Provider Demographics
NPI:1003076563
Name:JUUL, SARAH H (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:H
Last Name:JUUL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5111 GRAYSON PL
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2787
Mailing Address - Country:US
Mailing Address - Phone:404-245-9919
Mailing Address - Fax:
Practice Address - Street 1:1365 CLIFTON RD NE STE 6100B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-2496
Practice Address - Fax:404-778-2535
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA636732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program