Healthcare Provider Details

I. General information

NPI: 1730300690
Provider Name (Legal Business Name): WILLIAM F. CONWAY, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 WAYNE ROAD SUITE A1
SAVANNAH TN
38372
US

IV. Provider business mailing address

855 WAYNE ROAD SUITE A1
SAVANNAH TN
38372
US

V. Phone/Fax

Practice location:
  • Phone: 731-925-0180
  • Fax: 731-925-0280
Mailing address:
  • Phone: 731-925-0180
  • Fax: 731-925-0280

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: DR. WILLIAM FRANCIS CONWAY
Title or Position: PHYSICIAN
Credential: MD
Phone: 731-925-0189