Healthcare Provider Details

I. General information

NPI: 1366075335
Provider Name (Legal Business Name): MARGARET LEAH DO RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET LEAH WILCOX

II. Dates (important events)

Enumeration Date: 02/19/2020
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVENUE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE STOP A
FORT BRAGG NC
28310-0001
US

V. Phone/Fax

Practice location:
  • Phone: 910-907-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: