Individual
JASON J DELLA VECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 PINEBROOK DR STE 4, KINGSPORT, TN 37660-4365
(423) 251-6670
(423) 251-1899
Mailing address
5 GARDEN WAY, JOHNSON CITY, TN 37604-6086
(423) 483-7701
(423) 431-1811
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200400663
NC
207R00000X
Internal Medicine Physician
31318
SC
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
47972
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1362H
BCBS
NC
05
—
1527494
—
TN
05
—
1770554982
—
VA
05
—
7100194900
—
KY
05
—
891362H
—
NC
01
—
P00213994
RAILROAD MEDICARE
NC
Enumeration date
01/27/2006
Last updated
05/30/2025
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