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Organization
HEALTHWORKS OF PALMETTO BAPTIST
Active
Organization
HEALTHWORKS OF PALMETTO BAPTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN FLETCHER VAN DAM M.D. (PHYSICIAN)
(803) 296-3304
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 3-H, COLUMBIA, SC 29220-0001
(803) 296-3304
Mailing address
1333 TAYLOR ST, SUITE 3-H, COLUMBIA, SC 29220-0001
(803) 296-3304
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
22508
SC
Other
Enumeration date
05/30/2007
Last updated
09/10/2008
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