Provider Demographics
NPI:1659565935
Name:PITT, GABRIEL J (AUD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:J
Last Name:PITT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINDWALK LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-2222
Mailing Address - Country:US
Mailing Address - Phone:912-333-8084
Mailing Address - Fax:478-215-4447
Practice Address - Street 1:209 S TALLAHASSEE ST OFC
Practice Address - Street 2:
Practice Address - City:HAZLEHURST
Practice Address - State:GA
Practice Address - Zip Code:31539-6025
Practice Address - Country:US
Practice Address - Phone:912-333-8084
Practice Address - Fax:478-215-4447
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2275231H00000X
SCAUD3899231HA2500X, 231H00000X, 231HA2400X, 237600000X
GAAUD003780231HA2400X, 231HA2500X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter