Individual
MR. VLADIMYR KUVAROV HILAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
8211 BLACKFOOT TRL, JONESBORO, GA 30236-3912
(404) 954-0790
Mailing address
8211 BLACKFOOT TRL, JONESBORO, GA 30236-3912
(404) 954-0790
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
178053
GA
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/27/2017
Last updated
01/25/2022
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