The Chatham County organic farmer and former physician helped start the Carrboro Farmers’ Market, the area’s oldest farmer-run market, and was a leader in the Triangle’s local food movement.

Dow, 67, died last week from unknown causes. A memorial service will be at 11 a.m. Dec. 15 at the Spring Friends Meeting house in Snow Camp.

Before the Carrboro Farmers’ Market started in 1978, few farmers grew produce to sell directly to consumers, restaurants didn’t list farms on their menus and “locavore” was not part of the lexicon. Carrboro’s wildly popular farmers’ market could be considered the genesis of the Triangle’s eat-local scene, spawning dozens of farmer- and community-run markets from downtown Raleigh to Saxapahaw.

Dow was remembered this week by friends as a quiet, thoughtful man who lived by his convictions. Most of them knew him as a physician who become the state’s first certified organic farmer believing he could do more good growing vegetables than dispensing medicines.

They may not have known that he had spent several years helping set up health clinics in eastern Tennessee. Or that his community organizing in those rural areas led him to help start farmers markets from Georgia to Arkansas. Or that he was involved in the effort to expand solar power in Chatham County, encouraging people to build solar-powered greenhouses and water heaters. Or that he was the first small organic farmer in the region to put 22 acres of his 30-acre farm under a conservation easement in perpetuity.

“He did so much,” said his partner, Daryl Walker, who had been with Dow for a decade. “He talked so little about it.”

Dow was born in Ohio but grew up on a farm near Meridian, Miss. Dow attended Vanderbilt University’s medical school and completed his residency there. He became involved in the Student Community Health Coalition, which held health screenings in rural communities and helped local leaders find ways to improve public health.

Dow decided that helping rural people find a market for crops other than tobacco would improve not only their standard of living but also their health.

So he and others began organizing farmers markets across the Southeast. In the late 1970s when Dow came to Chapel Hill, he worked with a couple public health students to start the Carrboro Farmers Market. But starting the market wasn’t enough.

“I really had to make a decision for myself, to continue in medicine or go into farming,” Dow wrote in a letter shared by Walker. “I loved both medicine and farming. But I couldn’t ask the rural potential producers to change “crops” if I wasn’t willing to take the same risk.”

For the next 32 years, Dow farmed a handful of acres on land outside of Pittsboro, selling his organic produce on Saturdays at the Carrboro market. He was one of the first farmers to sell directly to restaurants, making deliveries twice a week to Lantern, Pazzo!, Nana’s and others. He also helped found the Carolina Farm Stewardship Association, a

Chefs and customers say they will miss Dow’s gentlemanly ways, quick wit and his ending each conversation by asking about their mothers or their children.

Dow is survived by his partner, Ms. Daryl Walker of Pittsboro and a brother, John Dow, of Meridian, Miss., and several cousins.