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INFUSE AESTHETICS AND WELLNESS LLC NPI 1326710526


NPI Information

NPI: 1326710526
Provider Name: INFUSE AESTHETICS AND WELLNESS, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 11D2240048

Address:
721 E SHOTWELL ST
BAINBRIDGE, GA
ZIP 39819
Phone: (229) 400-9260
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INFUSE AESTHETICS AND WELLNESS, LLC is a general practice in Bainbridge, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee INFUSE AESTHETICS AND WELLNESS, LLC NPI is 1326710526. The provider is registered as an organization entity type.

The provider's business location address is:

721 E SHOTWELL ST
BAINBRIDGE, GA
ZIP 39819-063
Phone: (229) 400-9260

The provider's authorized official is Brittney London Tyus .
The authorized official title is Owner and has the following contact phone number (229) 220-7755.

The CLIA number assigned to this NPI record is 11D2240048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2021 and was last updated on 10/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2363L00000XNurse PractitionerNo
3171400000XHealth and Wellness CoachNo
4208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.