Provider Demographics
NPI:1083679864
Name:OSEI-BONSU, GEORGE (M D)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:OSEI-BONSU
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 ADMIRAL DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1555
Mailing Address - Country:US
Mailing Address - Phone:336-841-8500
Mailing Address - Fax:336-841-3999
Practice Address - Street 1:3750 ADMIRAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1555
Practice Address - Country:US
Practice Address - Phone:336-841-8500
Practice Address - Fax:336-841-3999
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200201294207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC132R7OtherNC BCBS
NC5905559Medicaid
NCP00181149OtherRAILROAD MEDICARE
NC76-00156OtherUHC
NC801846OtherPARTNERS
NCD8108OtherMEDCOST
NC76-00156OtherUHC
NC801846OtherPARTNERS