Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
Broadmore Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
826 MEADOW VIEW RD, BRISTOL, TN 37620
(423) 764-4622
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
02/15/2019
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