Williams, Vonzell Osborne
Williams, Vonzell Osborne is an sole proprietor health care provider with primary practice located at 200 Hospital Dr , Tylertown MS 39667-2020. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Williams, Vonzell Osborne can be contacted via phone (601) 876-5303.Contact Information
Primary practice address
200 Hospital Dr
Tylertown MS 39667-2020
Phone: (601) 876-5303
Fax: (601) 876-0653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2023019624 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101250906 | Virginia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 56239 | Kentucky |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2023019624 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 22390 | Mississippi |
Profile Details
| NPI number | 1861674921 |
|---|---|
| LBN Legal business name | Williams, Vonzell Osborne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Jun 22nd, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861674921 | NPPES |
| Mississippi | Other | 9126825 | AETNA |
| Mississippi | MEDICAID | 01958399 | AETNA |
| Mississippi | Other | P01182503 | AETNA |
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