Individual
DR. JACQUELINE HERRFELDT RIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(998) 497-4100
Mailing address
1919 STATE ST, STE 340, NEW ALBANY, IN 47150-6807
(812) 945-5233
(812) 945-2804
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01054172A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01054172A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000205353
BC/BS FACETS
IN
01
—
160055355
MEDICARE RAILROAD
IN
05
—
200310180A
—
IN
Enumeration date
06/15/2005
Last updated
11/01/2022
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