Provider Demographics
NPI:1336010651
Name:AW HOLDINGS DALE CITY LLC
Entity type:Organization
Organization Name:AW HOLDINGS DALE CITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ARRINGTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:N/A
Authorized Official - Phone:404-664-5763
Mailing Address - Street 1:4101 CHESHIRE STATION PLZ
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4101 CHESHIRE STATION PLZ
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2200
Practice Address - Country:US
Practice Address - Phone:571-374-1234
Practice Address - Fax:571-409-6700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care