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Sugar Hill is located at (33.992638, -84.058239). According to the United States Census Bureau, the city has a total area of , of which is land and 0.47% is water. The city limits are approximately 4 miles north-south and 3 miles east-west with most development in an "L" shape along Sugarloaf Parkway on both sides of U.S Route 23/Georgia State Route 20 (Buford Highway).