Provider Demographics
NPI:1447615604
Name:THORNBURG, BRITT LEE (DC)
Entity Type:Individual
Prefix:DR
First Name:BRITT
Middle Name:LEE
Last Name:THORNBURG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 35TH AVENUE DR NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9264
Mailing Address - Country:US
Mailing Address - Phone:828-781-0614
Mailing Address - Fax:
Practice Address - Street 1:1109 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-2545
Practice Address - Country:US
Practice Address - Phone:828-222-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4548111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor