Famoyin, Charles

Famoyin, Charles is an sole proprietor health care provider with primary practice located at 302 Wesley St Suite 3, Johnson City TN 37601-1740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Famoyin, Charles can be contacted via phone (423) 282-0561.

Contact Information

Primary practice address
302 Wesley St Suite 3 Johnson City TN 37601-1740
Phone: (423) 282-0561
Fax: (423) 268-2674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 41664 Tennessee
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 41664 Tennessee

Profile Details

NPI number 1003807355
LBN Legal business name Famoyin, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Aug 24th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003807355 NPPES
Tennessee MEDICAID 3833830

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