Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Larry McCullouch Jr., MD

Individual provider Family Medicine Physician · NPI 1710964754

Charles Larry McCullouch Jr., MD is a Family Medicine Physician in Brooksville, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1560 N Oliver St
Brooksville, MS 39739
Phone: (662) 738-4424
Fax: (662) 738-4615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13953 (MS)

Record details

NPI number1710964754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 30, 2005
Last updated in NPPESJune 19, 2018