MEDICARE: TYLER ROY WILBURN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2923	AL

General Provider Information

NPI Number	:	1326900812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER ROY WILBURN DC

Provider Business Mailing Address
First Line	:	2011 GATEWAY DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6836
Country	:	US
Telephone Number	:	334-745-5321
Fax Number	:

Provider Business Practice Location Address
First Line	:	2011 GATEWAY DR
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-6836
Country	:	US
Telephone Number	:	334-745-5321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ TYLER ROY WILBURN DC” Practice Location

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