Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
CEB II
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
329 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604
(423) 439-4044
(423) 439-5264
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
17098
TN
207RC0000X
Cardiovascular Disease Physician
Primary
38763
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
34744
TN
207RG0100X
Gastroenterology Physician
44073
TN
Other
Enumeration date
12/20/2011
Last updated
02/15/2019
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