Individual
DR. CHARLES FAMOYIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 WESLEY ST, SUITE 3, JOHNSON CITY, TN 37601-1740
(423) 282-0561
(423) 268-2674
Mailing address
302 WESLEY ST, SUITE 3, JOHNSON CITY, TN 37601-1740
(423) 282-0561
(423) 268-2674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41664
TN
207RH0003X
Hematology & Oncology Physician
Primary
41664
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3833830
—
TN
Enumeration date
11/03/2005
Last updated
08/24/2023
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