 ALMINA DR
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:OH
Mailing Address - Zip Code:43119-9299
Mailing Address - Country:US
Mailing Address - Phone:724-910-9556
Mailing Address - Fax:
Practice Address - Street 1:5998 ALMINA DR
Practice Address - Street 2:
Practice Address - City:GALLOWAY
Practice Address - State:OH
Practice Address - Zip Code:43119-9299
Practice Address - Country:US
Practice Address - Phone:724-910-9556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006707133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered