Organization
WESLEY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES O FAMOYIN MD (PRESIDENT/CEO)
(423) 431-8889
Entity
Organization
Contact information
Practice address
138 INDUSTRIAL DR, ELIZABETHTON, TN 37643-4644
(423) 542-7007
(423) 543-2273
Mailing address
302 WESLEY ST STE 3, JOHNSON CITY, TN 37601-1741
(423) 548-7007
(423) 543-2273
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/25/2023
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