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Organization
OPTIMA HEALTH PLAN
Active
Organization
OPTIMA HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
824 N MILITARY HWY STE 100, NORFOLK, VA 23502-3652
(757) 233-4500
Mailing address
PO BOX 746550, ATLANTA, GA 30374-6550
(757) 233-4500
(757) 252-3235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
NULL
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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