Healthcare Provider Details

I. General information

NPI: 1306899943
Provider Name (Legal Business Name): WILLIAM FRANCIS CONWAY M.D., F.A.C.P.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 WAYNE RD STE A1
SAVANNAH TN
38372-1530
US

IV. Provider business mailing address

855 WAYNE RD STE A1
SAVANNAH TN
38372-1530
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-0180
  • Fax: 731-925-2157
Mailing address:
  • Phone: 731-925-0180
  • Fax: 731-925-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD35708
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: