Individual provider · Type 1 NPI

Blake William Green, SRNA

Registered Nurse · Calhoun, GA

NPI number 1245198803 Active

Practice location

223 Lakecrest Cir SW
Calhoun, GA 30701-3564

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	RN287106 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1245198803

Blake William Green, SRNA's National Provider Identifier is 1245198803, issued on Jan 13, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Calhoun, GA. The record was last updated on Jan 13, 2026.