| Benchmark | |
|
3007 Panola Rd Ste C Lithonia GA 30038-2492 | |
| (770) 987-1122 | |
| (770) 987-1149 |
| Full Name | Benchmark |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 3007 Panola Rd Ste C, Lithonia, Georgia |
| Authorized Official Name and Position | Kiley Russell (MANAGER) |
| Authorized Official Contact | 4232388923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benchmark 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Benchmark 3007 Panola Rd Ste C Lithonia GA 30038-2492 Ph: (770) 987-1122 |
| NPI Number | 1124389887 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 06/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124389887 | 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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