Provider Demographics
NPI:1356549851
Name:GILCHRIST, STEVEN LEE (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:LEE
Last Name:GILCHRIST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-2080
Mailing Address - Fax:704-316-2085
Practice Address - Street 1:13557 STEELECROFT PKWY
Practice Address - Street 2:SUITE 1200
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7550
Practice Address - Country:US
Practice Address - Phone:704-316-2080
Practice Address - Fax:704-316-2085
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL30299207Q00000X
SC30299207Q00000X
NC200800214207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909631Medicaid
SC302997Medicaid
NC2022260Medicare PIN
NC2022260BMedicare PIN