Alfred Randall Moss in Gaffney - Adult Medicine
Alfred Randall Moss - NPI 1245294107
Alfred Randall Moss is a Adult Medicine in Gaffney, South Carolina. Alfred Randall Moss practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Alfred Randall Moss is 1245294107. The last update date is 2011-09-28.
Alfred Randall Moss's current location address is 101 Professional Park, Gaffney, South Carolina. You can contact this provider via phone number 8644891446 and fax number 8644894909. The mailing address for Alfred Randall Moss is 101 Professional Park, Gaffney, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfred Randall Moss |
|---|---|
| Address | 101 Professional Park, Gaffney, South Carolina |
| Phone Number | 8644891446 |
| Fax Number | 8644894909 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245294107 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2011-09-28 |
Provider Mailing Address Detail
| Address | 101 Professional Park |
|---|---|
| City | Gaffney |
| State | South Carolina (SC) |
| Post Code | 293402319 |
| Phone Number | 8644891446 |
| Fax Number | 8644894909 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 9903 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PC3331 | SC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alfred Randall Moss by the Centers for Medicare & Medicaid Services (CMS)?
The Alfred Randall Moss has been assigned the NPI (National Provider Identifier) 1245294107. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Alfred Randall Moss's facilities are situated?
The facilities of Alfred Randall Moss are physically located at the following address: 101 Professional Park, Gaffney, SC, 293402319.
What is the Alfred Randall Moss's specialty and taxonomy code?
The Alfred Randall Moss's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Alfred Randall Moss receive the assignment of its 1245294107 from the Centers for Medicare & Medicaid Services?
The Alfred Randall Moss was issued its 1245294107 by the Centers for Medicare & Medicaid Services on 2006-04-17.
As of what date was the information pertaining to Alfred Randall Moss, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alfred Randall Moss, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-09-28.