Provider Demographics
NPI:1760542195
Name:NORBURG, TERRI LYNN (DC)
Entity Type:Individual
Prefix:
First Name:TERRI
Middle Name:LYNN
Last Name:NORBURG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1980 CHATHAM PARKWAY STE 603
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405
Mailing Address - Country:US
Mailing Address - Phone:912-236-0330
Mailing Address - Fax:912-236-0396
Practice Address - Street 1:1980 CHATHAM PKWY STE 603
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405
Practice Address - Country:US
Practice Address - Phone:912-236-0330
Practice Address - Fax:912-236-0396
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006080111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor