Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | TL31665 | SC |
N | 2081P2900X | Pain Medicine | TL31665 | SC |
NPI | 1306859145 |
---|---|
Provider Name | James Paul Behr |
First Address | Spartanburg, SC 29303-4201 |
Second Address | Spartanburg, SC 29303-4201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 06/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
TL31665 | SOUTH CAROLINA STATE LICENSE (01) | SC |