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General NPI Number Information
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NPI Number | 1437944618
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Entity Type | Organization
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Legal Business Name | VIRTUAL CARE NETWORK LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2215 JEFFERSON DAVIS DR
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City | OXFORD
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State | MS
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Zip | 38655-5221
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Country | US
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Telephone | 662-638-0462
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 266
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City | RIDGELAND
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State | MS
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Zip | 39158-0266
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Country | US
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Telephone | 662-710-1035
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEVEN NAMANNY
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Credential |
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Telephone | 769-229-3758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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