Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Winder
Provider ID
P000008868
NPI
1578902227
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
916 Loganville Hwy Suite 1130
Bethlehem, GA 30620
United States
County
Barrow
Phone
7708677463 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7708677463
Specialty Type
Physical Therapy
Map
Address