Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Pooler
Provider ID
P000008844
NPI
1083162978
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
119 Canal St Suite 104
Pooler, GA 31322
United States
County
Chatham
Phone
9123308444 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
9123308444
Specialty Type
Physical Therapy
Map
Address