Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN F VAN DAM, MD
ActivePhysical Medicine & Rehabilitation · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1477703940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 22, 2008 (17.621111455862 yrs)
- Last Updated
- Sep 16, 2025
- License
-
22508 (SC)
Practice Information
- Address
-
146 E HOSPITAL DR STE 141WEST COLUMBIA, SC, 291694800Browse SC providers · Browse ZIP 29169
- Phone
- 8033149640
- Fax
- 8033149641
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
Other Physical Medicine & Rehabilitation Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| WILLIAM RANDAL WESTERKAM | MD | 1376597070 |
| DR. JOHN EVANS STAVRAKOS | MD | 1063426724 |
| MR. KENNETH DIXON ACKER JR. | — | 1508961020 |
| DR. TIFFANY NICOLE HOWARD | MD | 1003007055 |
| TAYVIONNA ETHEREDGE | — | 1316633753 |
| MAEGHAN EDGE | PTA | 1437930237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.