| Mantrust, Llc | |
|
2812 Hartford Hwy Suite 1 Dothan AL 36305-4927 | |
| (334) 712-1170 | |
| Not Available |
| Full Name | Mantrust, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2812 Hartford Hwy, Dothan, Alabama |
| Authorized Official Name and Position | Nancy Gilley (ADMINISTRATOR) |
| Authorized Official Contact | 3347121170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mantrust, Llc 2812 Hartford Hwy Suite 1 Dothan AL 36305-4927 Ph: (334) 712-1170 | Mantrust, Llc 2812 Hartford Hwy Suite 1 Dothan AL 36305-4927 Ph: (334) 712-1170 |
| NPI Number | 1316331101 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316331101 | NPI | - | NPPES |
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