Provider Demographics
NPI:1548377807
Name:CASON, ROBERT SHANNON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SHANNON
Last Name:CASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:400 LEM MORRISON DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849-0001
Mailing Address - Country:US
Mailing Address - Phone:334-844-4416
Mailing Address - Fax:334-844-6126
Practice Address - Street 1:400 LEM MORRISON DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-0001
Practice Address - Country:US
Practice Address - Phone:334-844-4416
Practice Address - Fax:334-844-6126
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-10-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL18063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000022706Medicaid
AL000022706Medicaid
ALF67503Medicare UPIN