OrganizationMedical Education Assistance Corporation(University Physicians Practice Group- Etsu Fm Kingsport)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address102 Ravine Rd, Ste 1, Kingsport, TN 37660(423) 245-9600(423) 433-6039PECOS EnrollmentBased on the most recent information from CMS, provider Medical Education Assistance Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1588786768Provider TypeOrganizationFull NameMedical Education Assistance CorporationOther NameUniversity Physicians Practice Group- Etsu Fm KingsportSubpartNoEnumeration Date4/6/2007Last Updated3/7/2023Contact InformationPractice LocationPractice Address102 Ravine Rd, Ste 1, Kingsport, TN 37660Phone(423) 245-9600Fax(423) 245-9634Mailing LocationMailing AddressPO Box 699, Mountain Home, TN 37684-0699Phone(423) 433-6039Fax(423) 433-6060Authorized OfficialNameLewis, Russell E (Executive Director)Phone(423) 433-6050Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer