Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Holcomb Bridge
Provider ID
P000008821
NPI
1861867996
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
2850 Holcomb Bridge Rd Suite 140A
Alpharetta, GA 30022
United States
County
Fulton
Phone
6785857921 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
Specialty Type
Physical Therapy
Map
Address