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NPI Code Detail

MEDICARE: DR. MATTHEW NATHANIEL DAWSON M.D.

MEDICARE: DR. MATTHEW NATHANIEL DAWSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician036158986IL
2208100000XPhysical Medicine & Rehabilitation Physician35.128356OH
3208100000XPhysical Medicine & Rehabilitation Physician73720WI
4208100000XPhysical Medicine & Rehabilitation Physician0101267865VA

General Provider Information

NPI Number : 1003159021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW NATHANIEL DAWSON M.D.
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 625
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5516
Fax Number : 540-224-5684
Provider Business Practice Location Address
First Line : 2331 FRANKLIN RD SW
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1111
Country : US
Telephone Number : 540-224-5170
Fax Number : 540-857-5306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2013
Last Update Date : 02/04/2026

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