Individual ProviderClark Jeffery SmithChiropractorChiropractic ProvidersPractice Address200 Creekstone Rdg, Woodstock, GA 30188-3732(770) 592-1909PECOS EnrollmentBased on the most recent information from CMS, provider Clark Jeffery Smith does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1548425903Provider TypeIndividualFull NameSmith, Clark JefferyTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date7/25/2008Last Updated7/25/2008Contact InformationPractice LocationPractice Address200 Creekstone Rdg, Woodstock, GA 30188-3732Phone(770) 592-1909Fax(770) 592-7303Mailing LocationMailing Address200 Creekstone Rdg, Woodstock, GA 30188-3732Phone(770) 592-1909Fax(770) 592-7303Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicensePENDINGGeorgia