Individual
MR. ZACHARY O'HARA SHELBY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1970 HOSPITAL DR, CLARKSDALE, MS 38614-7202
(662) 627-3211
Mailing address
876 DOLAN RD, MEMPHIS, TN 38116-4008
(901) 332-8130
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000071864
TN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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