Individual
CORY RAFE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 INNOVATION DRIVE, STE 300 B, BON SECOURS ENDOCRINOLOGY, GREENVILLE, SC 29607-5261
(864) 400-3680
(877) 249-9506
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
24858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248583
—
SC
01
—
576007863063
BCBS OF SC
SC
01
—
P00725463
RR MEDICARE
SC
Enumeration date
10/09/2006
Last updated
04/19/2018
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