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Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Jasper
Provider ID
P000008826
NPI
1114384500
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
744 Noah Drive Suite 107
Jasper, GA 30143
United States
County
Pickens
Phone
7062533131
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7062533131
Specialty Type
Physical Therapy
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