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NPI Code Detail

MEDICARE: QUALITY OF LIFE HEALTHCARE INC.

MEDICARE: QUALITY OF LIFE HEALTHCARE INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician
2207RH0003XHematology & Oncology Physician

General Provider Information

NPI Number : 1558632216
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY OF LIFE HEALTHCARE INC.
Provider Business Mailing Address
First Line : 302 WESLEY ST STE 3
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1741
Country : US
Telephone Number : 423-202-3772
Fax Number : 423-202-3445
Provider Business Practice Location Address
First Line : 302 WESLEY ST STE 3
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1741
Country : US
Telephone Number : 423-202-3772
Fax Number : 423-202-3445
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES FAMOYIN
Credential : MD
Telephone Number : 423-431-8889
Provider Enumeration Date : 01/25/2012
Last Update Date : 05/19/2026

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Directions to “QUALITY OF LIFE HEALTHCARE INC. ” Practice Location

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