NPI Code Details Logo

NPI 1669903233

NPI 1669903233 : PRICE SESSUMS M.D. : MOBILE, AL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1669903233
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    PRICE SESSUMS M.D.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/24/2017
-----------------------------------------------------
    Last Update Date     |    04/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6701 AIRPORT BLVD STE A101-H 
-----------------------------------------------------
    City                 |    MOBILE
-----------------------------------------------------
    State                |    AL
-----------------------------------------------------
    Zip                  |    36608-6705
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    251-665-8200
-----------------------------------------------------
    Fax                  |    251-660-8210
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 746450 
-----------------------------------------------------
    City                 |    ATLANTA
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30374-6450
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    866-401-6430
-----------------------------------------------------
    Fax                  |    318-868-6430
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    TRN24925
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207X00000X
-----------------------------------------------------
    Taxonomy Name        |    Orthopaedic Surgery Physician
-----------------------------------------------------
    License Number       |    MD2022-1221
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    390200000X
-----------------------------------------------------
    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    207XX0005X
-----------------------------------------------------
    Taxonomy Name        |    Sports Medicine (Orthopaedic Surgery) Physician
-----------------------------------------------------
    License Number       |    MD.46430
-----------------------------------------------------
    License Number State |    AL
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.