Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Upper Hembree - Closed
Provider ID
P000008861
NPI
1184959645
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/18/2024
Direct Contract
Yes
Term Date
4/17/2024
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1350 Upper Hembree Road Suite 100
Roswell, GA 30076
United States
County
Fulton
Phone
7706644809 (Phone)
Billing Details
Address
1350 Upper Hembree Road
Suite 100
Chattanooga, TN 30076
Billing Phone
7706644809
Specialty Type
Physical Therapy
Map
Address