MEDICARE: ASSOCIATES IN EAR, NOSE, THROAT/HEAD AND NECK

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	174400000X	Specialist		TN
2	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1871647602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATES IN EAR, NOSE, THROAT/HEAD AND NECK

Provider Business Mailing Address
First Line	:	P.O. BOX 669
Second Line	:
City	:	HIXSON
State	:	TN
Zip	:	37343-4905
Country	:	US
Telephone Number	:	423-267-6738
Fax Number	:	423-209-9106

Provider Business Practice Location Address
First Line	:	1724 HAMIL ROAD
Second Line	:	STE 102 OASIS PARK BUILDING I
City	:	HIXSON
State	:	TN
Zip	:	37343-4905
Country	:	US
Telephone Number	:	423-267-6738
Fax Number	:	423-209-9106

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DOUGLAS A LIENING
Credential	:	MD
Telephone Number	:	423-267-6738

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	07/21/2022

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1972568798 — DR. DOUGLAS A. LIENING M.D.
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1770541104 — DR. HATHAWAY K HARVEY M.D.
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1891733143 — TIMOTHY DANIEL DOTSON DPT
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1447424478 — AMY STEVENSON M.A., CCC-A
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