Lawrence Richard Jackson JR., MD

NPI #1386794816 in Waverly, Tennessee

Provider Information

NPI Number: 1386794816
Entity Type: Individual
Name: Lawrence Richard Jackson JR., MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 10, 2007
Last Updated: Aug 7, 2023

Practice Location

Address: 104 HILLWOOD DR
City: Waverly
State: Tennessee
ZIP Code: 37185-2116
Phone: (931) 296-3555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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Organizations

Provider Name	Specialty	City
Lawrence Richard Jackson Jr. MD	Family Medicine	Waverly	AI Deep Dive

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