Organization
ALFRED RANDALL MOSS, M.D. P.A
Active
Other names
Gaffney Family Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED RANDALL MOSS M.D. (PRESIDENT)
(864) 489-1446
Entity
Organization
Contact information
Practice address
101 PROFESSIONAL PARK, GAFFNEY, SC 29340-2319
(864) 489-1446
(864) 489-4909
Mailing address
POST OFFICE BOX 1375, GAFFNEY, SC 29342-1375
(864) 489-1446
(864) 489-4909
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
009903
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6737300001
PTAN
SC
05
—
PC3331
—
SC
Enumeration date
12/28/2007
Last updated
05/10/2013
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