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Organization

JASON DELLA VECCHIA MD PLLC

Active
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Organization

JASON DELLA VECCHIA MD PLLC

Active
Other names
Fresh Start Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
JASON DELLA VECCHIA MD (MEDICAL DIRECTOR & CMO)
(423) 251-6670
Entity
Organization

Contact information

Practice address
1700 PINEBROOK DR STE 4, KINGSPORT, TN 37660-4365
(423) 251-6670
(423) 251-1899
Mailing address
1700 PINEBROOK DR STE 4, KINGSPORT, TN 37660-4365
(423) 251-6670
(423) 251-1899

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—

Other

Enumeration date
10/02/2023
Last updated
10/08/2025
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