Organization
MHS, INC.
Active
Other names
Macon Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST ROY STUART JR. (PRESIDENT)
(662) 726-5831
Entity
Organization
Contact information
Practice address
602 N. JEFFERSON ST., MACON, MS 39341
(662) 726-5831
(662) 726-4638
Mailing address
602 N. JEFFERSON ST., P.O. BOX 306, MACON, MS 39341
(662) 726-5831
(662) 726-4638
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
258944
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014931
—
MS
Enumeration date
11/21/2006
Last updated
08/22/2020
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