Mcdermott, James David

Mcdermott, James David is an sole proprietor health care provider with primary practice located at 1330 Boiling Springs Rd Ste 1540 , Spartanburg SC 29303-4224. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcdermott, James David can be contacted via phone (864) 560-2663.

Contact Information

Primary practice address
1330 Boiling Springs Rd Ste 1540 Spartanburg SC 29303-4224
Phone: (864) 560-2663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 51382 South Carolina

Profile Details

NPI number 1194079467
LBN Legal business name Mcdermott, James David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2012
Last updated Feb 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194079467 NPPES
South Carolina MEDICAID 513821
South Carolina Other SCB0177628

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