Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy - Young Harris
Provider ID
P000008875
NPI
1255435616
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1615 State Hwy 17 Suite 9
Young Harris, GA 30582
United States
County
Towns
Phone
7068962771 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7068962771
Specialty Type
Physical Therapy
Map
Address