# CORY RAFE WHITE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700973765
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 24858 | SC | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 04/19/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 248583 | — | SC |
| 01 | — | 576007863063 | BCBS OF SC | SC |
| 01 | — | P00725463 | RR MEDICARE | SC |