Provider Demographics
NPI:1790702363
Name:LIEN, GEORGE HARRISON (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:HARRISON
Last Name:LIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:615-284-4086
Mailing Address - Fax:615-284-7501
Practice Address - Street 1:1800 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 300
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2567
Practice Address - Country:US
Practice Address - Phone:615-849-8004
Practice Address - Fax:615-849-1334
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN016614174400000X
TN16614207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6025458OtherBCBS
TNQ010442Medicaid
TN3702783Medicaid
TN6025458OtherBCBS
TNF08937Medicare UPIN
TN3059661Medicare PIN