Healthcare Provider Details

I. General information

NPI: 1649964149
Provider Name (Legal Business Name): PAUL DILLON HARRINGTON III MS, RD, LD, CSCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-8922
US

IV. Provider business mailing address

2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
FORT BRAGG NC
28310-8922
US

V. Phone/Fax

Practice location:
  • Phone: 910-908-5846
  • Fax:
Mailing address:
  • Phone: 910-908-5846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1501X
TaxonomySports Dietetics Nutrition Registered Dietitian
License Number1571
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: