Organization
ETSU PHYSICIANS & ASSOCIATES
Active
Other names
Office of OB/Gyn Elizabethton
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL EUGENE LEWIS (EXECUTIVE DIRECTOR)
(423) 794-1300
Entity
Organization
Contact information
Practice address
1505 W ELK AVE STE 1, ELIZABETHTON, TN 37643
(423) 543-7919
(423) 543-5323
Mailing address
1505 W ELK AVE STE 1, ELIZABETHTON, TN 37643-2848
(423) 543-7919
(423) 543-5323
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
08/22/2018
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