Mancel Wakham LLC
Mancel Wakham LLC is a Family Medicine Physician in Kingston, Tennessee. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1000 Bradford Way Ste 500Kingston, TN 37763-3126
Phone: (865) 621-3601
Fax: (865) 409-5733
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1487475067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mancel Wakhem — Owner · (865) 621-3601 |
| NPI enumerated | October 17, 2024 |
| Last updated in NPPES | October 17, 2024 |
| Certification date | October 17, 2024 |
| Mailing address | 1000 Bradford Way Ste 500, Kingston, TN 37763-3126 |
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