| Benchmark | |
|
155 Medical Way Ste A Riverdale GA 30274-4940 | |
| (770) 991-2747 | |
| (770) 991-1704 |
| Full Name | Benchmark |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 155 Medical Way Ste A, Riverdale, Georgia |
| Authorized Official Name and Position | Troy Bage (PRESIDENT) |
| 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 155 Medical Way Ste A Riverdale GA 30274-4940 Ph: (770) 991-2747 |
| NPI Number | 1467629063 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467629063 | NPI | - | NPPES |
| DD7784 | Other | GA | RAILROAD MEDICARE |
| 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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