Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Tyrone
Provider ID
P000008860
NPI
1629431929
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
62 Carriage Oaks Drive
Tyrone, GA 30290
United States
County
Fayette
Phone
7709697166 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7709697166
Specialty Type
Physical Therapy
Map
Address