Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Collin Blain Green

Individual provider Nurse Practitioner · NPI 1578373494

Collin Blain Green is a Nurse Practitioner in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2025.

Licensed in
SC
In the registry since
2025

Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-8908
Phone: (843) 792-1414
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 30874 (SC)

Record details

NPI number1578373494
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2025
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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