Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Lithonia
Provider ID
P000008830
NPI
1124389887
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
3007 Panola Road Suite C
Lithonia, GA 30038
United States
County
DeKalb
Phone
7709871122 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7709871122
Specialty Type
Physical Therapy
Map
Address