| Doctor Name: | DR. ALFRED RANDALL MOSS |
| NPI Number: | 1245294107 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 009903 |
| Business Practice Address: | 101 Professional Park Gaffney, SC - 293402319 |
| Business Phone Number: | 8644891446 |
| Business Fax Number: | 8644894909 |
| Mailing Address: | 101 Professional Park, GAFFNEY |
| State: | SC |
| Postal Code: | 293402319 |
| Phone Number: | 8644891446 |
| Fax Number: | 8644894909 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 09/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 009903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |