Individual
DONALD H POLK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
206 CLIFTON TPKE, WAYNESBORO, TN 38485-2301
(931) 722-3677
(931) 722-9052
Mailing address
PO BOX 778, WAYNESBORO, TN 38485-0778
(931) 722-3677
(931) 722-9052
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
DO127
TN
207Q00000X
Family Medicine Physician
Primary
TNDO127
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3300793
—
TN
Enumeration date
08/22/2005
Last updated
01/18/2016
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