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MEDICAL EDUCATION ASSISTANCE CORPORATION

Physicians Surgery

Provider NPI: 1235180480

Organization Information:
Organization Name:  MEDICAL EDUCATION ASSISTANCE CORPORATION
Organization is not Subpart
Authorized Official:  RUSSELL E LEWIS  EXECUTIVE DIRECTOR  423-433-6050

Practice Location:
222 E MAIN ST  JOHNSON CITY, TN 37604 US
Tel: 423-433-6039  Fax: 423-433-6060

Business Mailing Address:
PO BOX 699  MOUNTAIN HOME, TN 37684-0699 US
Tel: 423-433-6039  Fax: 423-433-6060

NPI Information:
NPI: 1235180480
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XPhysicians
Surgery
N2086X0206XPhysicians
Surgery
N204C00000XPhysicians
Neuromusculoskeletal Medicine, Sports Medicine
N207K00000XPhysicians
Allergy & Immunology
N207N00000XPhysicians
Dermatology
N207Q00000XPhysicians
Family Medicine
N207RC0000XPhysicians
Internal Medicine
N207RE0101XPhysicians
Internal Medicine
N207RH0003XPhysicians
Internal Medicine
N207RI0200XPhysicians
Internal Medicine
N207V00000XPhysicians
Obstetrics & Gynecology
N207VM0101XPhysicians
Obstetrics & Gynecology
N208000000XPhysicians
Pediatrics
N2084P0800XPhysicians
Psychiatry & Neurology
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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