Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Villa Rica
Provider ID
P000008862
NPI
1013292135
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
921 Moores Ferry Road Suite D
Villa Rica, GA 30180
United States
County
Carroll
Phone
6788408881 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6788408881
Specialty Type
Physical Therapy
Map
Address