Provider Demographics
NPI:1306899943
Name:CONWAY, WILLIAM FRANCIS (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANCIS
Last Name:CONWAY
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 WAYNE RD STE A1
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38372-1530
Mailing Address - Country:US
Mailing Address - Phone:731-925-0180
Mailing Address - Fax:731-925-2157
Practice Address - Street 1:855 WAYNE RD STE A1
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-1530
Practice Address - Country:US
Practice Address - Phone:731-925-0180
Practice Address - Fax:731-925-2157
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD35708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3884384Medicaid
TNA76432Medicare UPIN
TN3884384Medicaid