Individual provider · Type 1 NPI

Charles Larry McCullouch Jr., MD

Family Medicine Physician · Brooksville, MS

NPI number 1710964754 Active

Practice location

1560 North Oliver St.
Brooksville, MS 39739

Fax (662) 738-4615

Other practice locations

  • 562 E Main St, Louisville, MS 39339-2742 · (662) 779-5150

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X13953 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

About NPI 1710964754

Charles Larry McCullouch Jr., MD's National Provider Identifier is 1710964754, issued on Dec 30, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Brooksville, MS. The record was last updated on Jun 19, 2018.