| Dr Tyler Randolph, DC | |
| 
					520 Lew Dewitt Blvd Ste 402, Waynesboro, VA 22980-1644  | |
| (540) 943-3638 | |
| Not Available | 
| Full Name | Dr Tyler Randolph | 
|---|---|
| Gender | Male | 
| Speciality | Chiropractor | 
| Location | 520 Lew Dewitt Blvd Ste 402, Waynesboro, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1255109534 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 0104557681 (Virginia) | Primary | 
| Provider Name | Healing Path Chiropractic Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1003681842 PECOS PAC ID: 7214380526 Enrollment ID: O20240201003953  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tyler Randolph, DC 83 Jaspers Ln, Stuarts Draft, VA 24477-2849 Ph: (540) 836-8416  | Dr Tyler Randolph, DC 520 Lew Dewitt Blvd Ste 402, Waynesboro, VA 22980-1644 Ph: (540) 943-3638  | 
Healing Path Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 520 Lew Dewitt Blvd Ste 402, Waynesboro, VA 22980 Phone: 540-943-3638  | |
Dr. Gregory Scarborough Watson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2353 Jefferson Hwy, Waynesboro, VA 22980 Phone: 540-943-1303 Fax: 540-943-1303  | |
Augusta Waynesboro Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 2016 Goose Creek Road, Suite 104, Waynesboro, VA 22980 Phone: 540-943-1434 Fax: 540-943-5292  | |
Dr. William J Knizner, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2016 Goose Creek Road, Suite 104, Waynesboro, VA 22980 Phone: 540-943-1434 Fax: 540-943-5292  | |
Dr. Andrea Lynn Hailey, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 436 S Linden Ave, Waynesboro, VA 22980 Phone: 540-248-3210 Fax: 540-416-0243  | |
Waynesboro Chiropractic, Acupuncture, And Massage Clinic Chiropractor Medicare: Medicare Enrolled Practice Location: 1115 Ivy St, Waynesboro, VA 22980 Phone: 540-664-9970  |