Provider Demographics
NPI:1932193299
Name:BRATTON, TERESA SUE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:SUE
Last Name:BRATTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-7214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:336-273-3536
Practice Address - Street 1:1110 SUNSET DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7214
Practice Address - Country:US
Practice Address - Phone:336-273-3536
Practice Address - Fax:336-273-3536
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-01
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC257762080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology