Healthcare Provider Details

I. General information

NPI: 1790702363
Provider Name (Legal Business Name): GEORGE HARRISON LIEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/14/2021
Certification Date: 04/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MEDICAL CENTER PKWY SUITE 300
MURFREESBORO TN
37129-2567
US

IV. Provider business mailing address

300 20TH AVE N STE 403
NASHVILLE TN
37203-5180
US

V. Phone/Fax

Practice location:
  • Phone: 615-849-8004
  • Fax: 615-849-1334
Mailing address:
  • Phone: 615-284-4086
  • Fax: 615-284-7501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number016614
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number16614
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: