Provider Demographics
NPI:1174114953
Name:WOODS, TIFFANY AMBER (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:TIFFANY
Middle Name:AMBER
Last Name:WOODS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 TIMBERLAKE TRL
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31545-3207
Mailing Address - Country:US
Mailing Address - Phone:912-294-0811
Mailing Address - Fax:
Practice Address - Street 1:3150 US HIGHWAY 84
Practice Address - Street 2:
Practice Address - City:BLACKSHEAR
Practice Address - State:GA
Practice Address - Zip Code:31516-4944
Practice Address - Country:US
Practice Address - Phone:912-449-1400
Practice Address - Fax:912-449-1404
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH028807183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist