Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Fairburn
Provider ID
P000008815
NPI
1013257856
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
5370 Campbellton Fairburn Road Suite 530
Fairburn, GA 30213
United States
County
Fulton
Phone
6786664146 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6786664146
Specialty Type
Physical Therapy
Map
Address