Individual
MR. BLAKE WILLIAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
223 LAKECREST CIR SW, CALHOUN, GA 30701-3564
(706) 263-9186
Mailing address
223 LAKECREST CIR SW, CALHOUN, GA 30701-3564
(706) 263-9186
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN287106
GA
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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