Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
GRANDVIEW SCHOOL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
2891 HIGHWAY 11 E, ATTN: DR. H. PATRICK STERN, TELFORD, TN 37690
(423) 283-3060
(423) 283-7441
Mailing address
PO BOX 2204, JOHNSON CITY, TN 37605-2204
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
31588
TN
Other
Enumeration date
12/07/2011
Last updated
08/22/2018
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