Provider Demographics
NPI:1821343393
Name:ARLINGTON FAMILY MEDICAL AND WELLNESS CENTER PC
Entity Type:Organization
Organization Name:ARLINGTON FAMILY MEDICAL AND WELLNESS CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-867-3995
Mailing Address - Street 1:5959 AIRLINE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ARLINGTON
Mailing Address - State:TN
Mailing Address - Zip Code:38002-4915
Mailing Address - Country:US
Mailing Address - Phone:901-867-3995
Mailing Address - Fax:901-867-3438
Practice Address - Street 1:5959 AIRLINE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ARLINGTON
Practice Address - State:TN
Practice Address - Zip Code:38002-4915
Practice Address - Country:US
Practice Address - Phone:901-867-3995
Practice Address - Fax:901-867-3438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-19
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD000000344032081P2900X
TNAPN0000013929363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty