| Smiling Llama LLC | |
|
790 Hill Ln Bracey VA 23919-2174 | |
| (919) 995-5421 | |
| (903) 213-9122 |
| Full Name | Smiling Llama LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 790 Hill Ln, Bracey, Virginia |
| Authorized Official Name and Position | Lori Dillard Fuquay (NURSE PRACTITIONER) |
| Authorized Official Contact | 9199955421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiling Llama LLC Po Box 378 Bracey VA 23919-0378 Ph: (919) 995-5421 | Smiling Llama LLC 790 Hill Ln Bracey VA 23919-2174 Ph: (919) 995-5421 |
| NPI Number | 1700709219 |
|---|---|
| Provider Enumeration Date | 08/01/2026 |
| Last Update Date | 08/18/2026 |
| Certification Date | 08/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700709219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Tanglewood Family Medicine PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9782 Hwy 903, Bracey, VA 23919 Phone: 434-636-6903 Fax: 434-636-3826 |