Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy East Cobb
Provider ID
P000008810
NPI
1013292119
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
1205 Johnson Ferry Road Suite 130
Marietta, GA 30068
United States
County
Cobb
Phone
7705653201 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7705653201
Specialty Type
Physical Therapy
Map
Address