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Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Virginia Highlands
Provider ID
P000008863
NPI
1265872287
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
842 N Highland Ave NE Suite TER
Atlanta, GA 30306
United States
County
Fulton
Phone
6786859356
(
Phone
)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
6786859356
Specialty Type
Physical Therapy
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