# TEAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** United Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568720142
- **Authorized official:** SUZANNE FORD D.O. (PARTNER/OWNER)
- **Authorized official phone:** (606) 437-2400

## Contact information

- **Practice address:** 50 WEDDINGTON BRANCH RD STE C, PIKEVILLE, KY 41501-3296
- **Practice address phone:** (606) 437-2400
- **Practice address fax:** (606) 437-2401
- **Mailing address:** PO BOX 4150, PIKEVILLE, KY 41502-4150
- **Mailing address phone:** (606) 437-2400
- **Mailing address fax:** (606) 218-6082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 02802 | KY | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | 02802 | KY | — |
| 2085R0202X | Diagnostic Radiology Physician | 03117 | KY | — |
| 2085R0202X | Diagnostic Radiology Physician | 03136 | KY | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | 3009093 | KY | — |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 12/05/2023