Mancel Wakham, Do PC

NPI #1497952600 in Harriman, Tennessee

Provider Information

NPI Number: 1497952600
Entity Type: Organization
Organization Name: Mancel Wakham, Do PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 29, 2007
Last Updated: Jul 24, 2020

Practice Location

Address: 2497 S ROANE ST
Address 2: SUITE 110
City: Harriman
State: Tennessee
ZIP Code: 37748
Phone: (865) 590-0889

Authorized Official

Name: LISA PACKETT
Title: MANAGER
Phone: (865) 321-0048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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