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Individual

MATTHEW G DYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
16000 JOHNSTON MEMORIAL DR, ABINGDON, VA 24211-7659
(276) 258-1100
(276) 258-1125
Mailing address
PO BOX 1100, JOHNSON CITY, TN 37605-1100
(866) 397-1439
(423) 431-1713

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102202870
VA
207P00000X
Emergency Medicine Physician
OT012255
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1487850038
VA
Enumeration date
06/21/2007
Last updated
12/23/2013
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