Individual
DR. TIMOTHY BRETT ZEPPONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(662) 344-9100
(662) 725-1154
Mailing address
1665 S GREEN ST, TUPELO, MS 38804-6556
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26701
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02776536
—
MS
Enumeration date
06/19/2017
Last updated
10/15/2020
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