MEDICARE: DR. TIMOTHY LEE CLENNEY M.D.

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	207Y00000X	Otolaryngology Physician	0101050600	VA
2	207Y00000X	Otolaryngology Physician	2018-01899	NC

General Provider Information

NPI Number	:	1558331223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY LEE CLENNEY M.D.

Provider Business Mailing Address
First Line	:	ONE BOONE ROAD
Second Line	:
City	:	BREMERTON
State	:	WA
Zip	:	98312-1898
Country	:	US
Telephone Number	:	360-475-4173
Fax Number	:	360-475-4156

Provider Business Practice Location Address
First Line	:	322 MULBERRY ST SW STE C
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-5703
Country	:	US
Telephone Number	:	828-757-6464
Fax Number	:

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

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	04/24/2023

Similar Medicare Providers

1073517041 — MRS. MALORIE SUSAN CRAWFORD R.N.C., B.S.N.
Practice Location Address:

322 MULBERRY STREET, SW , SUITE A
LENOIR, NC
28645-5703

Practice Phone: 828-757-6400
Practice Fax: 828-757-6424

1093762395 — RODNEY M STALHEIM M.D.
Practice Location Address:

322 MULBERRY ST SW
LENOIR, NC
28645-5703

Practice Phone: 828-757-6400
Practice Fax: 828-757-6424

1184724338 — JOHN H EDMUNDS M.D.
Practice Location Address:

322 MULBERRY STREET, SW , SUITE F
LENOIR, NC
28645-5703

Practice Phone: 828-757-6462
Practice Fax: 828-757-6490

1790123743 — DEREK A BOYER PA
Practice Location Address:

322 MULBERRY ST SW STE A
LENOIR, NC
28645-5703

Practice Phone: 828-757-6460
Practice Fax: 828-759-4901

1982014478 — AARON GOODWIN MD
Practice Location Address:

322 MULBERRY ST SW STE A
LENOIR, NC
28645-5703

Practice Phone: 828-757-6400
Practice Fax: 828-757-6424

1205298338 — MICHAEL JOSEPH REWIS II M.D.
Practice Location Address:

322 MULBERRY ST SW STE A
LENOIR, NC
28645-5703

Practice Phone: 828-757-6400
Practice Fax: 828-757-6424

Directions to “ DR. TIMOTHY LEE CLENNEY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.