Organization
OPTIMA HEALTH PLAN
Active
Other names
SENTARA COMMUNITY CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS PRINCE (DIRECTOR)
(757) 983-5475
Entity
Organization
Contact information
Practice address
5116 RICHMOND HENRICO TPKE, RICHMOND, VA 23227-3627
(804) 613-5907
(833) 491-4984
Mailing address
5116 RICHMOND HENRICO TPKE, RICHMOND, VA 23227-3627
(804) 613-5907
(833) 491-4984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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