Organization
WAYNESBORO CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD HOWARD POLK DO (MEMBER/PHYSICIAN)
(931) 722-3677
Entity
Organization
Contact information
Practice address
206 CLIFTON TPKE, WAYNESBORO, TN 38485-2301
(931) 722-3677
(931) 722-4677
Mailing address
PO BOX 778, WAYNESBORO, TN 38485-0778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO127
TN
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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