Organization
GEORGE A SOUTHIERE JR MD, PC
Active
Organization
GEORGE A SOUTHIERE JR MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE ARMAND SOUTHIERE JR. MD (OWNER)
(401) 258-4535
Entity
Organization
Contact information
Practice address
600 PUTNAM PIKE, SUITE 7, GREENVILLE, RI 02828-1486
(401) 258-4535
Mailing address
600 PUTNAM PIKE, SUITE 7, GREENVILLE, RI 02828-1486
(401) 258-4535
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD09907
RI
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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