Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Conyers
Provider ID
P000008876
NPI
1427000777
Tax ID
581443056
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
1820 Highway 20 SE Suite 146
Conyers, GA 30013
United States
County
Rockdale
Phone
7709298872 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7709298872
Specialty Type
Physical Therapy
Map
Address