Mancel Wayne Wakham in Harriman - Family Medicine
Mancel Wayne Wakham - NPI 1073568218
Mancel Wayne Wakham is a Family Medicine in Harriman, Tennessee. Mancel Wayne Wakham practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mancel Wayne Wakham is 1073568218. The last update date is 2018-07-08.
Mancel Wayne Wakham's current location address is 2497 S. Roane St., Harriman, Tennessee. You can contact this provider via phone number 8652305698. The mailing address for Mancel Wayne Wakham is 2497 S. Roane St., Harriman, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mancel Wayne Wakham |
|---|---|
| Address | 2497 S. Roane St., Harriman, Tennessee |
| Phone Number | 8652305698 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1073568218 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2018-07-08 |
Provider Mailing Address Detail
| Address | 2497 S. Roane St. |
|---|---|
| City | Harriman |
| State | Tennessee (TN) |
| Post Code | 37748 |
| Phone Number | 8652305698 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 982 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 140287 | UNITED HEALTHCARE | ||
| P00114578 | MEDICARE TRAVELERS | ||
| Q036092 | TN | -- | |
| TN0101 | JOHN DEERE HEALTHCARE | ||
| 4091772 | TN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Mancel Wayne Wakham's 1073568218?
The Mancel Wayne Wakham's NPI (National Provider Identifier) Number is 1073568218. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mancel Wayne Wakham is physically located?
The Mancel Wayne Wakham is situated at the following address: 2497 S. Roane St., Harriman, TN 37748.
What is Mancel Wayne Wakham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mancel Wayne Wakham is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1073568218 assigned to Mancel Wayne Wakham?
The Mancel Wayne Wakham was issued its 1073568218 on 2006-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mancel Wayne Wakham last refreshed?
The information related to the Mancel Wayne Wakham, including its address, specialty, and other relevant details, was last updated on 2018-07-08.