Provider Demographics
NPI:1003159021
Name:DAWSON, MATTHEW NATHANIEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:NATHANIEL
Last Name:DAWSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:213 S JEFFERSON ST STE 625
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:540-224-5516
Mailing Address - Fax:540-224-5684
Practice Address - Street 1:2331 FRANKLIN RD SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1111
Practice Address - Country:US
Practice Address - Phone:540-224-5170
Practice Address - Fax:540-857-5306
Is Sole Proprietor?:No
Enumeration Date:2013-03-27
Last Update Date:2023-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036.158986208100000X
WI73720208100000X
OH35.128356208100000X
VA0101267865208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation