Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
Child Advocacy Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
201 E MYRTLE AVE, JOHNSON CITY, TN 37601
(423) 926-6528
Mailing address
201 E MYRTLE AVE, JOHNSON CITY, TN 37601-4633
(423) 926-6528
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
08/22/2018
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