MEDICARE: DR. JULIE GILCHRIST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	MD059056L	PA

General Provider Information

NPI Number	:	1215080767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE GILCHRIST MD

Provider Business Mailing Address
First Line	:	5949 HERITAGE LN
Second Line	:
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087-1848
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 HARDEE AVENUE, S.W
Second Line	:	LAWRENCE JOEL ARMY HEALTH CLINIC
City	:	FORT MCPHERSON
State	:	GA
Zip	:	30330-1062
Country	:	US
Telephone Number	:	404-464-2662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	07/08/2007

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