Organization
MSK GROUP, PC
Active
Parent organization
ORTHOSOUTH
Other names
MSK Group, PC, OrthoSouth
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSOUTH
Authorized official
MR. CHRISTOPHER RUSCITTO (CFO)
(901) 641-3000
Entity
Organization
Contact information
Practice address
7580 CLARINGTON CV, SOUTHAVEN, MS 38671
(901) 259-1600
(901) 259-1698
Mailing address
6077 PRIMACY PKWY STE 140, MEMPHIS, TN 38119-5754
(901) 259-1673
(901) 259-7637
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0723280012
MEDICARE DME
MS
01
—
388348
GROUP PTAN
MS
Enumeration date
12/05/2014
Last updated
03/02/2023
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