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Charles Larry Mccullouch JR., MD
Family Medicine Physician in Brooksville, Mississippi
NPI 1710964754

Charles Larry Mccullouch JR. is a Family Medicine Physician based in Brooksville, MS. Charles Larry Mccullouch JR. practices in Brooksville, MS and has the professional credentials of MD. The NPI Number for Charles Larry Mccullouch JR. is 1710964754 and holds a License No. 13953 (Mississippi).

The current practice location address for Charles Larry Mccullouch JR. is 1560 North Oliver St., Brooksville, MS and can be reached out via phone at 662-738-4424 and via fax at 662-738-4615.

Location: 1560 North Oliver St., Brooksville, MS, 39739
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710964754
Provider Name
Charles Larry Mccullouch JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1560 North Oliver St., Brooksville, MS, 39739
Phone Number
662-738-4424
Fax Number
662-738-4615
Provider Enumeration Date
12/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00147884 01 RAILROAD MEDICARE
00125739 05 MS
institution
Provider Business Practice Location Address Details
Address
1560 North Oliver St.
City
Brooksville
State
Mississippi
Zip
39739
Phone Number
662-738-4424
Fax Number
662-738-4615
person
Provider Business Mailing Address Details
Address
1560 North Oliver St.
City
Brooksville
State
Mississippi
Zip
39739
Phone Number
662-738-4424
Fax Number
662-738-4615
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
13953 (Mississippi)
Definition
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.
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