Organization
WAVERLY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHI D ALI MD FACS (PRESIDENT)
(931) 296-7788
Entity
Organization
Contact information
Practice address
806 E MAIN ST, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130
Mailing address
806 E MAIN ST, PO BOX 786, WAVERLY, TN 37185-1814
(931) 296-7788
(931) 296-7130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/10/2005
Last updated
09/11/2025
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