Provider Demographics
NPI:1982043535
Name:FITTON, GABRIEL CYRUS (MD)
Entity Type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:CYRUS
Last Name:FITTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:157 PROFESSIONAL PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-5606
Mailing Address - Country:US
Mailing Address - Phone:704-662-3967
Mailing Address - Fax:704-662-3975
Practice Address - Street 1:157 PROFESSIONAL PARK DR STE A
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5606
Practice Address - Country:US
Practice Address - Phone:704-662-3967
Practice Address - Fax:704-662-3975
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-01929207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine