| Doctor Name: | MRS. PEGGY KISER HARRIS |
| NPI Number: | 1356363089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 100789 |
| Business Practice Address: | 1614 Nc Highway 56 Creedmoor, NC - 275228297 |
| Business Phone Number: | 9195287171 |
| Business Fax Number: | 9195288797 |
| Mailing Address: | 121 Marina Rd, BRACEY |
| State: | VA |
| Postal Code: | 239193203 |
| Phone Number: | 4366365482 |
| Fax Number: | |
| NPI Enumeration Date: | 07/24/2006 |
| NPI Last Update Date: | 06/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 100789 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |