Individual
DR. GEORGE A SOUTHIERE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 SOCKANOSSET CROSS RD, CRANSTON, RI 02920-5560
(401) 946-7600
(401) 946-7601
Mailing address
105 SOCKANOSSET CROSS RD, CRANSTON, RI 02920-5560
(401) 946-7600
(401) 946-7601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0428139
KS
207P00000X
Emergency Medicine Physician
Primary
MD09907
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100336870C
—
KS
05
—
7057818
—
RI
Enumeration date
02/08/2007
Last updated
06/05/2014
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