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Individual

BRUCE KERR CHATTERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
584 BRAWLEY SCHOOL RD, SUITE 103, MOORESVILLE, NC 28117-8158
(704) 660-9188
(704) 663-3778
Mailing address
PO BOX 406153, ATLANTA, GA 30384-1876
(561) 478-8770
(561) 598-7231

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
7372
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7412973
NC
Enumeration date
01/25/2007
Last updated
01/13/2009
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