Provider Demographics
NPI:1700918562
Name:MCDERMOTT, JAMAE CHERIE (MD)
Entity type:Individual
Prefix:DR
First Name:JAMAE
Middle Name:CHERIE
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMAE
Other - Middle Name:CHERIE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2315 GADSDEN ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2038
Mailing Address - Country:US
Mailing Address - Phone:038-260-1019
Mailing Address - Fax:
Practice Address - Street 1:2315 GADSDEN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2038
Practice Address - Country:US
Practice Address - Phone:038-260-1019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC281072084P0800X, 2084P0805X, 2084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC281073Medicaid
SC281073Medicaid