Dr. James David Mcdermott
Sports Medicine Orthopaedic Surgeon
1330 Boiling Springs Rd Ste 1540
Spartanburg
, South Carolina 29303-4224
Dr. James David Mcdermott
Sports Medicine Orthopaedic Surgeon
1330 Boiling Springs Rd Ste 1540
Spartanburg
, South Carolina 29303-4224
(864) 560-4413
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. James David Mcdermott
- Po Box 743070
- Atlanta, GA
- Zip : 30374-3070
- Fax : (864) 560-4413
- Phone : (864) 560-4304
Second Address
- Dr. James David Mcdermott
- 1330 Boiling Springs Rd Ste 1540
- Spartanburg, SC
- Zip : 29303-4224
- Phone : (864) 560-2663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 51382 | SC |
National Provider Identifier
| NPI | 1194079467 |
|---|---|
| Provider Name | Dr. James David Mcdermott |
| First Address | Atlanta, GA 30374-3070 |
| Second Address | Spartanburg, SC 29303-4224 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2012 |
| Last Update Date | 08/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 513821 | (05) | SC |
| SCB0177628 | MEDICARE PN (01) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.