Individual
MR. ROBERT ADAM GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 935-8538
(803) 791-2660
Mailing address
879 NORTHWICH AVE, WESTFIELD, IN 46074-3344
(870) 926-5519
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R079312
AR
367500000X
Certified Registered Nurse Anesthetist
2013012833
MO
367500000X
Certified Registered Nurse Anesthetist
28221931A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
31768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201302760
—
IN
Enumeration date
04/27/2013
Last updated
05/04/2026
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