| NPI | 1659819647 |
|---|---|
| Doing Business As | UNITED MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SUZANNE FORD President 606-437-2400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 02802) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 103079) |
| 101YP2500X Counselor, Professional (Licence: KY 103079) | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: KY 02861) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3009093) | |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2020-11-05 |