Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Tucker
Provider ID
P000008859
NPI
1982859419
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
4404 Hugh Howell Road Suite 18
Tucker, GA 30084
United States
County
DeKalb
Phone
7704935543 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7704935543
Specialty Type
Physical Therapy
Map
Address