Healthcare Provider Details

I. General information

NPI: 1255775938
Provider Name (Legal Business Name): COATS MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N JOHNSON ST
COATS NC
27521-8407
US

IV. Provider business mailing address

PO BOX 1706
DUNN NC
28335-1706
US

V. Phone/Fax

Practice location:
  • Phone: 910-897-6423
  • Fax: 910-897-2540
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH BARTON FISER
Title or Position: VP CORP REV CYCLE/MANAGED CARE
Credential:
Phone: 910-615-5572