Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Shallowford GA
Provider ID
P000008852
NPI
1043672678
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
3855 Shallowford Road Suite 415
Marietta, GA 30062
United States
County
Cobb
Phone
6783520828 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6783520828
Specialty Type
Physical Therapy
Map
Address