Healthcare Provider Details
I. General information
NPI: 1669903233
Provider Name (Legal Business Name): PRICE SESSUMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/24/2017
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6701 AIRPORT BLVD STE A101-H
MOBILE AL
36608-6705
US
IV. Provider business mailing address
PO BOX 746450
ATLANTA GA
30374-6450
US
V. Phone/Fax
- Phone: 251-665-8200
- Fax: 251-660-8210
- Phone: 866-401-6430
- Fax: 318-868-6430
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | TRN24925 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | MD2022-1221 |
| License Number State | NM |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NM |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | MD.46430 |
| License Number State | AL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: