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NPI Code Detail

MEDICARE: PAUL DILLON HARRINGTON III MS, RD, LD, CSCS

MEDICARE:   PAUL DILLON HARRINGTON III MS, RD, LD, CSCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133VN1501XSports Dietetics Nutrition Registered Dietitian1571SC

General Provider Information

NPI Number : 1649964149
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL DILLON HARRINGTON III MS, RD, LD, CSCS
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line : WOMACK ARMY MEDICAL CENTER
City : FORT BRAGG
State : NC
Zip : 28310-8922
Country : US
Telephone Number : 910-908-5846
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line : WOMACK ARMY MEDICAL CENTER
City : FORT BRAGG
State : NC
Zip : 28310-8922
Country : US
Telephone Number : 910-908-5846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 09/03/2025

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