OrganizationAtlantic Back And Body Clinic LlcChiropractorChiropractic ProvidersPractice Address8 Quakerbridge Plz Ste 1, Hamilton, NJ 08619-1255(310) 989-8850PECOS EnrollmentBased on the most recent information from CMS, provider Atlantic Back And Body Clinic Llc 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 yesterday at 12:57 PM.Profile DetailsProvider ID1336698349Provider TypeOrganizationFull NameAtlantic Back And Body Clinic LlcSubpartNoEnumeration Date10/3/2016Last Updated10/24/2016Contact InformationPractice LocationPractice Address8 Quakerbridge Plz Ste 1, Hamilton, NJ 08619-1255Phone(310) 989-8850FaxUnlisted FaxMailing LocationMailing Address8 Quakerbridge Plz Ste 1, Hamilton, NJ 08619-1255Phone(310) 989-8850FaxUnlisted FaxAuthorized OfficialNameDrake, Malynn T. (Owner/Doctor)Phone(310) 989-8850Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense38MC00738900New JerseyProvider IdentifiersIDDescriptionIssuerID38MC00738900DescriptionOtherIssuerLICENSE NUMBERNew Jersey