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1679920334
TIMOTHY DOUGLAS ZIETHEN
JACKSON, MS
NPI
1679920334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MS 28844)
Enumeration Date
2016-05-23
Last Update Date
2022-01-18
Business Address
TIMOTHY DOUGLAS ZIETHEN M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2005
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Mailing Address
TIMOTHY DOUGLAS ZIETHEN M.D.
504 CLINTON CENTER DRIVE CBO-SUITE 4200
CLINTON, MS 39056
Phone number: 601-815-2005
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