Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E. LEWIS (CEO)
(423) 433-6050
Entity
Organization
Contact information
Practice address
2423 SUSANNAH ST, JOHNSON CITY, TN 37601-1749
(423) 915-9257
(423) 439-4607
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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