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Organization
INFUSE AESTHETICS AND WELLNESS, LLC
Active
Organization
INFUSE AESTHETICS AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTNEY LONDON TYUS NP (OWNER)
(229) 220-7755
Entity
Organization
Contact information
Practice address
721 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
(229) 400-9260
Mailing address
114 PINE BLOOM DR, BAINBRIDGE, GA 39819-6540
(229) 220-7755
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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