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Lawrence Richard Jackson JR., MD
Family Medicine Physician in Waverly, Tennessee
NPI 1386794816

Lawrence Richard Jackson JR. is a Family Medicine Physician based in Waverly, TN. Lawrence Richard Jackson JR. practices in Waverly, TN and has the professional credentials of MD. The NPI Number for Lawrence Richard Jackson JR. is 1386794816 and holds a License No. 20215 (Tennessee).

The current practice location address for Lawrence Richard Jackson JR. is 104 Hillwood Dr, Waverly, TN and can be reached out via phone at 931-296-3555 and via fax at 931-296-9085.

Location: 104 Hillwood Dr, Waverly, TN, 37185-0270
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386794816
Provider Name
Lawrence Richard Jackson JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Hillwood Dr, Waverly, TN, 37185-0270
Phone Number
931-296-3555
Fax Number
931-296-9085
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
223121700 01 TN DEPT OF LABOR
0151975 01 TN BCBS
3724150 05 TN
institution
Provider Business Practice Location Address Details
Address
104 Hillwood Dr
City
Waverly
State
Tennessee
Zip
37185-2116
Phone Number
931-296-3555
Fax Number
931-296-9085
person
Provider Business Mailing Address Details
Address
104 Hillwood Dr
City
Waverly
State
Tennessee
Zip
37185-2116
Phone Number
931-296-3555
Fax Number
931-296-9085
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20215 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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