Provider Demographics
NPI:1689000168
Name:C.L. THAXTON INSURANCE GROUP, INC.
Entity type:Organization
Organization Name:C.L. THAXTON INSURANCE GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/INSURANCE AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:THAXTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:803-432-1453
Mailing Address - Street 1:239 N HAMPTON ST
Mailing Address - Street 2:
Mailing Address - City:KERSHAW
Mailing Address - State:SC
Mailing Address - Zip Code:29067-1313
Mailing Address - Country:US
Mailing Address - Phone:803-475-2309
Mailing Address - Fax:803-475-9354
Practice Address - Street 1:239 N HAMPTON ST
Practice Address - Street 2:
Practice Address - City:KERSHAW
Practice Address - State:SC
Practice Address - Zip Code:29067-1313
Practice Address - Country:US
Practice Address - Phone:803-475-2309
Practice Address - Fax:803-475-9354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-17
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage