Maecenas Inc | |
206 Robert Mcdaniel Drive Hazlehurst MS 39083-0146 | |
(601) 894-5110 | |
(601) 894-5154 |
Full Name | Maecenas Inc |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 206 Robert Mcdaniel Drive, Hazlehurst, Mississippi |
Authorized Official Name and Position | Gerri L Hill Chauce (PRESIDENT) |
Authorized Official Contact | 6018945110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Maecenas Inc Po Box 146 Hazlehurst MS 39083-0146 Ph: (601) 894-5110 | Maecenas Inc 206 Robert Mcdaniel Drive Hazlehurst MS 39083-0146 Ph: (601) 894-5110 |
NPI Number | 1992906598 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992906598 | NPI | - | NPPES |
09015686 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |