Alfred Randall Moss, M.d. P.a

NPI 1063697894 - Family Medicine - 207QA0505X

NPI Details
NPI 1063697894
Enumeration Date 12/28/2007
Last Updated 05/10/2013
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ALFRED RANDALL ALFRED
Position PRESIDENT
Phone (864) 489-1446
Fax (864) 489-4909
Practice Location
101 PROFESSIONAL PARK
GAFFNEY SC, 29340-2319, US
Phone (864) 489-1446
Fax (864) 489-4909
Business Location
POST OFFICE BOX 1375
GAFFNEY SC, 29342-1375, US
Phone (864) 489-1446
Fax (864) 489-4909
Toxanomy
Taxonomy Code 207QA0505X
License State South Carolina
License Number 009903
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According to our database, Alfred Randall Moss, M.d. P.a NPI is 1063697894, taxonomy code is 207QA0505X and license number is 009903, license state is located at South Carolina. Alfred Randall Moss, M.d. P.a physically located at 101 Professional Park, Gaffney SC, 29340-2319. NPI Number 1033115704 has the healthcare provider type.

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1063697894 NPI number is provided on an as is basis without warranty of any kind. 1063697894 is maintained by the National Plan & Provider Enumeration System. The contents of Alfred Randall Moss, M.d. P.a are for informational purposes only.