# SHORT PUMP WELLNESS CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi Weightloss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407232770
- **Authorized official:** CHRISTOPHER K CURRIN (COO)
- **Authorized official phone:** (804) 717-5000

## Contact information

- **Practice address:** 11551 NUCKOLS RD, SUITE C, GLEN ALLEN, VA 23059-5565
- **Practice address phone:** (804) 888-6800
- **Mailing address:** 230 BROWNS WAY RD, MIDLOTHIAN, VA 23114-9501
- **Mailing address phone:** (804) 419-9101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2015
- **Last updated:** 08/10/2015