Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Waycross
Provider ID
P000008864
NPI
1013453067
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
6/24/2022
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2478 Memorial Drive
Waycross, GA 31503
United States
County
Ware
Phone
912-285-1927 (Phone)
Billing Details
Address
2478 Memorial Drive
Chattanooga, TN 31503
Billing Phone
423-238-7217
Specialty Type
Physical Therapy
Map
Address