Organization
ROCKINGHAM FOOT & ANKLE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN IVAN MCKINNEY D.P.M. (OWNER)
(336) 342-5701
Entity
Organization
Contact information
Practice address
307 S MAIN ST, REIDSVILLE, NC 27320-3815
(336) 342-5701
(336) 342-1373
Mailing address
307 S MAIN ST, REIDSVILLE, NC 27320-3815
(336) 342-5701
(336) 342-1373
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
557
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972930725
—
NC
01
—
DU9433
RR MEDICARE
NC
Enumeration date
10/10/2013
Last updated
12/09/2014
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