Dr. Charles Famoyin
Internist Hematology & Oncology
302 Wesley St Suite 3
Johnson City
, Tennessee 37601-1740
Dr. Charles Famoyin
Internist Hematology & Oncology
302 Wesley St Suite 3
Johnson City
, Tennessee 37601-1740
(423) 268-2674
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About
Features
Specialties
- Internist
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Charles Famoyin
- 302 Wesley St Suite 3
- Johnson City, TN
- Zip : 37601-1740
- Fax : (423) 268-2674
- Phone : (423) 282-0561
Second Address
- Dr. Charles Famoyin
- 302 Wesley St Suite 3
- Johnson City, TN
- Zip : 37601-1740
- Fax : (423) 268-2674
- Phone : (423) 282-0561
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 41664 | TN |
| N | 111NI0900X | Internist | 41664 | TN |
| Y | 207RH0003X | Hematology & Oncology | 41664 | TN |
National Provider Identifier
| NPI | 1003807355 |
|---|---|
| Provider Name | Dr. Charles Famoyin |
| First Address | Johnson City, TN 37601-1740 |
| Second Address | Johnson City, TN 37601-1740 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2005 |
| Last Update Date | 24/09/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 3833830 | (05) | TN |
| H62051 | (02) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.