Individual provider · Type 1 NPI

Holly Goldberg

Physician Assistant · Charleston, SC

NPI number 1104680719 Active

Practice location

171 Ashley Ave
Charleston, SC 29425-4991

Call (843) 792-1414 Map

Mailing address

PO Box 751461
Charlotte, NC 28275-1461

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104680719

Holly Goldberg's National Provider Identifier is 1104680719, issued on Feb 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Jul 25, 2025.