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
701 S MAIN ST, NORFOLK, VA 23523-1245
(757) 388-1830
(855) 939-7176
Mailing address
701 S MAIN ST, NORFOLK, VA 23523-1245
(757) 388-1830
(855) 939-7176
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
09/12/2022
Last updated
09/12/2022
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