| Abigail Kamishlian, MD | |
| 
					4905 Courtney Dr, Forest Park, GA 30297-1427  | |
| (404) 366-3636 | |
| (404) 362-0808 | 
| Full Name | Abigail Kamishlian | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 4905 Courtney Dr, Forest Park, Georgia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1477537322 | NPI | - | NPPES | 
| 000777741D | Medicaid | GA | |
| 305675 | Other | GA | WELLCARE | 
| 58-1631879 | Other | GA | TAX ID | 
| 966369 | Other | GA | BLUE CROSS BLUE SHIELD | 
| 260699313 | Other | GA | TAX ID | 
| 10038631 | Other | GA | AMERIGROUP | 
| 000777741E | Medicaid | GA | |
| 000777741G | Medicaid | GA | |
| 000777741C | Medicaid | GA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 044580 (Georgia) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Abigail Kamishlian, MD 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636  | Abigail Kamishlian, MD 4905 Courtney Dr, Forest Park, GA 30297-1427 Ph: (404) 366-3636  | 
Dr. Salma Elmubarak Elkhabier, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Sherica Nicole Rosser, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 526 Forest Pkwy Ste K, Forest Park, GA 30297 Phone: 770-545-2052  | |
Fahimot Oyinlola Faduyile, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Daliannys Morales Mendez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Dr. Crystal Mercia Malvoisin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636 Fax: 404-362-0808  | |
Dr. Shonte Henderson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4905 Courtney Dr, Forest Park, GA 30297 Phone: 404-366-3636  |