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 is a Family Medicine Physician 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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