# TN VALLEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356448633
- **Authorized official:** DR. REXFORD AGBENOHEVI MD (MD)
- **Authorized official phone:** (931) 525-1651

## Contact information

- **Practice address:** 1101 NEAL ST, SUITE 101, COOKEVILLE, TN 38501-0901
- **Practice address phone:** (931) 525-1651
- **Practice address fax:** (931) 525-2165
- **Mailing address:** PO BOX 3432, COOKEVILLE, TN 38502-3432
- **Mailing address phone:** (931) 525-1651
- **Mailing address fax:** (931) 525-1653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | 0000046089 | TN | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020