Individual
MRS. ASHLEY PATE GOLDSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 353-3460
(843) 353-3461
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
225100000X
Physical Therapist
P8342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B 078CR
BCBS
NC
05
—
720777Y
—
NC
Enumeration date
06/13/2006
Last updated
08/11/2026
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