Provider Demographics
NPI:1790485878
Name:HUSKEY, EMILY (RD, CSO, LD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUSKEY
Suffix:
Gender:F
Credentials:RD, CSO, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 PEACHTREE ST NE APT 8601
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-1270
Mailing Address - Country:US
Mailing Address - Phone:484-467-9183
Mailing Address - Fax:
Practice Address - Street 1:800 PEACHTREE ST NE APT 8601
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-1270
Practice Address - Country:US
Practice Address - Phone:484-467-9183
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD004457133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered