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

Chan M Park Family Practice

Organization Family Medicine Physician · NPI 1164243986

Chan M Park Family Practice provides Family Medicine Physician services in Ridgeway, Virginia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

6460 Greensboro Rd
Ridgeway, VA 24148-3478
Phone: (276) 956-2047
Fax: (276) 956-1637
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1164243986
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Curtsher Thobbs — Office Manager · (276) 956-2047
NPI enumeratedOctober 23, 2024
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address6460 Greensboro Rd, Ridgeway, VA 24148-3478

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