| Benchmark | |
|
1820 Highway 20 Se Ste 160 Conyers GA 30013-2080 | |
| (770) 929-8872 | |
| Not Available |
| Full Name | Benchmark |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 1820 Highway 20 Se Ste 160, Conyers, Georgia |
| Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) |
| Authorized Official Contact | 4232387217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark 6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217 | Benchmark 1820 Highway 20 Se Ste 160 Conyers GA 30013-2080 Ph: (770) 929-8872 |
| NPI Number | 1184924854 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184924854 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | () | Secondary |
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