GABRIEL JAMES MANYAK
NPI 1104620467
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Active since April 03, 2025
4320 HOLMESTOWN RD, MYRTLE BEACH, SC 29588(843) 652-8440 Get Directions Write a Review

NPPES record last updated: March 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 22, 2026, Apr 3, 2025 (2 updates tracked since 2025).

About Gabriel James Manyak NPPES

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

GABRIEL JAMES MANYAK (NPI 1104620467) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1104620467
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGABRIEL JAMES MANYAK
Location Address4320 HOLMESTOWN RDMyrtle Beach, SC 29588-7837
Mailing Address406 Norle StState College, PA 16801-6986 · (724) 809-1122
Sole ProprietorYes
Enumeration DateApril 3, 2025
Last NPPES UpdateMarch 22, 20262 updates tracked since enumeration
NPPES CertifiedMarch 22, 2026
NPI 1104620467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4320 HOLMESTOWN RD, Myrtle Beach, SC 29588

Other Providers at the Same Location NPPES 20

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

Family Medicine
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Family Medicine
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Internal Medicine
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Obstetrics & Gynecology
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Family Medicine
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Student in an Organized Health Care Education/Training Program
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Student in an Organized Health Care Education/Training Program
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588
Student in an Organized Health Care Education/Training Program
4320 HOLMESTOWN RD
MYRTLE BEACH, SC 29588

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104620467, enumerated as an "individual" on April 03, 2025.

The provider is located at 4320 HOLMESTOWN RD MYRTLE BEACH, SC 29588 and the phone number is (843) 652-8440.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.