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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
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician

Other

Enumeration date
09/09/2022
Last updated
09/09/2022
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