# SOUTHERN CROSS HEALTH GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790228773
- **Authorized official:** MRS. KIMBERLY L. BUNKER APRN, FNP-BC, NP-C (OWNER - FOUNDER)
- **Authorized official phone:** (770) 317-8244

## Contact information

- **Practice address:** 980 BIRMINGHAM RD, STE 501-330, MILTON, GA 30004-4417
- **Practice address phone:** (770) 317-8244
- **Practice address fax:** (855) 671-3535
- **Mailing address:** 980 BIRMINGHAM RD, STE 501-330, MILTON, GA 30004-4417
- **Mailing address phone:** (770) 317-8244
- **Mailing address fax:** (855) 671-3535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | RN/FNP173575 | GA | Yes |

## Other

- **Enumeration date:** 11/23/2016
- **Last updated:** 11/23/2016