Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy McGinnis Ferry
Provider ID
P000008835
NPI
1952844318
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
1000 Peachtree Industrial Blvd Suite 5
Suwanee, GA 30024
United States
County
Gwinnett
Phone
6784829695 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6784829695
Specialty Type
Physical Therapy
Map
Address