Individual provider · Type 1 NPI

Caleb Jabari Witherspoon, MAT STUDENT

Student in an Organized Health Care Education/Training Program · Livingston, AL

NPI number 1194698092 Active

Practice location

Uwa Station 14
Livingston, AL 35470

Call (205) 652-3714 Map

Mailing address

1 College Dr
Livingston, AL 35470-2097

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194698092

Caleb Jabari Witherspoon, MAT STUDENT's National Provider Identifier is 1194698092, issued on Sep 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livingston, AL. The record was last updated on Sep 26, 2025.