# LA BELLA MD

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

## Provider details

- **NPI number:** 1063045565
- **Authorized official:** SUMMER MUELLER (OWNER)
- **Authorized official phone:** (800) 294-7001

## Contact information

- **Practice address:** 2020 OAKHEART RD, MYRTLE BEACH, SC 29579-1252
- **Practice address phone:** (843) 424-3015
- **Mailing address:** 1125 48TH AVE N, MYRTLE BEACH, SC 29577-5417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2020
- **Last updated:** 02/13/2020