Provider Demographics
NPI:1548219819
Name:HARBER, JAMES JASPER III (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JASPER
Last Name:HARBER
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:1530 DRAYTON ROAD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29307-1058
Practice Address - Country:US
Practice Address - Phone:864-560-6012
Practice Address - Fax:864-560-6013
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC22486207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC9343964OtherCIGNA
SCT66620Medicaid
SCP00038910OtherRR MEDICARE
SCSC83045019OtherMEDICARE PIN
SC576007863071OtherBLUE CHOICE OF SC
SC576007863095OtherBCBS OF SC
SC7972368OtherAETNA
SCP00038910OtherRR MEDICARE
SCT66620Medicaid
SC9343964OtherCIGNA
SCH415367951Medicare PIN