Individual
AMANDA ROTH JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-3100
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0002
(781) 744-5700
(781) 744-5358
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2015-01013
NC
208M00000X
Hospitalist Physician
253468
MA
Other
Enumeration date
07/08/2009
Last updated
07/24/2023
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