Healthcare Provider Details
I. General information
NPI: 1740104363
Provider Name (Legal Business Name): MSK GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2601 GETWELL RD STE 4
CORINTH MS
38834-6762
US
IV. Provider business mailing address
6077 E PRIMACY PKWY STE 140
MEMPHIS TN
38119-5754
US
V. Phone/Fax
- Phone: 662-643-4533
- Fax: 662-534-2330
- Phone: 901-725-8347
- Fax: 901-259-7637
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRIS
RUSCITTO
Title or Position: CFO
Credential:
Phone: 901-641-3000