Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mantrust, LLC

Organization Family Medicine Physician · NPI 1316331101

Mantrust, LLC is a Family Medicine Physician in Dothan, Alabama. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2812 Hartford Hwy Ste 1
Dothan, AL 36305-4927
Phone: (334) 712-1170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Neurology Physician Taxonomy 2084N0400X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1316331101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Gilley — Administrator · (334) 712-1170
NPI enumeratedMarch 19, 2015
Last updated in NPPESMarch 19, 2015
Mailing address2812 Hartford Hwy, Suite 1, Dothan, AL 36305-4927

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