Provider Demographics
NPI:1609871565
Name:UKAH, SANDRA MCCAULEY (NP)
Entity Type:Individual
Prefix:MRS
First Name:SANDRA
Middle Name:MCCAULEY
Last Name:UKAH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1756 PIPER CIR SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-2254
Mailing Address - Country:US
Mailing Address - Phone:404-243-9397
Mailing Address - Fax:404-243-9397
Practice Address - Street 1:1756 PIPER CIR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-2254
Practice Address - Country:US
Practice Address - Phone:404-243-9397
Practice Address - Fax:404-243-9397
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN052783363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics