Healthcare Provider Details

I. General information

NPI: 1497334866
Provider Name (Legal Business Name): ANGELICA C UKAIGWE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE ST NE EMORY UNIVERSITY WOUND & HYPERBARIC CENTER DFB 3RD FLO
ATLANTA GA
30308
US

IV. Provider business mailing address

550 PEACHTREE ST NE EMORY UNIVERSITY WOUND & HYPERBARIC CENTER DFB 3RD FLO
ATLANTA GA
30308
US

V. Phone/Fax

Practice location:
  • Phone: 404-686-1737
  • Fax:
Mailing address:
  • Phone: 404-686-1737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number105418
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License Number105418
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: