Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam Randolph Smith, IDC

Individual provider Independent Duty Corpsman · NPI 1588274641

Adam Randolph Smith, IDC is an Independent Duty Corpsman in Camp Lejeune, North Carolina. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Partly verified

Some contact details are missing from the federal record.

H M Smith Blvd
Camp Lejeune, NC 28547
Phone: (910) 451-5125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 Wintergreen Ln, Hubert, NC 28539-4659 — (610) 291-7461

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1588274641
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedAugust 4, 2020
Last updated in NPPESAugust 5, 2025
Certification dateJuly 28, 2025

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