Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Lawrenceville
Provider ID
P000008880
NPI
1053564047
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
455 Philip Blvd Building 100-160
Lawrenceville, GA 30046
United States
County
Gwinnett
Phone
6789850238 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6789850238
Specialty Type
Physical Therapy
Map
Address