MEDICARE: DR. CHARLES FAMOYIN M.D.

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
1	207RH0003X	Hematology & Oncology Physician	41664	TN
2	207R00000X	Internal Medicine Physician	41664	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003807355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES FAMOYIN M.D.

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	05/19/2026

Similar Medicare Providers

1659369882 — MRS. SUSAN M HOSSLER RN, MSN, PNP
Practice Location Address:

302 WESLEY ST
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-928-9007
Practice Fax: 423-928-9249

1609988930 — KINGSPORT ANESTHESIA, PLC
Practice Location Address:

302 WESLEY ST STE 3
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-283-7302
Practice Fax:

1881920122 — MRS. MARY A SMITH BCABA
Practice Location Address:

302 WESLEY ST STE 1
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-282-1700
Practice Fax: 423-282-9319

1932491313 — KIMBERLY SHARITZ M.S. CCC-SLP
Practice Location Address:

302 WESLEY ST STE 8
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-282-1700
Practice Fax:

1508134768 — EAST TENNESSEE HEMATOLOGY-ONCOLOGY ASSOC
Practice Location Address:

302 WESLEY ST STE 3
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-631-0523
Practice Fax: 423-631-0522

1558632216 — QUALITY OF LIFE HEALTHCARE INC.
Practice Location Address:

302 WESLEY ST STE 3
JOHNSON CITY, TN
37601-1741

Practice Phone: 423-202-3772
Practice Fax: 423-202-3445

Directions to “ DR. CHARLES FAMOYIN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.