Individual
AMANDA NICOLE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MMD.90182LL
SC
Other
Enumeration date
03/27/2023
Last updated
06/26/2023
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