Dr. Alfred Randall Moss
Family Doctor - Adult Medicine
101 Professional Park
Gaffney
, South Carolina 29340-2319
Dr. Alfred Randall Moss
Family Doctor - Adult Medicine
101 Professional Park
Gaffney
, South Carolina 29340-2319
(864) 489-4909
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Alfred Randall Moss
- 101 Professional Park
- Gaffney, SC
- Zip : 29340-2319
- Fax : (864) 489-4909
- Phone : (864) 489-1446
Second Address
- Dr. Alfred Randall Moss
- 101 Professional Park
- Gaffney, SC
- Zip : 29340-2319
- Fax : (864) 489-4909
- Phone : (864) 489-1446
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | 009903 | SC |
National Provider Identifier
| NPI | 1245294107 |
|---|---|
| Provider Name | Dr. Alfred Randall Moss |
| First Address | Gaffney, SC 29340-2319 |
| Second Address | Gaffney, SC 29340-2319 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/04/2006 |
| Last Update Date | 28/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D90701 | (02) | SC |
| PC3331 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.