Healthcare Provider Details

I. General information

NPI: 1982535167
Provider Name (Legal Business Name): VOLODYMYR KURILOV
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 SHADOWOOD PKWY SE APT 237
ATLANTA GA
30339-2481
US

IV. Provider business mailing address

2180 SHADOWOOD PKWY SE APT 237
ATLANTA GA
30339-2481
US

V. Phone/Fax

Practice location:
  • Phone: 470-962-8587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number26-221
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: