Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Roswell Hwy 92
Provider ID
P000008824
NPI
1639552052
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
540 W Crossville Road Suite 203
Roswell, GA 30075
United States
County
Fulton
Phone
6785850175 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6785850175
Specialty Type
Physical Therapy
Map
Address