Provider Demographics
NPI:1821365636
Name:MCDOUGALL, HAYLEY AUTUMN (DC)
Entity Type:Individual
Prefix:DR
First Name:HAYLEY
Middle Name:AUTUMN
Last Name:MCDOUGALL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:HAYLEY
Other - Middle Name:AUTUMN
Other - Last Name:HEWITT-PFEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:44 MONTGOMERY ST
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-5714
Mailing Address - Country:US
Mailing Address - Phone:828-230-7018
Mailing Address - Fax:
Practice Address - Street 1:44 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-5714
Practice Address - Country:US
Practice Address - Phone:828-230-7018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor