# 4 GENERATIONS FAMILY MEDICAL AND WELLNESS CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326235581
- **Authorized official:** DR. HOWIS YVETTE TOLER M.D. (CEO/PHYSICIAN)
- **Authorized official phone:** (276) 656-2185

## Contact information

- **Practice address:** 1 E MARKET ST, SUITE \#C, MARTINSVILLE, VA 24112-3708
- **Practice address phone:** (276) 656-2185
- **Practice address fax:** (276) 656-2186
- **Mailing address:** 1 E MARKET ST, SUITE \#C, MARTINSVILLE, VA 24112-3708
- **Mailing address phone:** (276) 656-2185
- **Mailing address fax:** (276) 656-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101241172 | VA | Yes |

## Other

- **Enumeration date:** 10/01/2007
- **Last updated:** 07/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0101241172 | MEDICAL LICENSE | VA |