Organization
TOWN CENTRAL INSURANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHAILOTH LOONUBON (PRINCIPAL AGENT/ OWNER)
(706) 778-6268
Entity
Organization
Contact information
Practice address
748 STONECYPHER ST, CORNELIA, GA 30531-2456
(706) 778-6268
Mailing address
748 STONECYPHER ST, CORNELIA, GA 30531-2456
(706) 778-6268
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
2887248
GA
Other
Enumeration date
10/06/2013
Last updated
10/06/2013
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