Provider Demographics
NPI:1780837443
Name:SLUSHER, EMILY GRACE
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:GRACE
Last Name:SLUSHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 STUART STREET (CREDENTIALS)
Mailing Address - Street 2:MONCRIEF ARMY COMMUNITY HOSPITAL
Mailing Address - City:FORT JACKSON
Mailing Address - State:SC
Mailing Address - Zip Code:29207-5720
Mailing Address - Country:US
Mailing Address - Phone:803-751-2489
Mailing Address - Fax:803-751-2511
Practice Address - Street 1:4500 STUART STREET, MONCRIEF ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:ATTN: MCXL- PQ (CREDENTIALS)
Practice Address - City:FORT JACKSON
Practice Address - State:SC
Practice Address - Zip Code:29207-5720
Practice Address - Country:US
Practice Address - Phone:803-751-2489
Practice Address - Fax:803-751-2511
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist