Mid State Orthopaedic & Sports Medicine Center, LLC
NPI #1104890052 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1104890052
- Entity Type
- Organization
- Organization Name
- Mid State Orthopaedic & Sports Medicine Center, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Feb 16, 2006
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 3444 MASONIC DRIVE
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71301
- Phone
- (318) 473-9556
Authorized Official
- Name
- NAKITA C WILLIAMS
- Title
- CREDENTIALING MANAGER
- Phone
- (318) 441-8329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Occupational Therapist |
| Podiatrist |
| Orthopaedic Surgery |
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