Individual
EDWIN COTTRELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
VETERAN
Contact information
Practice address
7301 STONECREST CONCOURSE, STONECREST, GA 30038-6901
(470) 854-0656
Mailing address
8016 WHITE OAK LOOP, STONECREST, GA 30038-3306
(470) 854-0656
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
171400000X
GA
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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