Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Camp Creek Pkwy
Provider ID
P000008791
NPI
1770837445
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
3645 Marketplace Blvd Suite 160
East Point, GA 30344
United States
County
Fulton
Phone
4043442823 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4043442823
Specialty Type
Physical Therapy
Map
Address