Provider Demographics
NPI:1780433680
Name:GAMA, CLEUMY MOURATO ALMEIDA (DO)
Entity type:Individual
Prefix:
First Name:CLEUMY
Middle Name:MOURATO ALMEIDA
Last Name:GAMA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E. WOOD ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29303-3089
Mailing Address - Country:US
Mailing Address - Phone:864-560-6285
Mailing Address - Fax:
Practice Address - Street 1:101 E. WOOD ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3089
Practice Address - Country:US
Practice Address - Phone:864-560-6285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty