Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanglewood Park Physicians, PLLC

Organization Emergency Medicine Physician · NPI 1093286379

Tanglewood Park Physicians, PLLC is an Emergency Medicine Physician in Clemmons, North Carolina. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone: (336) 893-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X

Record details

NPI number1093286379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Larsen — Director Of Credentialing · (770) 874-5400
NPI enumeratedDecember 11, 2018
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing addressPo Box 16255, Belfast, ME 04915-4057

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