NPI 1497952600

Mancel Wakham, DO PC

Organisation Family Medicine Physician Harriman, TN

Practice location

Address: 2497 S Roane St Suite 110, Harriman, TN 37748
Phone: (865) 590-0889
Fax: (865) 590-0884

Authorised official

Name: Lisa Packett
Title: Manager
Phone: (865) 321-0048

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence D00000000982 (TN)

Other Family Medicine providers in Tennessee →

Registry record

NPI: 1497952600
Entity type: Organization
NPI issued: 29 Jun 2007
Record last updated: 24 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.