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Organization
MSK GROUP PC
Active
Organization
MSK GROUP PC
Active
Other names
OrthoSouth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER RUSCITTO (CFO)
(901) 641-3000
Entity
Organization
Contact information
Practice address
2670 MCINGVALE RD STE J, HERNANDO, MS 38632-8696
(901) 259-1600
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 725-8347
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
388348
MEDICARE PART B PTAN
MS
Enumeration date
11/20/2020
Last updated
03/02/2023
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