Provider Demographics
NPI:1053474452
Name:CATER, ROBERT LAMAR (MD,AAFP)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:LAMAR
Last Name:CATER
Suffix:
Gender:M
Credentials:MD,AAFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 GREENBRIER DEAR RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-8706
Mailing Address - Country:US
Mailing Address - Phone:256-770-4327
Mailing Address - Fax:256-770-4309
Practice Address - Street 1:1425 GREENBRIER DEAR RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-8706
Practice Address - Country:US
Practice Address - Phone:256-770-4327
Practice Address - Fax:256-770-4309
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2019-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00022604207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51529608OtherBLUE CROSS BLUE SHIELD
AL51529608OtherBLUE CROSS BLUE SHIELD
ALH48253Medicare UPIN