COLLIN BLAIN GREEN

CHARLESTON, SC
NPI1578373494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  30874)
Enumeration Date2025-01-13
Last Update Date2025-10-28
Business Address
COLLIN BLAIN GREEN
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
COLLIN BLAIN GREEN
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number:
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