Organization · Type 2 NPI

Lawrence Richard Jackson Jr. MD

Family Medicine Physician · Waverly, TN

NPI number 1104021203 Active

Practice location

104 Hillwood Dr
Waverly, TN 37185-2116

Fax (931) 296-9085

Mailing address

PO Box 270
Waverly, TN 37185-0270

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: 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.

2 other providers at this address

About NPI 1104021203

Lawrence Richard Jackson Jr. MD's National Provider Identifier is 1104021203, issued on Jun 19, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Waverly, TN. The record was last updated on Nov 21, 2025.