Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Port Wentworth
Provider ID
P000008845
NPI
1376079772
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
7938 GA HIghway 21 Suite 300
Port Wentworth, GA 31407
United States
County
Chatham
Phone
9129650601 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
9129650601
Specialty Type
Physical Therapy
Map
Address