Provider Demographics
NPI:1609238666
Name:LEIGHT-DUNN, HAYLEY MICHELLE (MD)
Entity Type:Individual
Prefix:
First Name:HAYLEY
Middle Name:MICHELLE
Last Name:LEIGHT-DUNN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HAYLEY
Other - Middle Name:MICHELLE
Other - Last Name:LEIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1918 RANDOLPH RD STE 550
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1114
Mailing Address - Country:US
Mailing Address - Phone:704-375-6766
Mailing Address - Fax:
Practice Address - Street 1:1918 RANDOLPH RD STE 550
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1114
Practice Address - Country:US
Practice Address - Phone:704-375-6766
Practice Address - Fax:704-332-6552
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC00933207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program