Healthcare Provider Details

I. General information

NPI: 1881052157
Provider Name (Legal Business Name): CHERESE SCOTTON BRATCHER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7841 ALEXANDER PROMENADE PL SUITE 120
RALEIGH NC
27617-1913
US

IV. Provider business mailing address

7841 ALEXANDER PROMENADE PL SUITE 120
RALEIGH NC
27617-1913
US

V. Phone/Fax

Practice location:
  • Phone: 919-957-3600
  • Fax: 919-957-3800
Mailing address:
  • Phone: 919-957-3600
  • Fax: 919-957-3800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4570
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: