Individual
GAYLEA MCDOUGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM-TN
Contact information
Practice address
199 MCDOUGAL LN, PORTLAND, TN 37148-4998
(615) 243-4830
(615) 527-7423
Mailing address
199 MCDOUGAL LN, PORTLAND, TN 37148-4998
(615) 243-4830
(615) 527-7423
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
71
TN
Other
Enumeration date
12/03/2009
Last updated
01/04/2017
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