Individual
DR. DONALD GABRIEL POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(931) 762-9418
(931) 722-9081
Mailing address
2717 EAST OAKLAND AVENUE, JOHNSON CITY, TN 37601-1843
(423) 926-2358
(423) 926-2680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33079841
—
TN
Enumeration date
09/07/2005
Last updated
01/10/2024
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