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About PROVIDER INSURANCE GROUP, INC.

Legal entity PROVIDER INSURANCE GROUP, INC. is a business company registered in Georgia with the business ID "10025979". This business type is "Foreign Profit Corporation". This business was created on "1/29/2010". Current business status is "Withdrawn". This business registered office address is "160 GOULD STREET , SUITE 130, Needham, MA, 02494".



Business Information

Business Name: PROVIDER INSURANCE GROUP, INC.
Business ID: 10025979 Business Status: Withdrawn
Business Type: Foreign Profit Corporation NAICS Code: NONE
Registration Date: 1/29/2010 State of Formation:
Business Address: 160 GOULD STREET , SUITE 130, Needham, MA, 02494




Registered Agent Information

Agent Name: NONE
Physical Address: NONE
County: NONE


Officers Information

NameTitleAddress
Richard W. DavisCEO160 GOULD STREET SUITE 130, Needham, MA, 02494, USA
Richard W. DavisSecretary160 GOULD STREET SUITE 130, Needham, MA, 02494, USA
Richard W. DavisCFO160 GOULD STREET SUITE 130, Needham, MA, 02494, USA


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