Organization
TN VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REXFORD AGBENOHEVI MD (MD)
(931) 525-1651
Entity
Organization
Contact information
Practice address
1101 NEAL ST, SUITE 101, COOKEVILLE, TN 38501-0901
(931) 525-1651
(931) 525-2165
Mailing address
PO BOX 3432, COOKEVILLE, TN 38502-3432
(931) 525-1651
(931) 525-1653
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
0000046089
TN
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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