Individual
DR. ALFRED RANDALL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 PROFESSIONAL PARK, GAFFNEY, SC 29340-2319
(864) 489-1446
(864) 489-4909
Mailing address
101 PROFESSIONAL PARK, GAFFNEY, SC 29340-2319
(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
05
—
PC3331
—
SC
Enumeration date
04/17/2006
Last updated
09/28/2011
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