Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Buford
Provider ID
P000008789
NPI
1740547850
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
4510 Nelson Brogdon Blvd
Sugar Hill, GA 30518
United States
County
Gwinnett
Phone
7709451045 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7709451045
Specialty Type
Physical Therapy
Map
Address