Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Holly Springs
Provider ID
P000008822
NPI
1174927784
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
6768 Hickory Flat Hwy Suite 110
Canton, GA 30115
United States
County
Cherokee
Phone
7707215767 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7707215767
Specialty Type
Physical Therapy
Map
Address