Cannon Square Family Care | |
105a N Main Ave Newton NC 28658-3213 | |
(828) 291-3320 | |
(828) 241-2312 |
Full Name | Cannon Square Family Care |
---|---|
Speciality | Internal Medicine |
Location | 105a N Main Ave, Newton, North Carolina |
Authorized Official Name and Position | Robert Glenn Auton (MD/OWNER) |
Authorized Official Contact | 8282923320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cannon Square Family Care 105a N Main Ave Newton NC 28658-3213 Ph: (828) 291-3320 | Cannon Square Family Care 105a N Main Ave Newton NC 28658-3213 Ph: (828) 291-3320 |
NPI Number | 1003221532 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003221532 | NPI | - | NPPES |
1356321038 | Other | INDIVIDUAL NPI | |
8912241 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 34551 (North Carolina) | Primary |
208000000X | Pediatrics | 34551 (North Carolina) | Secondary |
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