Organization
MSK GROUP, PC
Active
Parent organization
MSK GROUP, PC
Other names
OrthoSouth
Organization subpart
Yes
Provider details
NPI number
Legal business name
MSK GROUP, PC
Authorized official
MR. CHRIS RUSCITTO (CO-CFO)
(901) 641-3000
Entity
Organization
Contact information
Practice address
1350 CONCOURSE AVE STE 363, MEMPHIS, TN 38104-2023
(901) 260-6161
(901) 260-6162
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5742
(901) 725-8347
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
TN
208100000X
Physical Medicine & Rehabilitation Physician
—
TN
208VP0014X
Interventional Pain Medicine Physician
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0970
LICENSE PAIN MANAGEMENT CLINIC
TN
Enumeration date
10/27/2006
Last updated
03/02/2023
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