Individual
SAMUEL ANTON TWEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1665 S GREEN ST, TUPELO, MS 38804-6556
(662) 377-2189
(662) 377-2667
Mailing address
1110 BROAD AVE, STE 700, GULFPORT, MS 39501-8908
(228) 864-0314
(228) 868-0425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27364
MS
Other
Enumeration date
06/18/2018
Last updated
08/05/2024
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