Maecenas Inc
Organization Active NPI Child & Adolescent Psychiatry Physician · Hazlehurst, MS
NPI 1992906598 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1992906598
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- Legal business name
- MAECENAS INC
- Practice address
- 206 Robert McDaniel Drive
Hazlehurst, MS 39083-0146 - Phone
- (601) 894-5110
- Fax
- (601) 894-5154
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Gerri L Hill Chauce, MD
- Title
- President
- Phone
- (601) 894-5110
Practitioners 1
National Provider Directory
Locations
206 Robert McDaniel Dr
Hazlehurst, MS 39083
Phone (601) 894-5110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician |
2084P0804X | Yes |
Addresses
Primary practice location
206 Robert McDaniel Drive
Hazlehurst, MS 39083-0146
Mailing address
PO Box 146
Hazlehurst, MS 39083-0146
Phone (601) 894-5110
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015686 | Medicaid | MS |
Other providers in Hazlehurst, MS
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- Last Legacy
- Alyce Mack
- Mahesh Mehta MD PLLC
- Brenda J Martin
- Kayla Elise Massey
- Remonica Shanta McBride
- Lashisna McClendon
All providers in Hazlehurst, MS · Child & Adolescent Psychiatry Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.