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Organization

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

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOWIS YVETTE TOLER M.D. (CEO/PHYSICIAN)
(276) 656-2185
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101241172
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101241172
MEDICAL LICENSE
VA
Enumeration date
10/01/2007
Last updated
07/13/2009
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