Provider Demographics
NPI:1306485099
Name:WILLIAMS, ROZVONSKI GEORGE
Entity type:Individual
Prefix:
First Name:ROZVONSKI
Middle Name:GEORGE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 CRESTLINE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5352
Mailing Address - Country:US
Mailing Address - Phone:706-393-2182
Mailing Address - Fax:706-596-5539
Practice Address - Street 1:719 CRESTLINE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5352
Practice Address - Country:US
Practice Address - Phone:706-393-2182
Practice Address - Fax:706-596-5539
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-30
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management