Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0201X | Pediatric Allergist | 25776 | NC |
NPI | 1932193299 |
---|---|
Provider Name | Dr. Teresa Sue Bratton |
First Address | Greensboro, NC 27408-7214 |
Second Address | Greensboro, NC 27408-7214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 25/03/2011 |