Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Howell Mill
Provider ID
P000008823
NPI
1518364892
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
1715 Howell Mill Road NW Suite B2
Atlanta, GA 30318
United States
County
Fulton
Phone
4043515432 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4043515432
Specialty Type
Physical Therapy
Map
Address