Healthcare Provider Details

I. General information

NPI: 1700370319
Provider Name (Legal Business Name): MATTHEW CHARLES DOWDY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 EMERGENCY DR
WEST POINT MS
39773-9276
US

IV. Provider business mailing address

755 EMERGENCY DR
WEST POINT MS
39773-9276
US

V. Phone/Fax

Practice location:
  • Phone: 662-494-8500
  • Fax: 662-494-8488
Mailing address:
  • Phone: 662-494-8500
  • Fax: 662-494-8488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number26901
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: