Provider Demographics
NPI:1245666320
Name:DOW, GEORGE MATTHEW (NP)
Entity type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MATTHEW
Last Name:DOW
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:237 ROCK RD
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-6833
Mailing Address - Country:US
Mailing Address - Phone:864-349-1220
Mailing Address - Fax:
Practice Address - Street 1:201 CEDAR ST SE STE 5660
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4920
Practice Address - Country:US
Practice Address - Phone:505-563-6565
Practice Address - Fax:505-563-6564
Is Sole Proprietor?:No
Enumeration Date:2013-09-19
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM55571363L00000X
SC18491363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily