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Organization
DLV MEDICAL, PLLC
Active
Organization
DLV MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON DELLA VECCHIA MD (AUTHORIZED OFFICIAL)
(828) 280-3957
Entity
Organization
Contact information
Practice address
2408 SUSANNAH ST STE 1, JOHNSON CITY, TN 37601-1765
(828) 280-3957
Mailing address
2408 SUSANNAH ST STE 1, JOHNSON CITY, TN 37601-1765
(828) 280-3957
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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