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Organization

MEDICAL EDUCATION ASSISTANCE CORPORATION

Active
Other names
ETSU PHYSICIANS & ASSOCIATES OFFICE OF INFECTIOUS DISEASE
Organization subpart
No

Provider details

NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization

Contact information

Practice address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 930-8337
(423) 926-1049
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
02/02/2017
Last updated
07/24/2024
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