Provider Demographics
NPI:1598763757
Name:WOODS, AMY ROBERTS (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ROBERTS
Last Name:WOODS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 N MCKENZIE ST STE 201
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2282
Mailing Address - Country:US
Mailing Address - Phone:251-949-3842
Mailing Address - Fax:251-949-3813
Practice Address - Street 1:1711 N MCKENZIE ST STE 201
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2282
Practice Address - Country:US
Practice Address - Phone:251-949-3842
Practice Address - Fax:251-949-3813
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022882207RG0100X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051519194OtherBCBS
AL051514260Medicaid
AL2910326OtherUNITED HEALTHCARE
ALH08104OtherHEALTHSPRING
AL051514260OtherBCBS
AL7050435OtherAETNA
AL721383260OtherTRICARE
ALP00010006OtherRR MEDICARE