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Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Milton
Provider ID
P000008837
NPI
1083061212
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
12990 Hwy 9 N Suite 110
Milton, GA 30004
United States
County
Fulton
Phone
7707510095
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7707510095
Specialty Type
Physical Therapy
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