| Doctor Name: | ERICA BILES PEACOCK |
| NPI Number: | 1093157224 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 194896 |
| Business Practice Address: | 4005 Fayetteville Rd Raeford, NC - 283768058 |
| Business Phone Number: | 9108485437 |
| Business Fax Number: | 9108485439 |
| Mailing Address: | 4005 Fayetteville Rd, RAEFORD |
| State: | NC |
| Postal Code: | 283768058 |
| Phone Number: | 9108485437 |
| Fax Number: | 9108485439 |
| NPI Enumeration Date: | 07/30/2013 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 194896 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |