Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Stockbridge
Provider ID
P000008886
NPI
1366746331
Tax ID
581443056
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
1498 Hudson Bridge Road
Stockbridge, GA 30281
United States
County
Henry
Phone
6782890525 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6782890525
Specialty Type
Physical Therapy
Map
Address