OrganizationCarolina Coast Emergency Physicains, LlcEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address800 Tilghman Dr, Dunn, NC 28334-5510(910) 892-1000PECOS EnrollmentBased on the most recent information from CMS, provider Carolina Coast Emergency Physicains, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:10 AM.Profile DetailsProvider ID1164539102Provider TypeOrganizationFull NameCarolina Coast Emergency Physicains, LlcSubpartNoEnumeration Date8/24/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address800 Tilghman Dr, Dunn, NC 28334-5510Phone(910) 892-1000FaxUnlisted FaxMailing LocationMailing AddressPO Box 277982, Atlanta, GA 30384-7982PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameClem, Juli (Credentialing Specialist)Phone(770) 874-5452Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedNorth Carolina