Individual
DR. NEEMA TILLERY RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
105 W WILLIAMSBURG RD STE 105, SANDSTON, VA 23150-1442
(804) 328-0807
(804) 328-0809
Mailing address
105 W WILLIAMSBURG RD STE 105, SANDSTON, VA 23150-1442
(804) 328-0807
(804) 328-0809
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007828549
AETNA
VA
01
—
1047502
ASHN
VA
01
—
2212959
FIRST HEALTH
VA
01
—
243793
SOUTHERN HEALTH SERVICES, INC.
VA
01
—
301890
BCBS
VA
01
—
320200738
ANTHEM BCBS
VA
01
—
495986
PHCS
VA
Enumeration date
07/19/2006
Last updated
05/02/2011
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