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 is a Family Medicine Physician 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
Phone: (931) 722-3677
Fax: (931) 722-4677
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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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