Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 25MB09731100 | NJ |
Y | 207T00000X | Neurosurgeon | 3298 | WV |
NPI | 1033477278 |
---|---|
Provider Name | Dr. James Stephen Harman |
First Address | Charleston, WV 25301-1897 |
Second Address | Charleston, WV 25301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 24/07/2018 |