Individual
DR. CLARK JEFFERY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(770) 592-1909
(770) 592-7303
Mailing address
200 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(770) 592-1909
(770) 592-7303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
PENDING
GA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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