MEDICARE: DONNA SURBER CD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	5692	VA

General Provider Information

NPI Number	:	1861347759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA SURBER CD

Provider Business Mailing Address
First Line	:	415 OLD DEERFIELD RD
Second Line	:
City	:	SUGAR GROVE
State	:	VA
Zip	:	24375-3005
Country	:	US
Telephone Number	:	276-781-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 S 6TH ST STE 300
Second Line	:
City	:	WYTHEVILLE
State	:	VA
Zip	:	24382-2554
Country	:	US
Telephone Number	:	276-228-5507
Fax Number	:	276-228-3392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “ DONNA SURBER CD” Practice Location

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