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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053191866
—
VA
01
—
6477911
BCBS
TN
05
—
Q086829
—
TN
Enumeration date
10/02/2023
Last updated
10/08/2025
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