Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Dawsonville
Provider ID
P000008805
NPI
1255678793
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
78 Dawson Village Way N Suite 230
Dawsonville, GA 30534
United States
County
Dawson
Phone
6788658449 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6788658449
Specialty Type
Physical Therapy
Map
Address