Individual
DR. STAFFORD AUSTIN CONWAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 N STATE OF FRANKLIN RD, SUITE 135, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Mailing address
410 N STATE OF FRANKLIN RD, SUITE 135, JOHNSON CITY, TN 37604-6971
(423) 431-2350
(423) 431-2372
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101279662
VA
2084N0400X
Neurology Physician
35C.000332
OH
2084N0400X
Neurology Physician
55273
TN
2084N0400X
Neurology Physician
M7919
TX
2084N0400X
Neurology Physician
Primary
MD213841
OR
2084N0400X
Neurology Physician
MD60300234
WA
208M00000X
Hospitalist Physician
55273
TN
Other
Enumeration date
05/25/2006
Last updated
07/11/2025
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