Organization · Type 2 NPI

Medical Education Assistance Corporation

Pediatric Hematology & Oncology Physician · Johnson City, TN

NPI number 1316216336 Active

Practice location

400 N State Of Franklin Rd
Johnson City, TN 37604

Call (423) 431-3950 Map

Fax (423) 431-3958

Mailing address

PO Box 2204
Johnson City, TN 37605-2204

Specialties and licenses

Taxonomy	Code	License
Pediatric Hematology & Oncology Physician Primary	2080P0207X	None listed

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

175 other providers at this address

NPI record

NPI: 1316216336
Entity type: Organization (Type 2)
Issued: Dec 20, 2011
Last updated: Aug 22, 2018
Status: Active

Other names

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St. Jude's Tri-Cities Affiliate · other name
St. Jude's Tri-Cities Affiliate · other name

Authorized official

Mr. Russell E Lewis
Executive Director
(423) 433-6050

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316216336

Medical Education Assistance Corporation's National Provider Identifier is 1316216336, issued on Dec 20, 2011. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Johnson City, TN. The record was last updated on Aug 22, 2018.