Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therpy Brunswick
Provider ID
P000008787
NPI
1508232034
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
1106 Fountain Park Circle
Brunswick, GA 31520
United States
County
Glynn
Phone
9122622151 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
9122622151
Specialty Type
Physical Therapy
Map
Address