| Doctor Name: | JOHN CONRAD WITHROW |
| NPI Number: | 1235538836 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 246053 |
| Business Practice Address: | 207 Balfour Dr Ste 102 Archdale, NC - 272633532 |
| Business Phone Number: | 3368758134 |
| Business Fax Number: | |
| Mailing Address: | 207 Balfour Dr, Ste 102 ARCHDALE |
| State: | NC |
| Postal Code: | 272633532 |
| Phone Number: | 3368758134 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2014 |
| NPI Last Update Date: | 10/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 246053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |