Contract Details
TherapySouth
Facility name
TherapySouth Athens
Provider ID
P000008628
NPI
1740696764
Tax ID
471146182
Effective Date
7/1/2015
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2319 Prince Avenue
Athens, GA 30606
United States
County
Clarke
Phone
7064258888 (Phone)
Billing Details
Address
2823 Greystone Commercial Boulevard
Birmingham, AL 35242
Billing Phone
2054081713
Specialty Type
Physical Therapy
Map
Address