Individual
DR. VONZELL OSBORNE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HOSPITAL DR, TYLERTOWN, MS 39667-2020
(601) 876-5303
(601) 876-0653
Mailing address
200 HOSPITAL DR, TYLERTOWN, MS 39667-2020
(601) 876-5303
(601) 876-0653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101250906
VA
207R00000X
Internal Medicine Physician
2023019624
MO
207R00000X
Internal Medicine Physician
Primary
22390
MS
207R00000X
Internal Medicine Physician
56239
KY
208M00000X
Hospitalist Physician
2023019624
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01958399
—
MS
01
—
9126825
AETNA
MS
01
—
P01182503
RAILROAD MEDICARE PTAN
MS
Enumeration date
11/30/2007
Last updated
06/22/2023
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