# FIDELIS HEALTHCARE PROFESSIONALS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851080477
- **Authorized official:** KISSIAH D DUPLESSIS (OWNER)
- **Authorized official phone:** (678) 596-3361

## Contact information

- **Practice address:** 12461 VETERANS MEMORIAL HWY STE 837, DOUGLASVILLE, GA 30134-2025
- **Practice address phone:** (770) 722-2034
- **Mailing address:** PO BOX 1916, VILLA RICA, GA 30180-6429
- **Mailing address phone:** (678) 596-3361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023