MEDICARE: STEVEN LEE 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	207Q00000X	Family Medicine Physician	TL30299	SC
2	207Q00000X	Family Medicine Physician	30299	SC
3	207Q00000X	Family Medicine Physician	200800214	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356549851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN LEE GILCHRIST MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-316-2080
Fax Number	:	704-316-2085

Provider Business Practice Location Address
First Line	:	13557 STEELECROFT PKWY
Second Line	:	SUITE 1200
City	:	CHARLOTTE
State	:	NC
Zip	:	28278-7550
Country	:	US
Telephone Number	:	704-316-2080
Fax Number	:	704-316-2085

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	04/20/2023

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