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Diane Boulai, LPN
NPI 1437442803 · on the registry since 2011
Practice
- Address
- 55 Jefferson Pkwy # 55b
Newnan, GA 30263 - Phone
- (770) 683-6946
- Fax
- (770) 683-6949
- Organisation at this address
- Willow Oak Foundation, Inc.
Willow Oak Community Behavioral Health CenterInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-18
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 Georgia