Organization
TEAL GROUP, PLLC
Active
Other names
United Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE FORD D.O. (PARTNER/OWNER)
(606) 437-2400
Entity
Organization
Contact information
Practice address
50 WEDDINGTON BRANCH RD STE C, PIKEVILLE, KY 41501-3296
(606) 437-2400
(606) 437-2401
Mailing address
PO BOX 4150, PIKEVILLE, KY 41502-4150
(606) 437-2400
(606) 218-6082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02802
KY
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
02802
KY
2085R0202X
Diagnostic Radiology Physician
03117
KY
2085R0202X
Diagnostic Radiology Physician
03136
KY
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
3009093
KY
Other
Enumeration date
05/02/2012
Last updated
12/05/2023
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