NPI 1316331101

Mantrust, LLC

Organisation General Practice Physician Dothan, AL

Practice location

Address: 2812 Hartford Hwy Suite 1, Dothan, AL 36305-4927
Phone: (334) 712-1170

Authorised official

Name: Nancy Gilley
Title: Administrator
Phone: (334) 712-1170

Registered specialties (4)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Alabama →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alabama →

Neurology Physician

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X

Other Psychiatry & Neurology providers in Alabama →

Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

Registry record

NPI: 1316331101
Entity type: Organization
NPI issued: 19 Mar 2015
Record last updated: 19 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.