Whalio Doctors

NPI 1447688262

Town Central Insurance

Organisation Supports Brokerage Agency Cornelia, GA

Practice location

Address
748 Stonecypher St, Cornelia, GA 30531-2456
Phone
(706) 778-6268
Fax
(706) 778-6271

Authorised official

Name
Phailoth Loonubon
Title
Principal
Phone
(706) 778-6268

Registered specialties

Supports Brokerage Agency Primary
Agencies Taxonomy 251X00000X Licence 15985727 (GA)

Registry record

NPI
1447688262
Entity type
Organization
NPI issued
15 Oct 2013
Record last updated
15 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.