Individual
DR. CONNOR JORDAN BISKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AUGUSTA UNIVERSITY 1120 15TH STREET, AUGUSTA, GA 30912-3901
(210) 567-4953
Mailing address
1120 15TH ST # BB-7513, AUGUSTA, GA 30912-8266
(706) 721-2542
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
85904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85904
PHYSICIAN LICENSE
GA
01
—
FB9364910
DEA
—
Enumeration date
04/05/2016
Last updated
08/07/2023
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