Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Waynesboro Clinic, LLC

Organization Family Medicine Physician · NPI 1407207814

Waynesboro Clinic, LLC provides Family Medicine Physician services in Waynesboro, Tennessee. Licensed in Tennessee. Registered with an NPI since 2016.

Licensed in
TN
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

206 Clifton Tpke
Waynesboro, TN 38485-2301 Not confirmed with CMS for 10 years — call before visiting
Phone: (931) 722-3677
Fax: (931) 722-4677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO127 (TN)

Record details

NPI number1407207814
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Polk — Member/Physician · (931) 722-3677
NPI enumeratedJune 27, 2016
Last updated in NPPESJune 27, 2016
Mailing addressPo Box 778, Waynesboro, TN 38485-0778

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