Provider Demographics
NPI:1336593979
Name:GAFFNEY URGENT CARE
Entity type:Organization
Organization Name:GAFFNEY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:RANDALL
Authorized Official - Last Name:MOSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-489-1446
Mailing Address - Street 1:101 PROFESSIONAL PARK
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-2319
Mailing Address - Country:US
Mailing Address - Phone:864-489-1446
Mailing Address - Fax:864-489-4909
Practice Address - Street 1:101 PROFESSIONAL PARK
Practice Address - Street 2:SUITE B
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-2319
Practice Address - Country:US
Practice Address - Phone:864-489-1446
Practice Address - Fax:864-489-4909
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GAFFNEY FAMILY PHYSICIANS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-20
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care