Organization · Type 2 NPI
Teal Group PLLC
Addiction Medicine (Family Medicine) Physician · Pikeville, KY
NPI number
1659819647
Active
Practice location
50 Weddington Branch Rd
Pikeville, KY 41501-3296
Fax (606) 437-2401
Mailing address
258 North Levisa Road
Mouthcard, KY 41548-8331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 103079 (KY) |
| Professional Counselor | 101YP2500X | 103079 (KY) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 02802 (KY) |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 02861 (KY) |
| Family Nurse Practitioner | 363LF0000X | 3009093 (KY) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
3 other providers at this address
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About NPI 1659819647
Teal Group PLLC's National Provider Identifier is 1659819647, issued on Feb 9, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Pikeville, KY. The record was last updated on Nov 5, 2020.