| Maecenas Inc | |
|
206 Robert Mcdaniel Drive Hazlehurst MS 39083-0146 | |
| (601) 894-5110 | |
| (601) 894-5154 |
| Full Name | Maecenas Inc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |