Amanda Thompson Roten, M.D.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Charleston, SC. Individual provider (NPI-1).
NPI number1235366998
StatusActive
Last updated in NPPESOct 21, 2020
Details
- NPI
- 1235366998
- Entity type
- Individual (NPI-1)
- Name
- Amanda Thompson Roten
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2009
- Certification date
- Oct 21, 2020
- Last updated
- Oct 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 31915 | SC | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | LL31915 | SC |
Practice location
171 Ashley AveCharleston, SC 29425-8908
Phone 843-792-9888
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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