Individual
DR. JAMES DAVID MANYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
(270) 393-1913
Mailing address
5712 PRIMROSE LN, YOUNG HARRIS, GA 30582-2618
(706) 378-1638
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0000000000
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
000000000
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
KY
Enumeration date
02/15/2006
Last updated
04/19/2026
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