Provider Demographics
NPI:1447596648
Name:BRATTON, CHRISTOPHER DOUGLAS
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DOUGLAS
Last Name:BRATTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 HAYS CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72118-4438
Mailing Address - Country:US
Mailing Address - Phone:501-590-0635
Mailing Address - Fax:
Practice Address - Street 1:2227 W MAIN ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72076-4207
Practice Address - Country:US
Practice Address - Phone:501-985-9944
Practice Address - Fax:501-985-6590
Is Sole Proprietor?:No
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other