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Organization
PRIMARY CARE OF KINGSPORT PLLC
Active
Organization
PRIMARY CARE OF KINGSPORT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA VITO CRUZ MD (OWNER)
(276) 870-1699
Entity
Organization
Contact information
Practice address
2020 MEADOWVIEW PKWY STE 200, KINGSPORT, TN 37660-7388
(423) 678-1399
(423) 259-4964
Mailing address
2020 MEADOWVIEW PKWY STE 200, KINGSPORT, TN 37660-7388
(423) 678-1399
(423) 259-4964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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