Individual
JACQUELYN F VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR STE 141, WEST COLUMBIA, SC 29169-4800
(803) 314-9640
(803) 314-9641
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 314-9640
(803) 314-9641
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
22508
SC
Other
Enumeration date
09/22/2008
Last updated
04/29/2026
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