Organization
SHORT PUMP FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY GILLIAM (OFFICE MANAGER)
(336) 222-9299
Entity
Organization
Contact information
Practice address
12731 STONE VILLAGE WAY, MIDLOTHIAN, VA 23113-2722
(804) 379-1500
Mailing address
12731 STONE VILLAGE WAY, MIDLOTHIAN, VA 23113-2722
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
04/08/2021
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