Mancel Wayne Wakham, DO

NPI #1073568218 in Harriman, Tennessee

Provider Information

NPI Number: 1073568218
Entity Type: Individual
Name: Mancel Wayne Wakham, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: May 24, 2006
Last Updated: Jul 8, 2018

Practice Location

Address: 2497 S. ROANE ST.
Address 2: SUITE 110
City: Harriman
State: Tennessee
ZIP Code: 37748
Phone: (865) 230-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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