Organization
MEDICAL EDUCATION ASSISTANCE CORPORATION
Active
Other names
University Physicians Practice Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL E LEWIS (EXECUTIVE DIRECTOR)
(423) 433-6050
Entity
Organization
Contact information
Practice address
222 E MAIN ST, JOHNSON CITY, TN 37604
(423) 433-6039
(423) 433-6060
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
08/22/2018
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