Individual
DR. JAMES DAVID MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1540, SPARTANBURG, SC 29303-4224
(864) 560-2663
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
51382
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513821
—
SC
01
—
SCB0177628
MEDICARE PN
SC
Enumeration date
11/07/2012
Last updated
02/08/2021
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