Mercy Clinic, INC

NPI #1710109962 in Cookeville, Tennessee

Provider Information

NPI Number: 1710109962
Entity Type: Organization
Organization Name: Mercy Clinic, INC
Primary Specialty: Internal Medicine
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 315 N WASHINGTON AVE
Address 2: SUITE 109
City: Cookeville
State: Tennessee
ZIP Code: 38501-2603
Phone: (931) 372-8668

Authorized Official

Name: DR. REXFORD YAO AGBENOHEVI, MD
Title: PRESIDENT AND CEO
Phone: (931) 372-8668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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