Mancel Wakham, Do Pc | |
2497 S Roane St Suite 110 Harriman TN 37748 | |
(865) 590-0889 | |
(865) 590-0884 |
Full Name | Mancel Wakham, Do Pc |
---|---|
Speciality | Family Medicine |
Location | 2497 S Roane St, Harriman, Tennessee |
Authorized Official Name and Position | Lisa Packett (MANAGER) |
Authorized Official Contact | 8653210048 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mancel Wakham, Do Pc 2497 S Roane St Suite 110 Harriman TN 37748 Ph: (865) 230-5698 | Mancel Wakham, Do Pc 2497 S Roane St Suite 110 Harriman TN 37748 Ph: (865) 590-0889 |
NPI Number | 1497952600 |
---|---|
Provider Enumeration Date | 06/29/2007 |
Last Update Date | 07/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497952600 | NPI | - | NPPES |
3725874 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | D00000000982 (Tennessee) | Primary |
Mancel Wakham, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2497 S Roane St Ste 110, Harriman, TN 37748 Phone: 865-647-3575 | |
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