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Contact Information

DIANE BOULAI, LPN
55 JEFFERSON PKWY # 55B
NEWNAN, GA30263-5813
 Phone: 770-683-6946
 Fax: 770-683-6949
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DIANE BOULAI · (Female)

NPI Number 1437442803
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 05/18/2011
Last updated 03/18/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • GA License # LPN061853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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