| Benchmark | |
|
1498 Hudson Bridge Rd Stockbridge GA 30281-5018 | |
| (678) 289-0525 | |
| (678) 289-0529 |
| Full Name | Benchmark |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 1498 Hudson Bridge Rd, Stockbridge, Georgia |
| Authorized Official Name and Position | Troy Dale Bage (PRESIDENT) |
| Authorized Official Contact | 4232387217 |
| 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 1498 Hudson Bridge Rd Stockbridge GA 30281-5018 Ph: (678) 289-0525 |
| NPI Number | 1366746331 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 05/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366746331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (NU) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Secondary |
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