Organization
LA BELLA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMMER MUELLER (OWNER)
(800) 294-7001
Entity
Organization
Contact information
Practice address
2020 OAKHEART RD, MYRTLE BEACH, SC 29579-1252
(843) 424-3015
Mailing address
1125 48TH AVE N, MYRTLE BEACH, SC 29577-5417
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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