| Dba Palladium Primary Care | |
|
3750 Admiral Dr Ste 101 High Point NC 27265-1556 | |
| (336) 841-8500 | |
| (336) 841-3999 |
| Full Name | Dba Palladium Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 3750 Admiral Dr Ste 101, High Point, North Carolina |
| Authorized Official Name and Position | George Osei-bonsu (CORPORATE OFFICER) |
| Authorized Official Contact | 3368418500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Palladium Primary Care 3750 Admiral Drive Suite 101 Highpoint NC 27265-1556 Ph: (336) 841-8500 | Dba Palladium Primary Care 3750 Admiral Dr Ste 101 High Point NC 27265-1556 Ph: (336) 841-8500 |
| NPI Number | 1376574004 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 02/18/2009 |
| Medicare PECOS PAC ID | 1153334099 |
|---|---|
| Medicare Enrollment ID | O20060719000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376574004 | NPI | - | NPPES |
| 5950538 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2002-01294 (North Carolina) | Primary |
| Provider Name | George Osei-bonsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083679864 PECOS PAC ID: 4284601352 Enrollment ID: I20041119001102 |
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