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NPI Code Detail

MEDICARE: ONCALL MEDICAL CLINIC, PLLC

MEDICARE: ONCALL MEDICAL CLINIC, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208VP0000XPain Medicine Physician
2207Q00000XFamily Medicine Physician11483MS

General Provider Information

NPI Number : 1184941676
Entity Type Code : Organization
Provider Name (Legal Business Name) : ONCALL MEDICAL CLINIC, PLLC
Provider Business Mailing Address
First Line : 3091 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4308
Country : US
Telephone Number : 228-818-5155
Fax Number : 228-818-5159
Provider Business Practice Location Address
First Line : 3091 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4308
Country : US
Telephone Number : 228-818-5155
Fax Number : 228-818-5159
Authorized Official
Title or Position : OWNER
Name : EDWARD FLOYD ALDRIDGE III
Credential :
Telephone Number : 228-818-5155
Provider Enumeration Date : 04/23/2010
Last Update Date : 01/13/2026

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Directions to “ONCALL MEDICAL CLINIC, PLLC ” Practice Location

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