Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Glenwood Park
Provider ID
P000008879
NPI
1801815816
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
925 Garrette St Suite J
Atlanta, GA 30316
United States
County
DeKalb
Phone
4046245407 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4046245407
Specialty Type
Physical Therapy
Map
Address