Individual provider · Type 1 NPI
Christopher Aj Etheredge
Student in an Organized Health Care Education/Training Program · Newton, AL
NPI number
1710442173
Active
Practice location
7525 Judge Logue Rd
Newton, AL 36352-8909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1710442173
Christopher Aj Etheredge's National Provider Identifier is 1710442173, issued on Feb 9, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newton, AL. The record was last updated on Feb 9, 2019.