Individual
PRICE SESSUMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 AIRPORT BLVD STE A101-H, MOBILE, AL 36608-6705
(251) 665-8200
(251) 660-8210
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-6430
(318) 868-6430
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD2022-1221
NM
207X00000X
Orthopaedic Surgery Physician
TRN24925
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD.46430
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/24/2017
Last updated
04/25/2025
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