General Practice
MANTRUST, LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1316331101 · enumerated 2015-03-19 · record updated 2015-03-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: NANCY GILLEY, Administrator · (334) 712-1170
Addresses and phones
- Mailing address 2812 HARTFORD HWY, SUITE 1, DOTHAN, AL, 36305-4927 (334) 712-1170 Google Maps Apple Maps OpenStreetMap
- Practice location 2812 HARTFORD HWY, SUITE 1, DOTHAN, AL, 36305-4927 (334) 712-1170 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X
- Psychiatry & Neurology, Neurology 2084N0400X
- Psychiatry & Neurology, Psychiatry 2084P0800X
- General Practice 208D00000X · Primary
In this directory
Locations and evidence
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Practice location
DOTHAN, AL, 363054927
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.