| Doctor Name: | DR. MICHAEL TIMOTHY ZANONE |
| NPI Number: | 1063472157 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | R3421 |
| Business Practice Address: | 1154 Cross Creek Dr Saltillo, MS - 388665777 |
| Business Phone Number: | 6159882014 |
| Business Fax Number: | 6155230647 |
| Mailing Address: | 30 Burton Hills Blvd, Ste 175 NASHVILLE |
| State: | TN |
| Postal Code: | 372156403 |
| Phone Number: | 6159882014 |
| Fax Number: | 6155230647 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | R3421 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |