# MEDICAL EDUCATION ASSISTANCE CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ETSU Dept of Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669545406
- **Authorized official:** MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (423) 433-6050

## Contact information

- **Practice address:** BLDG 119, DOGWOOD LN, VETERANS ADMINSTRATION, MOUNTAIN HOME, TN 37684
- **Practice address phone:** (423) 439-6210
- **Practice address fax:** (423) 439-8060
- **Mailing address:** PO BOX 699, MOUNTAIN HOME, TN 37684-0699
- **Mailing address phone:** (423) 433-6050
- **Mailing address fax:** (423) 433-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 2211 | TN | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 08/22/2018