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NPI Code Detail

MEDICARE: MEDICAL EDUCATION ASSISTANCE CORPORATION

MEDICARE: MEDICAL EDUCATION ASSISTANCE CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianMD35556TN
2207VE0102XReproductive Endocrinology PhysicianMD35556TN

General Provider Information

NPI Number : 1780953729
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL EDUCATION ASSISTANCE CORPORATION
Provider Business Mailing Address
First Line : PO BOX 2204
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37605-2204
Country : US
Telephone Number : 423-433-6050
Fax Number : 423-433-6060
Provider Business Practice Location Address
First Line : 1319 SUNSET DR
Second Line : SUITE 103
City : JOHNSON CITY
State : TN
Zip : 37604-3799
Country : US
Telephone Number : 423-439-7246
Fax Number : 423-282-4698
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : RUSSELL E LEWIS
Credential :
Telephone Number : 423-433-6050
Provider Enumeration Date : 12/20/2011
Last Update Date : 03/30/2015

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Directions to “MEDICAL EDUCATION ASSISTANCE CORPORATION ” Practice Location

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