Individual
TIMOTHY DOUGLAS ZIETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4200, CLINTON, MS 39056
(601) 815-2005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28844
MS
Other
Enumeration date
05/23/2016
Last updated
01/18/2022
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