Provider Demographics
NPI:1982838082
Name:HUGHES, AMBER WOODBERRY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:WOODBERRY
Last Name:HUGHES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 HEBRON DUNBAR RD
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:SC
Mailing Address - Zip Code:29525-3415
Mailing Address - Country:US
Mailing Address - Phone:843-586-2352
Mailing Address - Fax:
Practice Address - Street 1:2000 HEBRON DUNBAR RD
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:SC
Practice Address - Zip Code:29525-3415
Practice Address - Country:US
Practice Address - Phone:843-586-2352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC567171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor