Mid State Orthopaedic & Sports Medicine Center LLC
Mid State Orthopaedic & Sports Medicine Center LLC is an Orthopaedic Surgery Physician in Jena, Louisiana. Licensed in Louisiana. Registered with an NPI since 2016.
- Licensed in
- LA
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
155 Ninth St Ste AJena, LA 71342-3900
Phone: (318) 473-9556
Fax: (318) 441-8339
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopaedic Surgery Physician (primary) | Taxonomy 207X00000X · Licence 9317843 (LA) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 9317843 (LA) |
Record details
| NPI number | 1609320506 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Mid State Orthopaedic & Sports Medicine Center LLC |
| Authorized official | Mark Dodson — President · (318) 473-9556 |
| NPI enumerated | August 9, 2016 |
| Last updated in NPPES | April 26, 2021 |
| Certification date | April 26, 2021 |
| Mailing address | 3444 Masonic Dr, Alexandria, LA 71301-3615 |