Basic Information
Provider Information
NPI: 1033477278
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HARMAN
FirstName: JAMES
MiddleName: STEPHEN
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 415 MORRIS ST STE 400
Address2:  
City: CHARLESTON
State: WV
PostalCode: 253011897
CountryCode: US
TelephoneNumber: 3043443551
FaxNumber: 3043426927
Practice Location
Address1: 415 MORRIS ST STE 400
Address2:  
City: CHARLESTON
State: WV
PostalCode: 25301
CountryCode: US
TelephoneNumber: 3043443551
FaxNumber: 3043426927
Other Information
ProviderEnumerationDate: 04/25/2012
LastUpdateDate: 07/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X25MB09731100NJN Allopathic & Osteopathic PhysiciansNeurological Surgery 
207T00000X3298WVY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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