Provider Demographics
NPI:1609589076
Name:ADANDEY, RAPHAEL KWAKU (ETC)
Entity Type:Individual
Prefix:
First Name:RAPHAEL
Middle Name:KWAKU
Last Name:ADANDEY
Suffix:
Gender:M
Credentials:ETC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 LATIMER LN
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8060
Mailing Address - Country:US
Mailing Address - Phone:828-413-4794
Mailing Address - Fax:
Practice Address - Street 1:202 LATIMER LN
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8060
Practice Address - Country:US
Practice Address - Phone:828-413-4794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company