Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Dunwoody
Provider ID
P000008809
NPI
1376956003
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
5500 Chamblee Dunwoody Rd Suite 5B
Dunwoody, GA 30338
United States
County
DeKalb
Phone
7703963003 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7703963003
Specialty Type
Physical Therapy
Map
Address