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Contact Information

SOUTHEASTERN AUDIOLOGY, INC.
527 STEPHENSON AVE
A-3
SAVANNAH, GA31405
 Phone: 912-352-8530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist-Hearing Aid Fitter

237600000X
 

Assistive Technology Practitioner

231HA2400X 64 Audiologist
 

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for SOUTHEASTERN AUDIOLOGY, INC.

NPI # 1063677664
LBN Legal business name SOUTHEASTERN AUDIOLOGY, INC.
Authorized official GABRIEL PITT - (OWNER/AUDIOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/23/2008
Last updated 12/03/2021 - About 5 years ago
Identifiers
GA License # AUD 3780
GA License # AUD3780
SC License # AUD 3899
GA Medicaid 337091148
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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