SearchSouth Carolina390200000X

Gianna Derosa

NPI 1649131194 · on the registry since 2025 · sole proprietor

Practice

Address
1325 Spring St
Greenwood, SC 29646
Phone
(864) 714-4101
Organisation at this address
Self Medical Group
Self Medical Group
Self Medical Group
Self Medical Group
Self Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
221

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina