Individual
ERIC KISKADDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1360 UPPER HEMBREE RD STE 103, ROSWELL, GA 30076-1230
(470) 267-0410
(770) 999-2710
Mailing address
1360 UPPER HEMBREE RD STE 103, ROSWELL, GA 30076-1230
(470) 267-0410
(770) 999-2710
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
91642
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2015
Last updated
11/14/2022
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