Provider Demographics
NPI:1336650506
Name:METZGER, SARAH (RDN)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:METZGER
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1418 WEMBLEY CT NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3968
Mailing Address - Country:US
Mailing Address - Phone:410-504-7144
Mailing Address - Fax:
Practice Address - Street 1:1418 WEMBLEY CT NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3968
Practice Address - Country:US
Practice Address - Phone:410-504-7144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-16
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86058198133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered