ADAM RANDOLPH SMITH

CAMP LEJEUNE, NC
NPI1588274641
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2020-08-04
Last Update Date2025-08-05
Business Address
ADAM RANDOLPH SMITH IDC
H M SMITH BLVD
CAMP LEJEUNE, NC 28547
Phone number: 910-451-5125
Mailing Address
ADAM RANDOLPH SMITH IDC
205 WINTERGREEN LN
HUBERT, NC 28539-4659
Phone number: 610-291-7461