Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
Quillen Fertility and Women's Services
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
1319 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-3799
(423) 439-7246
(423) 282-4698
Mailing address
PO BOX 2204, JOHNSON CITY, TN 37605-2204
(423) 433-6050
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD35556
TN
207VE0102X
Reproductive Endocrinology Physician
Primary
MD35556
TN
Other
Enumeration date
12/20/2011
Last updated
03/30/2015
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