Benchmark Pt | |
1205 Johnson Ferry Rd Ste 130 Marietta GA 30068-5418 | |
(770) 565-3201 | |
(770) 565-3203 |
Full Name | Benchmark Pt |
---|---|
Speciality | Clinic/Center |
Location | 1205 Johnson Ferry Rd Ste 130, Marietta, Georgia |
Authorized Official Name and Position | Troy Dale Bage (PRESIDENT) |
Authorized Official Contact | 4232387217 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Benchmark Pt 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Benchmark Pt 1205 Johnson Ferry Rd Ste 130 Marietta GA 30068-5418 Ph: (770) 565-3201 |
NPI Number | 1013292119 |
---|---|
Provider Enumeration Date | 10/20/2011 |
Last Update Date | 11/01/2011 |
Medicare PECOS PAC ID | 2961312244 |
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Medicare Enrollment ID | O20170707003146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013292119 | NPI | - | NPPES |
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