Moss, Alfred Randall
Moss, Alfred Randall is an sole proprietor health care provider with primary practice located at 101 Professional Park , Gaffney SC 29340-2319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Moss, Alfred Randall can be contacted via phone (864) 489-1446.Contact Information
Primary practice address
101 Professional Park
Gaffney SC 29340-2319
Phone: (864) 489-1446
Fax: (864) 489-4909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 009903 | South Carolina |
Profile Details
| NPI number | 1245294107 |
|---|---|
| LBN Legal business name | Moss, Alfred Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2006 |
| Last updated | Sep 28th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245294107 | NPPES |
| South Carolina | MEDICAID | PC3331 |
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