Individual
MR. OZELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2709 MEREDYTH DR STE 330, ALBANY, GA 31707-0213
(229) 312-9651
Mailing address
1715 MARBURY LN, ALBANY, GA 31707-3766
(229) 436-1942
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002305
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00068725B
—
GA
Enumeration date
11/16/2006
Last updated
10/18/2021
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