MEDICARE: FAMILY FOOT CARE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	529TN	TN

General Provider Information

NPI Number	:	1700977378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FOOT CARE CENTER

Provider Business Mailing Address
First Line	:	2033 GREYSTONE OFFICE PARK
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305
Country	:	US
Telephone Number	:	731-660-3664
Fax Number	:	731-660-3620

Provider Business Practice Location Address
First Line	:	2033 GREYSTONE SQ
Second Line	:
City	:	JACKSON
State	:	TN
Zip	:	38305-3576
Country	:	US
Telephone Number	:	731-660-3664
Fax Number	:	731-660-3620

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY J CAWTHON
Credential	:	DPM
Telephone Number	:	731-660-3664

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	04/29/2025

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Directions to “FAMILY FOOT CARE CENTER ” Practice Location

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