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George A. Southiere, Jr., MD, P.C.

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Company Details

Name: George A. Southiere, Jr., MD, P.C.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Nov 2010 (15 years ago)
Date of Dissolution: 02 Nov 2017 (8 years ago)
Date of Status Change: 02 Nov 2017 (8 years ago)
Identification Number: 000559032
ZIP code: 02920
County: Providence County
Purpose: MEDICINE
Fictitious names: Ocean State Addiction Medicine (trading name, 2013-01-25 - )
Principal Address: Google Maps Logo 105 SOCKANOSSET CROSS ROAD SUITE 320, CRANSTON, RI, 02920, USA

Agent

Name Role Address
GEORGE A. SOUTHIERE, JR. Agent 105 SOCKANOSSET CROSS ROAD SUITE 320, CRANSTON, RI, 02920, USA

PRESIDENT

Name Role Address
GEORGE A SOUTHIERE, JR. PRESIDENT 23 WINDSONG ROAD CUMBERLAND, RI 02864 USA

National Provider Identifier

NPI Number:
1578864187

Authorized Person:

Name:
DR. GEORGE ARMAND SOUTHIERE JR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
201752809880 Revocation Certificate For Failure to File the Annual Report for the Year 2017-11-02
201747843710 Revocation Notice For Failure to File An Annual Report 2017-07-27
201694802310 Annual Report 2016-03-17
201558085370 Annual Report 2015-03-26
201440129300 Annual Report 2014-05-28

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Date of last update: 30 May 2025

Sources: Rhode Island Department of State