Healthcare Provider Details

I. General information

NPI: 1932279130
Provider Name (Legal Business Name): GEORGE WESLEY TYLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 WAKE FOREST RD
RALEIGH NC
27609-7844
US

IV. Provider business mailing address

PO BOX 61
GARNER NC
27529-0061
US

V. Phone/Fax

Practice location:
  • Phone: 919-873-2525
  • Fax: 919-873-2220
Mailing address:
  • Phone: 919-815-3519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2761
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: