Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
Kingsport Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
4 SHERIDAN SQ STE 200, KINGSPORT, TN 37660-7435
(423) 246-7931
(423) 246-1906
Mailing address
PO BOX 2204, JOHNSON CITY, TN 37605-2204
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RI0200X
Infectious Disease Physician
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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