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MANTRUST, LLC
NPI 1316331101
General Practice in Dothan, AL

Active since March 19, 2015
2812 HARTFORD HWY, SUITE 1, DOTHAN, AL 36305(334) 712-1170 Get Directions Write a Review

NPPES record last updated: March 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mantrust, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANTRUST, LLC (NPI 1316331101) is a healthcare organization registered as a general practice in Dothan, Alabama and active in the NPI registry since March 2015. The organization lists Nancy Gilley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1316331101
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMANTRUST, LLC
Location Address2812 HARTFORD HWY, SUITE 1Dothan, AL 36305-4927
Mailing Address2812 Hartford Hwy, Suite 1Dothan, AL 36305-4927 · (334) 712-1170
Phone(334) 712-1170
Organization SubpartNo
Authorized OfficialNancy GilleyAdministrator · (334) 712-1170
Enumeration DateMarch 19, 2015
✔ NPI 1316331101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2812 HARTFORD HWY, Dothan, AL 36305
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZHI YUAN ZHENG PHARMACIST
Pharmacist
2812 HARTFORD HWY
DOTHAN, AL 36305
Houston County (334) 350-3162
MADYLAN LEE RN
Nurse Practitioner (Psychiatric/Mental Health)
2812 HARTFORD HWY
DOTHAN, AL 36305
Houston County (334) 712-1170
TIFFANY J BRITT CRNP
Family Medicine
2812 HARTFORD HWY
DOTHAN, AL 36305
Houston County (334) 712-1170
MIJ LLC
Pharmacy (Community/Retail Pharmacy)
2812 HARTFORD HWY, SUITE 1
DOTHAN, AL 36305
Houston County (334) 712-1170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mantrust, LLC's NPI number?

The NPI number for Mantrust, LLC is 1316331101. It was assigned to this organization in the NPPES registry on March 19, 2015.

Where is Mantrust, LLC located?

Mantrust, LLC is located at 2812 Hartford Hwy Suite 1, Dothan, AL 36305. The listed phone number is (334) 712-1170.

What is Mantrust, LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Mantrust, LLC was last updated on March 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.