Organization
CANNON SQUARE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GLENN AUTON JR. MD (MD/OWNER)
(828) 292-3320
Entity
Organization
Contact information
Practice address
105A N MAIN AVE, NEWTON, NC 28658-3213
(828) 291-3320
(828) 241-2312
Mailing address
105A N MAIN AVE, NEWTON, NC 28658-3213
(828) 291-3320
(828) 241-2312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34551
NC
208000000X
Pediatrics Physician
34551
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356321038
INDIVIDUAL NPI
—
05
—
8912241
—
NC
Enumeration date
06/23/2014
Last updated
06/23/2014
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