Mancel Wakham, Do Pc in Harriman - Family Medicine

Mancel Wakham, Do Pc - NPI 1497952600

Mancel Wakham, Do Pc is a Family Medicine in Harriman, Tennessee. Mancel Wakham, Do Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mancel Wakham, Do Pc is 1497952600. The last update date is 2020-07-24.

Mancel Wakham, Do Pc's current location address is 2497 S Roane St, Harriman, Tennessee. You can contact this provider via phone number 8655900889 and fax number 8655900884. The mailing address for Mancel Wakham, Do Pc is 2497 S Roane St, Harriman, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mancel Wakham, Do Pc
Address 2497 S Roane St, Harriman, Tennessee
Phone Number 8655900889
Fax Number 8655900884
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Packett Lisa
Telephone Number 8653210048

NPI Number Detail

NPI Number 1497952600
Provider Enumeration Date 2007-06-29
Last Updated Date 2020-07-24

Provider Mailing Address Detail

Address 2497 S Roane St
City Harriman
State Tennessee (TN)
Post Code 37748
Phone Number 8655900889
Fax Number 8655900884

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No D00000000982
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3725874 TN --

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FAQs about Mancel Wakham, Do Pc

What is the unique 10-digit identification code issued to Mancel Wakham, Do Pc by the Centers for Medicare & Medicaid Services?

The Mancel Wakham, Do Pc has been assigned the NPI (National Provider Identifier) 1497952600 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Mancel Wakham, Do Pc located?

The Mancel Wakham, Do Pc is located at 2497 S Roane St, Harriman, TN 37748.

What is Mancel Wakham, Do Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mancel Wakham, Do Pc's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

When did the Mancel Wakham, Do Pc receive its 1497952600?

The Mancel Wakham, Do Pc was issued its 1497952600 on 2007-06-29, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Mancel Wakham, Do Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Mancel Wakham, Do Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-07-24.

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