Individual
MRS. ASHLEY PATE GOLDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
543 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2903
(843) 249-7232
Mailing address
2709 MARSH GLEN DR, NORTH MYRTLE BEACH, SC 29582-9316
(843) 249-7232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6168
SC
225100000X
Physical Therapist
8342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B 078CR
BCBS
NC
05
—
720777Y
—
NC
Enumeration date
06/13/2006
Last updated
08/29/2012
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