# ROCKINGHAM FOOT & ANKLE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972930725
- **Authorized official:** DR. BENJAMIN IVAN MCKINNEY D.P.M. (OWNER)
- **Authorized official phone:** (336) 342-5701

## Contact information

- **Practice address:** 307 S MAIN ST, REIDSVILLE, NC 27320-3815
- **Practice address phone:** (336) 342-5701
- **Practice address fax:** (336) 342-1373
- **Mailing address:** 307 S MAIN ST, REIDSVILLE, NC 27320-3815
- **Mailing address phone:** (336) 342-5701
- **Mailing address fax:** (336) 342-1373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 557 | NC | Yes |

## Other

- **Enumeration date:** 10/10/2013
- **Last updated:** 12/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1972930725 | — | NC |
| 01 | — | DU9433 | RR MEDICARE | NC |