Organization
COLORECTAL WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KING-MULLINS MD (OWNER)
(504) 473-3237
Entity
Organization
Contact information
Practice address
1275 HIGHWAY 54 W STE 205, FAYETTEVILLE, GA 30214-4538
(770) 325-2275
(833) 707-2404
Mailing address
1275 HIGHWAY 54 W STE 205, FAYETTEVILLE, GA 30214-4538
(770) 325-2275
(833) 707-2404
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
08/21/2024
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