Individual
SHIAR THOMAS RAHAIM III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1000
Mailing address
505 CARLYLE CT, MADISON, MS 39110-7446
(601) 927-1580
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
901887
MS
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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