Individual
DR. AUDREY NICOLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 FORDING ISLAND RD STE 100, BLUFFTON, SC 29910-5168
(843) 837-4400
(843) 837-4440
Mailing address
PO BOX 2330, BLUFFTON, SC 29910-2330
(843) 837-4400
(843) 837-4440
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52274
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
08/08/2013
Last updated
04/01/2026
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