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Provident Life and Accident Insurance Company
Company License #:
7700482
NAIC ID:
68195
Home Office Address:
One Fountain Square
Chattanooga, TN 37402
Mailing Address:
One Fountain Square, 6N
Chattanooga, TN 37402
Phone:
423-755-1011
Issue Date:
10/1/1916
Agent of Process
Name
Address
City, State Zip
UNITED STATES CORPORATION COMPANY 109 EXECUTIVE DR STE 3
MADISON, MS 39110-8497
Note: The above appointment is in addition to the Commissioner of Insurance.
Lines
Line Description
Effective Date
Accident & Health
1/1/2000
Life
1/1/2000
Active Company Appointments
1074 Records Found
Records per page:
25
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All Records
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Agent ID
Nat. Prod. ID
Name
Address
City, State Zip
Phone
Effective Date
301976
7312370
ROBERT C ABART
1483 APPLINGWOOD COVE S
CORDOVA, TN 38016
901-649-2180
10/13/2022
10822058
16969066
MALIK ABDURRAZZAQ
92 SAINT NICHOLAS AVE APT 4A
NEW YORK, NY 10026-2934
718-791-1200
07/06/2022
10002797
586133
JACK WALLMAN ABEL
,
301-581-7300
08/30/2013
201976
7085771
THOMAS ALLEN ABNEY JR
248 E CAPITOL ST STE 1200
JACKSON, MS 39201-2500
601-960-8200
07/27/2021
8301085
829733
GEORGE STANLEY ADDISON
CLAY AND LAND INSURANCE 866 RIDGEWAY LOOP RD STE 200
MEMPHIS, TN 38120-4000
901-767-3600
11/19/2019
10433134
17944845
LEILA ADKINS
2921 8TH STREET
MERIDIAN, MS 39301
601-616-5882
01/30/2020
10227382
13038374
JONATHAN CHILDRESS AGRICOLA SR
3175 LAUREL DR APT B
GULF BREEZE, FL 32563-5316
850-686-9113
09/20/2011
10824985
18745007
NISSAH LIA AGUILAR
33556 MAPLEWOOD CT
TEMECULA, CA 92592
760-496-8307
02/08/2022
10869507
1789727
CHERYL MARIE AHMAD
SELMAN & COMPANY, LLC 1 INTEGRITY PKWY
CLEVELAND, OH 44143-1500
440-646-9336
08/10/2023
10681864
17177028
SAMAR BREIK ALBIN
41572 VALOR DRIVE
MURRIETA, CA 92562
858-609-9594
05/24/2022
10834674
8482159
SHEILA RENEE ALBITRE
11682 WAKEFIELD DR
PENSACOLA, FL 32514-9744
661-817-0712
10/25/2023
10803552
17955217
ISAAC PERALES ALDERETE
800 W SAM HOUSTON PARKWAY
HOUSTON, TX 77042
832-524-7986
04/11/2022
10173096
13779122
RHAMY EEAD ALEJEAL
POPLAR INSURANCE AGENCY, INC 6000 POPLAR AVE STE 250
MEMPHIS, TN 38119-3974
901-313-4404
03/18/2016
10807896
3623434
GERALD RAY ALEXANDER
350 SW COCONUT KEY WAY
PORT ST LUCIE, FL 34986-1910
850-521-0112
11/02/2021
10437963
15441339
DAVID K ALEXY
4512 ALABAMA AVE
CHATTANOOGA, TN 37409-1616
423-294-3909
07/13/2016
10562107
18836569
SAMIYAH ALI
118 KAYWOOD DR
SANFORD, FL 32771-8836
321-754-7873
10/30/2023
400573
1159584
CANNON EDWARD ALLEN
7412 UNIVERSITY AVE UNIT 1
LUBBOCK, TX 79423-1486
806-783-9653
08/18/2021
10448126
16471949
RITA TIA ALLEN
623 HILLSIDE VILLAGE DR SE
ATLANTA, GA 30317-3178
404-809-3656
12/12/2019
10401844
5707459
JOHN J ALLIANO SR
42 LEE ST
LYMAN, SC 29365-9726
803-718-1000
04/21/2022
10258586
518886
KRISTEN MAUGER ALLISON
2211 MICHELSON DR STE 1200
IRVINE, CA 92612-0304
949-252-4580
08/24/2012
314664
1672249
SCOTT ALLISON
5900 N COUNTRY CLUB BLVD
LITTLE ROCK, AR 72207-4349
501-280-0300
10/26/2015
8106683
1327627
ROBERT DUANE ALLRED
,
601-833-0604
07/19/2021
10189122
15903971
ROBERT KELLY ALLRED
124 S WHITWORTH AVE
BROOKHAVEN, MS 39601-3341
601-833-0604
07/19/2021
10382275
17607829
WILLIAM TREY ALLRED
731 GREENVIEW TRAIL NE
BROOKHAVEN, MS 39601
601-833-0604
02/13/2023
10974285
17371916
ANISSA MARIE ALVARADO
206 CHINA ST
WESLACO, TX 78596-3205
956-998-9939
08/29/2023
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