Charles Larry Mccullouch in Brooksville - Family Medicine
Charles Larry Mccullouch - NPI 1710964754
Charles Larry Mccullouch is a Family Medicine in Brooksville, Mississippi. Charles Larry Mccullouch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Charles Larry Mccullouch is 1710964754. The last update date is 2018-06-19.
Charles Larry Mccullouch's current location address is 1560 North Oliver St., Brooksville, Mississippi. You can contact this provider via phone number 6627384424 and fax number 6627384615. The mailing address for Charles Larry Mccullouch is 1560 North Oliver St., Brooksville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Larry Mccullouch |
|---|---|
| Address | 1560 North Oliver St., Brooksville, Mississippi |
| Phone Number | 6627384424 |
| Fax Number | 6627384615 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710964754 |
|---|---|
| Provider Enumeration Date | 2005-12-30 |
| Last Updated Date | 2018-06-19 |
Provider Mailing Address Detail
| Address | 1560 North Oliver St. |
|---|---|
| City | Brooksville |
| State | Mississippi (MS) |
| Post Code | 39739 |
| Phone Number | 6627384424 |
| Fax Number | 6627384615 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 13953 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00147884 | RAILROAD MEDICARE | ||
| 125739 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles Larry Mccullouch by the Centers for Medicare & Medicaid Services?
The Charles Larry Mccullouch has been issued the NPI (National Provider Identifier) 1710964754 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Charles Larry Mccullouch?
The Charles Larry Mccullouch is physically situated at 1560 North Oliver St., in the city of Brooksville, state of MS, with the postal code 39739.
What is Charles Larry Mccullouch's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Larry Mccullouch is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When was the Charles Larry Mccullouch's 1710964754 issued?
The Charles Larry Mccullouch's 1710964754 was issued on 2005-12-30.
As of what date were the details related to Charles Larry Mccullouch most recently updated or revised?
The information pertaining to Charles Larry Mccullouch, including its address, specialty, and other relevant details, was last updated or revised on 2018-06-19.