Individual
MATTHEW C MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-13270
NC
363AM0700X
Medical Physician Assistant
Primary
0110008838
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-13270
NC MEDICAL LICENSE
NC
01
—
0110008838
VIRGINIA MEDICAL LICENSE
VA
01
—
ME9936909
PIEDMONT
VA
Enumeration date
05/05/2022
Last updated
02/28/2025
Update your record
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