Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 269806 | NY |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 37453 | SC |
NPI | 1730341959 |
---|---|
Provider Name | Dr. Matthew Alan Dow |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-8908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2008 |
Last Update Date | 28/08/2014 |