Individual
BENJAMIN KEITH RODDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP
Contact information
Practice address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020701
NC
363LF0000X
Family Nurse Practitioner
5020701
NC
Other
Enumeration date
08/22/2024
Last updated
09/10/2024
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