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ALFRED RANDALL MOSS M.D. P.A NPI 1063697894


NPI Information

NPI: 1063697894
Provider Name: ALFRED RANDALL MOSS, M.D. P.A

Doing Business As: GAFFNEY FAMILY PHYSICIANS

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
101 PROFESSIONAL PARK
GAFFNEY, SC
ZIP 29340
Phone: (864) 489-1446
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ALFRED RANDALL MOSS, M.D. P.A is an adult medicine family medicine in Gaffney, SC. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. ALFRED RANDALL MOSS, M.D. P.A NPI is 1063697894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gaffney Family Physicians.

The provider's business location address is:

101 PROFESSIONAL PARK
GAFFNEY, SC
ZIP 29340-319
Phone: (864) 489-1446
Fax: (864) 489-4909

The provider's authorized official is Alfred Randall Moss .
The authorized official title is President and has the following contact phone number (864) 489-1446.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 5/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult Medicine009903SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16737300001OTHERSOUTH CAROLINAPTAN
2D90701MEDICARE UPINSOUTH CAROLINA
3PC3331MEDICAIDSOUTH CAROLINA
42087MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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