# INFUSE AESTHETICS AND WELLNESS, LLC

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

## Provider details

- **NPI number:** 1326710526
- **Authorized official:** BRITTNEY LONDON TYUS NP (OWNER)
- **Authorized official phone:** (229) 220-7755

## Contact information

- **Practice address:** 721 E SHOTWELL ST, BAINBRIDGE, GA 39819-4063
- **Practice address phone:** (229) 400-9260
- **Mailing address:** 114 PINE BLOOM DR, BAINBRIDGE, GA 39819-6540
- **Mailing address phone:** (229) 220-7755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/05/2021
- **Last updated:** 10/05/2021