- Collection:
- Georgia Government Publications
- Title:
- Register of physicians licensed in Georgia [1994]
- Creator:
- Georgia. Composite State Board of Medical Examiners
- Contributor to Resource:
- Georgia. Composite State Board of Medical Examiners
- Publisher:
- Atlanta, Ga. : Georgia. Composite State Board of Medical Examiners
- Date of Original:
- 1994
- Subject:
- Georgia
- Location:
- United States, Georgia, 32.75042, -83.50018
- Medium:
- publications (documents)
- Type:
- Text
- Format:
- application/pdf
- External Identifiers:
- Call Number GA S720.M4 S1 R4 1994
- Metadata URL:
- https://dlg.galileo.usg.edu/id:dlg_ggpd_y-ga-bs720-pm4-bs1-br4-b1994
- Digital Object URL:
- https://dlg.galileo.usg.edu/do:dlg_ggpd_y-ga-bs720-pm4-bs1-br4-b1994
- Language:
- eng
- Holding Institution:
- University of Georgia. Map and Government Information Library
- Rights:
-
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REGISTER OF PHYSICIANS LICENSED IN
i c1c74
GEORGIA
Max Cleland Secretary of State
William G. Miller, Jr. Joint Secretary
State Examining Boards
Issued By: Composite State Board of Medical Examiners
1994
INTRODUCTION
This Register of Physicians Licensed in Georgia includes physicians who are currently licensed in Georgia through December 31, 1995. Physicians must renew their licenses biennially to remain current, and licenses which are not renewed are subject to revocation in accordance with Georgia Law. Please contact the Board if you hold a delinquent license and you wish to keep your license in Georgia.
We also ask all physicians in Georgia to be sure to advise the Board immediately of any change of address or telephone number.
Following is a list of Board members, their addresses and telephone numbers:
Larry W. Anderson, D.O. 3725 Zoar Road Lithonia, GA 30058 Ofc: (404) 979-1818
F. James Funk, Jr., M.D. 2001 Peachtree Rd., # 705 Atlanta, GA 30309 Ofc: (404) 355-4771
Donald L. Braynon, Jr., M.D. 130 Wexford Place Athens, GA 30606 Ofc: (706) 542-8691
William S. Hitch, M.D. 7001 Hodgson Mem. Dr. # 5 Savannah, GA 31406 Ofc: (912) 354-8056
Larry E. Brightwell, M.D. St. Francis Med. Park, # C-3 Columbus, GA 31907 Ofc: (404) 323-5120
Billie L. Jackson, M.D. 420 Charter Blvd., # 201 Macon, GA 31210 Ofc: (912) 477-5575
Thomas J. Busey, Jr., M.D. 1441 Helmer Road Riverdale, GA 30296 Ph: (404) 997-5183
Ellis B. Keener, M.D. 434 Academy St., NE Gainesville, GA 30501 Ofc: (404) 532-6333
Hoyt C. Dees, M.D. 4553 N. Shallowford Rd., # 50-B Atlanta, GA 30338 Ofc: (404) 458-4462
Irving T. Staley, M.D, 653 Cherokee Street Marietta, GA 30090 Ofc: (404) 427-8111
Runette Flowers, M.D. 4411 Buckingham Circle Decatur, GA 30335 Ofc: (404) 243-9630
Sheila J. Smith, D.O. 696 Ga. Hwy 20, S.W. Lawrenceville, GA 30245 Ofc: (404) 963-0927
Ms. Patricia Stephens Consumer Member 3800 N. Stratford Road Atlanta, GA 30342 Ofc: (404) 233-4859
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GENERAL PRACTITIONER ACUPUNCTURE ANESTHESIOLOGY ALLERGY AND IMMUNOLOGY CARDIOVASCULAR DISEASE DERMATOLOGY DIABETES EMERGENCY ENDOCRINOLOGY FAMILY PRACTICE GASTROENTEROLOGY GERIATRICS GYNECOLOGY GENETIC MEDICINE GYNECOLOGY & OBSTETRICS HEMATOLOGY INTERNAL MEDICINE MICROBIOLOGY NEOPLASTIC OR ONCOLOGY NUTRITION NEONATOLOGIST NEPHROLOGY NEUROLOGY NUCLEAR MEDICINE OBSTETRICS OCCUPATIONAL MEDICINE OPHTHALMOLOGY ORTHOPAEDICS OSTEOPATH OTORHINOLARYNGOLOGY (ENT) PATHOLOGY PEDIATRICS PSYCHIATRY PULMONARY DISEASE PREVENTIVE MEDICINE RADIOLOGY RHEUMATOLOGY REHABILITATION MEDICINE SURGERY; ABDOMINAL SURGERY; CARDIOVASCULAR SURGERY; GENERAL SURGERY; HAND SURGERY; HEAD AND NECK SURGERY; NEUROLOGICAL SURGERY; OPHTHALMOLOGY SURGERY; ORTHOPAEDIC SURGERY; PLASTIC SURGERY; THORACIC SURGERY; UROLOGY SURGERY;VASCULAR SURGERY; GASTROENTEROLOGY UROLOGY OTHER EPIDEMIOLOGIST
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
-A-
AABERG, THOMAS MARSHALL
030257 EMORY CLINIC, 1327 CLIFTON RD NE RM 5906
ATLANTA
GA 30322
27
AAMER, MAHBOOB AHMAD
038158 1105 WOODHALL TRAIL
AUGUSTA
GA 30909
22
ABADIER, NAG! HELM!
038413 4606 CINDY ST
VALDOSTA
GA 31602
15
ABCEDE, PIO S.
001098 SOUTHWESTERN STATE HOSPITAL
THOMASVILLE GA 31799-1378
ABDALLA, MAZEN ALI
038414 204 WALTON WAY
SMYRNA
GA 30082
17
ABDI, ZIA AHMAD
030705 3752 ALDEN COURT, NE
MARIETTA
GA 30066
10
ABDULLA, ABDULLA MOHAMMED
017117 818 ST SEBASTIAN WAY, SUITE 404
AUGUSTA
GA 30901
04
ABDULLATIF, HUSSEIN DARWISH 034517 130 26TH ST, NW, APT 814
ATLANTA
GA 30309
32
ABEL, GENE GORDON
026818 3280 HOWELL MILL RD NW, SUITE T-30, WEST WING
ATLANTA
GA 30327-4111
ABEL, RICHARD WAYNE
014592 5635 PEACHTREE PARKWAY, SUITE 250
NORCROSS
GA 30092
32
ABELE, DONALD CARLISLE
012136 DEPT OF DERMATOLOGY, MED COLLEGE OF GA/1004 CHAFEE AUGUSTA
GA 30912-2900 06
ABELL, JOHN BRUCE
033014 101 YORKTOWN DRIVE
FAYETTEVILLE GA 30214
17
ABELLERA, ELIGIO QUIROS
016008 395 DIX-LEE'ON DRIVE
FAIRBURN
GA 30213
41
ABELLERA, EUDORA MESINA
016009 395 DIX-LEE'ON DRIVE
FAIRBURN
GA 30213
17
ABELS, BYRON CLIFFORD
036076 669 LANIER PARK DRIVE NE
GAINESVILLE GA 30505
41
ABEND, MELVIN NISSEL
015060 4553 N. SHALLOWFORD RD. N.E., SUITE 40 B
ATLANTA
GA 30338
41
ABERNATHY, ANDREW HAWKINS, III 011257 105 COLLIER ROAD, NW, SUITE 1060
ATLANTA
GA 30309
17
ABERNATHY, ERNEST WHITE
008693 157 NORTH MAIN STREET, CLAYTON HEALTH CLINIC
JONESBORO
GA 30236
41
ABERNATHY, JOHN M
016500 329 CASCADE ROAD
COLUMBUS
GA 31904
36
ABNEY, HOWARD TEASLEY JR
013949 740 PRINCE AVE, BLDG 10
ATHENS
GA 30606
41
ABOUL-KHAIR, HISHAM SIDKY
035194 145 EAGLES WALK, SUITE A
STOCKBR !DGE GA 30281-6334 10
ABRAHAM, BENJAMIN
034757 3416 HIGHWAY 124, SUITED
LITHONIA
GA 30058
01
ABRAMOWSKY, CARLOS ROBERTO 034994 7645 BRIGHAM DRIVE
DUNWOODY
GA 30350-5619 31
ABRAMS, JEFFREY
030707 6460 SPALDING DRIVE, SUITED
NORCROSS
GA 30092
32
ABRAMS, NORMAN
011796 1269 HEARDS FERRY RD, NW
ATLANTA
GA 30328
33
ABRAMSON, GAYLE LYNETTE
036670 815 FOREST OVERLOOK DRIVE
ATLANTA
GA 30331
36
ABRAMSON, NORMAN
016869 SUITE L-20, 770 PINE ST
MACON
GA 31201-2107 36
ABRAMSON, PAUL J
019135 158 MT VERNON DRIVE
DECATUR
GA 30030
36
ABRAMSON, PETER JAY
038416 878 AMSTERDAM AVE, NE# 2
ATLANTA
GA 30306
30
ABRAMSON, ROBERT CORONNA
034101 UNIV MEDICAL CENTER - SUITE 4-C, 820 ST SEBASTIAN WAY AUGUSTA
GA 30901-2399 44
ABRIGO, IGNACIO BANGAYAN, JR 029834 * HC01, BOX 206
REIDSVILLE GA 30453
01
ABROHAMS, RICHARD BROWE
025570 2525 CUMBERLAND PKY NW
ATLANTA
GA 30339-3915
ACCARINO, STEVEN ANGELO D'AVIN 036077 10730 CARRARA COVE
ALPHARETTA GA 30302
53
ACEVEDO, JOSE HAROLD
025499 SUITE 200, 3623 J DEWEY GRAY CIRCLE
AUGUSTA
GA 30909
ACHECAR, FREDDY ALBERTO
015902 6584 PROFESSIONAL PL, SUITED
RIVERDALE
GA 30274-4942 44
ACKERLY, JOHN ARNOLD
029567 5975 PLANTATION DRIVE
ROSWELL
GA 30075
03
ACKERMAN, LARRY LEONARD
020502 7505 WATERS AVENUEPARK, SUITE C-13
SAVANNAH
GA 31406
33
ACKERMANN, RICHARD JOHN
034759 DEPT OF FAMILY PRACTICE, 3780 EISENHOWER PARKWAY
MACON
GA 31206-3608 10
ACQUAH, FRANCIS KWAME
038160 110 TREE MOUNTAIN PKY
STONE MTN
GA 30083-6701 03
ACREE, PATRICIA DAWN
023008 P.O. BOX 306
ADEL
GA 31620
10
ACREE, RUSSELL ARCH
009057 PO BOX 656
ADEL
GA 31620-0656 10
ACTON, WILLIAM CARROL
014452 RFD 2 BOX 255
MILLEN
GA 30442
36
ADAIR, HAROLD EPLAN
009975 PERIMETER UROLOGY SUITE 335, 960 JOHNSON FERRY ROAD, ATLANTA
GA 30342
52
ADAIR, MORGAN CHARLES
004223 203 SIMS STREET
WASHINGTON GA 30673
12
ADAM, ANDREW BAUR
032507 1037 PINE GROVE DRIVE
ALPHARETTA GA 30201
32
ADAMCZYK, ROZA KLAJMAN
029568 682 S 8TH ST
GRIFFIN
GA 30223-4214 23
ADAMIAK, ELIZABETH REYNOLDS TH 033015 804 DIXIE STREET
CARROLLTON GA 30117
32
ADAMS, ANTHONY BRITT
023255 2780 CHAUCER DRIVE, SW
ATLANTA
GA 30303
01
ADAMS, DANIEL MARVIN III
020503 1136 CLEVELAND AVE, SUITE 605
EAST POINT GA 30344-3618 30
ADAMS, JOHN ALEXANDER
036488 807 CARLYLE LAKE
DECATUR
GA 30033
17
ADAMS, JOHN B JR
011527 408 E 3RD AVE
CORDELE
GA 31015
01
ADAMS, JOHN BARNARD
034760 1151 ROXBORO COVE
ATLANTA
GA 30324
52
ADAMS, JUDONN THEOPHILOUS
033506 120. MORN I NG SPRINGS WALK
FAIRBURN
GA 30213
15
ADAMS, LAMAR T
015215 PO BOX 669
MONROE
GA 30655
17
Page No.
NAME
ADAMS, LANIER HERMAN ADAMS, MELVIN L ADAMS, MICHAEL STEPHAN ADAMS, MYRON JOHN JR ADAMS, REBECCA JOANNE ADAMS, RICHARD PAUL ADAMS, ROBERT JOSEPH ADAMS, SAMUEL FRANKLIN, JR ADAMS, WILLIAM EARL ADAMS, WILLIAM PATRICK ADAMS, WILLIE JR ADAMS-CRUEL, VALERIE DENISE ADAN, ANIBAL ADCOCK, DAVID W ADCOCK, STEPHEN R ADCOX, WILLIAM CLINT ADDISON, BENJAMIN A ADEFRIS, WANDA E ADEN, KENNETH KEVIN ADERHOLT, HEWLETT E ADICKES, HENNING F JR ADKINS, JAMES MICHAEL ADKINS, ROBERT JEFFREY ADKINS, THOMAS E ADLER, GERALD PAIGE ADLER, HOWARD ANDREW ADLER, SAUL MICHAEL ADRIAN, JAMES ARLAND ADROUNY, SALPI AGGARWAL, AVANISH MITTAR AGGARWAL, SURINDER BALA AGHA, AMR AMIN AGHA, NASREEN REENO SAID AGOCS, MARY MARGARET AGOSTAS, WILLIAM N AGRAWAL, BIPIN BEHAR! LALL AGRAWAL, SUBODH K. AGRAZ, RODOLFO RUBEN AGUAYO, MICHELE ANNE AGUDELO, CARLOS A AGUERO, OSCAR E AGUERO, OSCAR ENRIQUE, JR AGUILA, RAFAEL JAVIER AGUIRRE, MAXIMO RAUL AHLUWALIA, JASJIT SINGH AHMAD, AMBREEN ALTAF AHMAD, NASEER AHMAD, SEEME VADOOD AHMED, ABDUL REHMAN AHMED, MASOOD AHN, JUNG HONG AHN, SOO WONG AHN, YOUNG WHAN AHRENDT, JOHN H AHUJA, ARJANDAS LACHMANDAS AICHER, JOHN ALBERT AINBINDER, MARTIN B. AINSWORTH, SCOTT WELLS
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
026819 014322 D34102 014593 036671 035195 023254 035797 018132 018092 013004 036331 008979 015903 021934 031376 008250 032688 035549 006857 014323 036332 018597 006792 023558 037934 018598 035550 036672 035798 029569 037741 030259 031192 005539 022381 D28344 012236 036490 034103 014778 036673 025318 036491 036081 023010 022503 037430 031193 031689 D16453 014226 014984 016770 019136 026432 D37119 035799
735 KINGS RD.
ATHENS
GA
3037 MALVERN HILL DR;vE
MACON
GA
2394 SPRINGRUM COURT
DECATUR
GA
4132 CIMARRON DRIVE
CLARKSTON
GA
4 HOPSCOTCH LANE
SAVANNAH
GA
2655 RANGEWOOD DRIVE
ATLANTA
GA
DEPT OF NEUROLOGY HS 2060, MEDICAL COLLEGE OF GEORG AUGUSTA
GA
1412 HAMPTON DRIVE
DUNWOODY
GA
2009 WARM SPRINGS ROAD
COLUMBUS
GA
11 JOHN MADDOX DR
ROME
GA
32D 2ND AVENUE
ALBANY
GA
4396 BARCLAY WAY
STONE MOUNTAIN GA
2928 RANDOLPH RD NE
ATLANTA
GA
1414 S MAIN ST
MOULTRIE
GA
1414 S. MAIN ST.
MOULTRIE
GA
RICHMOND HILL FAMILY MED CTR, PO BOX 1155
RICHMOND HILL GA
400 MAIN STREET, COTTAGE #1
ST. SIMONS ISL GA
3101 NOBLE CREEK DRIVE
ATLANTA
GA
8485 SENTINAE CHASE DRIVE
ROSWELL
GA
4335 BRIARCLIFF RD
ATLANTA
GA
99 PARK AVENUE
ST SIMONS ISL GA
3206 GABLES DRIVE
ATLANTA
GA
P. 0. BOX 2122
AUGUSTA
GA
789 CHICKAMAUGA AVE, POB 9
ROSSVILLE
GA
2151 FOUNTAIN DRIVE, SUITE 301
SNELLVILLE GA
755 MT VERNON HIGHWAY, SUITE 460
ATLANTA
GA
5555 PEACHTREE-DUNWOODY ROAD, SUITE 349
ATLANTA
GA
1159 CLARIDGE TRAIL
EVANS
GA
5305 SKIDAWAY DRIVE
ALPHARETTA GA
12D WWALESKA RD
CANTON
GA
ELBERTON DIALYSIS FACILITY, 325 N. MCINTOSH STREET ELBERTON
GA
2660 PEACHTREE RD, APT 35-A
ATLANTA
GA
1301 FAIRWAY DRIVE
ELBERTON
GA
CDC MSF-39, 1600 CLIFTON ROADNE
ATLANTA
GA
1021 15TH STREET STE 4
AUGUSTA
GA
711 CENTER STREET, SUITE 401
COLUMBUS
GA
316-A NORTH BROAD STREET
WINDER
GA
538 HEYWARD CIRCLE NW
MARIETTA
GA
1367 SUMMIT CHASE DRIVE
SNELLVILLE GA
DEPARTMENT OF VETERANS AFFAIRS, 1670 CLAIRMONT ROAD DECATUR
GA
2704 NO OAK STREET, BUILDING E
VALDOSTA
GA
2704 NORTH OAK STREET, BLDG E
VALDOSTA
GA
512 LAKE JOY ROAD
KATHLEEN
GA
2040 RIDGEWOOD DRIVE NE
ATLANTA
GA
2657 BRIARLAKE ROAD
ATLANTA
GA
ROUTE 6, BOX 44
TOCCOA
GA
ROUTE 6, BOX 44
TOCCOA
GA
4058 ELMS COURT DRIVE
STONE MOUNTAIN GA
2160 FOUNTAIN DRIVE, PO BOX 587
SNELLVILLE GA
5354 REYNOLDS ST, SUITE 212
SAVANNAH
GA
102 DEAL DRIVE
LAGRANGE
GA
8 LAVISTA OFFICE PARK, SUITE 116
TUCKER
GA
25 PRESCOTT STREET, 6444
ATLANTA
GA
2032 DEER RIDGE DRIVE
STONE MTN
GA
10520 SUGAR BUSH RD
SAVANNAH
GA
PO BOX 1013
DAHLONEGA
GA
3447 N DRUID HILLS RD, APT D
DECATUR
GA
5501 GLENRIDGE DR NE, SUITE 715
ATLANTA
GA
30606
10
31204
08
30032 1 32
30021
32
31411
27
30345
08
30912
23
30350
17
31904
44
30165-1499 17
31701
15
30083
15
30345
03
31768
46
31768
46
31324
10
31522
41
30327
15
30076
30
30345
03
31522-5104 33
30274
03
3D903
03
30741
10
30278
34
30328
16
30342
21
30809
03
30202
10
30114
17
30635
17
30305
06
30635
17
30333
01
30901
11
31901
17
30680
17
30064
03
30278
10
30033
37
31602
46
31602-1781 28
31047-9723 01
30322
32
30345
17
30577
33
30577
31
30083
33
30278
32
31405
17
30240
03
30084
17
30308
15
30087
17
31406-4460 33
30533
10
30033-3764 36
3D3424938 11
Page No. 2
Composite State Board of Medical Examiners Roster of Active Phy~ician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
AITCHESON, CAROL TIPTON
023884 35 COLLIER ROAD, SUITE 775
ATLANTA
GA
AJAYI, EDWARD E. E.
037935 3700 CHEROKEE PLACE
MARIETTA
GA
AJAYI, REX OLATUNJI
019123 806 NORTH MONROE STREET
ALBANY
GA
AJOY, VINCENTE R
018268 275 UPPER RIVERDALE RD SW, SUITE C
RIVERDALE
GA
AKBAR, FAROOQ
036492 2127 COVE RIDGE COURT
SUWANEE
GA
AKBIK, FAWAZ F.
028704 PO BOX 90518
EAST POINT GA
AKERS, RICHARD EDWIN
038163 * 2227 1/2 PICKENS RD
AUGUSTA
GA
AKHRAS, OMAR
020504 525 SPRING STREET, PO BOX 485
SPARTA
GA
AKINTOBI, MO-FOLORUNSHO 0. 036640 9495 RIVERCLUB PARKWAY
DULUTH
GA
AKPELE, IGNATIUS ESE
031692 22 PIEDMONT AVE, SUITE 522
ATLANTA
GA
AKRIDGE, JOHN WILLIAM, JR.
027336 RADIOLOGY ASSOC OF WAYCROSS, PO BOX 938
WAYCROSS
GA
AKSOY, DAVUT EROL
038419 1818 RIVER CHASE TRAIL
DULUTH
GA
AKSTEIN, RICARDO BRASILIANO 018778 6564 PROFESSIONAL PL, P.O. BOX 859, SUITE B
RIVERDALE
GA
AKTUNC, DOGAN R
014682 3106 HIDDEN COURT
MARTINEZ
GA
AL-HAKIM, AYMAN SALA
023012 103 CLUBVIEW DRIVE
MOULTRIE
GA
AL-JAB!, AYMAN
036493 2700 PARKWOOD DRIVE
BRUNSWICK
GA
AL-MULKI, MOHAMMAD
020396 1136 CLEVELAND AVE, #519
EAST POINT GA
AL-RABBAT, MOHAMMED HAYTHAM 029572 1459 MONTREAL RD, #503
TUCKER
GA
ALAM-GONZALEZ, ALBERTO REINALD 025407 571 BOUNTY DRIVE
MARIETTA
GA
ALAM-GONZALEZ, ALEJANDRO R. 025918 3209 ROYAL OAK DRIVE
MARIETTA
GA
ALAM-GONZALEZ, ARMANDO RAUL 025408 3477 PRINCETON CORNRS DRIVE
MARIETTA
GA
ALARCON, ALFREDO
011152 5669 PEACHTREE DUNWOODY RD NE, SUITE 135
ATLANTA
GA
ALARCON, JOHN JOSEPH
032508 4240 SOMERSET CIRCLE SW
ATLANTA
GA
ALARCON, JULI 0
027337 404 PROFESSIONAL TOWER, 700 CENTER STREET
COLUMBUS
GA
ALARCON, RENATO D
022297 2613 GLENROSE HILL
ATLANTA
GA
ALAZRAKI, NAOMI PARVER
029131 EMORY UNIV. HOSP. NUCLEAR MED., 1364 CLIFTON ROAD, N. ATLANTA
GA
ALBEE, ROBERT BRUCE, JR
017668 4553 N SHALLOWFORD ROAD, SUITE 50-B
DUNWOODY
GA
ALBERT, CLIVE
035800 4430 QUAIL RIDGE WAY
NORCROSS
GA
ALBERT, MARY JOHANNA
031693 DEPT OF ORTHOPEDICS, 69 BUTLER STREETS E
ATLANTA
GA
ALBERTO, LEOPOLDO CAYMO
034995 7 BIRDIE COURT
STATESBORO GA
ALBIN, ROBERT JON
033018 5667 PEACHTREE DUNWOODY RD, SUITE 350
ATLANTA
GA
ALBRITTON, MARK WALDEN
036082 360 HOSPITAL DRIVE, SUITE 360
MACON
GA
ALBRITTON, THOMAS ANDREW
025409 MED COL OF GA - HB 2010, GENERAL INTERNAL MEDICINE AUGUSTA
GA
ALCAIDE, FERDINAND QUEVEDO 038662 6228 BRADLEY PARK DR, SUITE A
COLUMBUS
GA
ALCOCER, ROLANDO CETINA
026433 1839 HOLLY HILL ROAD
MILLEDGEVILLE GA
ALDAY, JAMES M JR
010462 1801 VALLEY RD N.E.
GAINESVILLE GA
ALDERMAN, AMELIA ANNE
027480 330 HOSPITAL DRIVE, SUITE 315
MACON
GA
ALDERMAN, EARL LEWIS
009058 2792 MARGARET MITCHELL DR
ATLANTA
GA
ALDRICH, MARTIN CHARLES
038663 3453 N DRUID HILLS RD, APT E
DECATUR
GA
ALEEM, ASAF
030260 1 DUNWOODY PARK, SUITE 112
ATLANTA
GA
ALEXANDER, DIANE ZALUTSKY
034996 1812 MEADOWDALE AVE, NE
ATLANTA
GA
ALEXANDER, DONALD WILLIS
021471 1121 JOHNSON FERRY RD, 340
MARIETTA
GA
ALEXANDER, ELMORE DEAN
033908 374 OSPREY POINT
ST MOUNTIAN GA
ALEXANDER, GARRETT EDWARD
033925 EMORY UNIV. - NEUROLOGY, 1639 PIERCE DR PO DRAWER V ATLANTA
GA
ALEXANDER, HAROLD H
014158 755 MT VERNON HIGHWAY, SUITE 370
ATLANTA
GA
ALEXANDER, JAMES HICKS
008027 1150 HAMMOND DRIVE, SUITE 1170
ATLANTA
GA
ALEXAND,ER, JAMES L
006334 1305 BRIGHTWOOD DRIVE
SAVANNAH
GA
ALEXANDER, JAMES LOUIS
033510 8170 SEVEN OAKS DRIVE
JONESBORO
GA
ALEXANDER, JAMES PORTER, JR 038165 2539 HARRINGTON DR
DECATUR
GA
ALEXANDER, JAMES WASHINGTON 012993 3290 MEMORIAL DR, SUITE B-3
DECATUR
GA
ALEXANDER, JOEL JEFFREY
029570 2726 LAWRENCEVILLE HIGHWAY
DECATUR
GA
ALEXANDER, JULIA ANN
034530 ONE BLATIMORE PLACE, APT 3
ATLANTA
GA
ALEXANDER, LEE RICH
022504 353 PARKWAY DRIVE SE, SUITE 101
ATLANTA
GA
ALEXANDER, MANUEL
020185 702 HOSPITAL ROAD, PO BOX 497
COMMERCE
GA
ALEXANDER, RALPH
014916 1776 MOUNTAIN SHADOW
STONE MOUNTAIN GA
ALEXANDER, ROBERT WAYNE
030936 453 ARGONNE DRIVEN W
ATLANTA
GA
ALEXANDER, SUSAN
021137 702 HOSPITAL ROAD, PO BOX 497
COMMERCE
GA
ALEXANDER, TONI EILEEN
037120 3256 MERCER UNIVERSITY DRIVE, APT. 321
CHAMBLEE
GA
30367
30067
33
31701
52
30274-2559 50
30174
17
30364
34
30904-4462 27
31087
50
30136
22
30335
41
31502
36
30136
10
30274-2520 27
30907
17
31768
19
31520
32
30344-3618 34
30084
32
30066
17
30068
17
30062
01
30342-1701 51
30331
36
31901
41
30341
30322
24
30338
15
30092
17
30303
46
30458
08
30342
34
31201
10
30912-3104 17
31904
22
31061
10
30501
28
31201
17
30327
41
30033
10
30338
33
30306
41
30068
-28
30087
10
30322
23
30328
46
30328
32
31406
40
30236
03
30033-4904 32
30032
27
30033
30
30308
36
30312
03
30529
46
30087
33
30305
40
30529
15
30341
38
Page No. 3
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ALEXANDER, WILLIAM ALPHONSO, J 023886 220 ELLEN PLACE
ALEXANDER, WILLIAM SCOTT
022709 2752 FAIRBURN ROAD
ALFORD, TODD MICHAEL
035197 373-B NE 9TH ST
ALFRED, DEWITT C JR
014024 MOREHOUSE SCHOOL OF MED, 720 WESTVIEW DR
ALI, KAREEM UNISSA
037742 1401 WEST PACES FERRY RD, APT 1305
ALI, SYED SHAUKAT
035801 1328 CHASE COMMON
ALLAN, CHRISTOPHER JOHN
015216 3300 BUCKEYE RD., SUITE 178
ALLAN, KATHY STUKES
034959 1065 N VIRGINIA AVE NE
ALLAN, MICHAEL ANSLEY
033511 1065 NORTH VIRGINIA AVE
ALLARD, CHARLES
008630 450 NORTH CANDLER STREET
ALLARDICE, LISA PHARIS
038421 102 MADISON PLACE
ALLAUDIN, AMINA REHMATULLA 031863 450 COMMERCE DRIVE
ALLEE, ANTHONY CRAIG
036051 3110 RIDGECREST DR
ALLEGRA, JOSEPH CHARLES
033512 900 RED'S RIDGE COURT
ALLEN, ANTHONY WAYNE
037461 1252 TIMBERLAND DRIVE
ALLEN, ARTHUR THOMAS Ill
014264 2410 ST ANDREWS CT
ALLEN, BRUCE STUART
020294 520 CHARTER BLVD, SUITE 100
ALLEN, CHARLES DANIEL
016853 6130 WEATHERLY DR NW
ALLEN, CHARLES EDWARD
020644 663 LANIER PARK DRIVE
ALLEN, DAVID CARTER
024773 THE UROLOGY CLINIC, 120 TRINITY PLACE
ALLEN, EDWIN WHITAKER, Ill
021472 2301 ASHFORD DRIVE
ALLEN, JOANNE BELL
037743 242-AS KIMSEY CT, NE
ALLEN, JOHN DAVID
025091 1505 WINTER STREET, SUITE A-1
ALLEN, LAWRENCE LANIER
009060 111 GOODRICH AVENUE, P.O BOX 1165
ALLEN, LEE_ TREDWELL
010463 428 WINN COURT
ALLEN, LEIGHTON CHASE, JR
036494 1105 LEXINGTON AVENUE
ALLEN, LENORA
021473 1568 LENOX ROAD NE
ALLEN, MARSHALL BONNER, JR 010779 SECTION OF NEUROSURGERY, MEDICAL COLLEGE OF GEORGIA
ALLEN, MARTHA EASLER
031864 2411 MCDOWELL STREET
ALLEN, PAULE. L.
028490 3588 HWY 138 SE, BOX 367
ALLEN, RAYMOND JIM
035802 3048 C SPRING HILL RD, SE
ALLEN, RICHARD LEE
037462 5154 DURBAN COURT
ALLEN, ROBERT STEVENS
026213 105 COLLIER ROAD NW, SUITE 3040
ALLEN, ROOSEVELT
036083 OAK GROVE PROFF. PARK, HWY 11, PO BOX 446
ALLEN, STEPHEN CLEMENTS
021138 1950 PALMYRA ROAD
ALLEN, STEVEN LESLIE ALLEN, THOMAS MC CALL
037121 4 MEDICAL ARTS DRIVE
010018 * 420 JOHNSON ST SE
ALLEN, WILLIAM CARROLL
031377 1606 GAIL AVENUE
ALLEN, WILLIAM FRANCIS, Ill 024529 35 COLLIER ROAD, SUITE 700
ALLEN, WILLIAMS BURNS
010853 310 W 10TH ST
ALLEN-DALRYMPLE, BARBARA JEAN 019223 870 HIGH STREET
ALLEY, JAMES THOMPSON
028134 * ALCOHOL &DRUG ASSOC, 380 HOSPITAL DR. - SUITE 125
ALLEYNE, CARGILL HERLEY
036084 2428-H JOHNSON RD, NE
ALLIGOOD, LAWRENCE MOODY JR 013005 P. 0. BOX 1126
ALLISON, REBECCA ANN
037470 111 OLD FERRY WAY
ALLMAN, FRED LARIMORE JR
007421 600 WEST PEACHTREE ST NW, SUITE 600
ALLSBROOK, WILLIAM CALVIN JR 021474 764 WESTPORT COURT
ALLYN, ANDREA LYNNE
021223 3277 TIMBERLOCH DR
ALMAND, JOSEPH MORRIS JR
011623 4428 WEST POINT ROAD
ALMAND, MARSHALL DAVID
022116 1301 WELLBROOK CIRCLE
ALMEROTH, ROBERT H JR ALMON, WILLIAM RICHARD
U20645 3516 BOWLING GREEN WAY
030938 * 211 CAVALIER DR
ALMONTE, ILDEFONSO GABRIEL D 024196 7239 LULLWATER ROAD
ALONSO, KENNETH BRAULIO
016011 203-B MEDICAL WAY
ALPERIN, HENRY
016548 712 RAVENEL ROAD
ALPERIN, HERBERT
008029 1150 HAMMOND DRIVE, SUITE C-3100
ALPERN, ROBERT JAY
012607 3995 SOUTH COBB DRIVE
ALPERT, HAROLD MURRAY
021372 2520 WINDY HILL RD, SUITE 204
ATLANTA
GA
DOUGLASVILLE GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
NORCROSS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
LAGRANGE
GA
PEACHTREE CITY GA
AUGUSTA
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
GAINESVILLE GA
ATHENS
GA
ALBANY
GA
ATLANTA
GA
AUGUSTA
GA
THOMASTON
GA
DECATUR
GA
SAVANNAH
GA
ATLANTA
GA
AUGUSTA
GA
AUGUSTA
GA
STOCKBR !OGE GA
SMYRNA
GA
COLUMBUS
GA
ATLANTA
GA
WINDER
GA
ALBANY
GA
SANDERSVILLE GA
DAWSON
GA
ALBANY
GA
ATLANTA
GA
ROME
GA
MACON
GA
MACON
GA
ATLANTA
GA
CARROLLTON GA
ROSWELL
GA
ATLANTA
GA
MARTINEZ
GA
MARIETTA
GA
LAGRANGE
GA
CONYERS
GA
ATLANTA
GA
MARTINEZ
GA
COLUMBUS
GA
RIVERDALE
GA
AUGUSTA
GA
ATLANTA
GA
SMYRNA
GA
MARIETTA
GA
30331
30135
10
30309
33
30310-1495 33
30327
10
30071
32
30341
31
30306-3519 10
30306
17
30030
01
30240
32
30269
10
30907
33
30327
30067
10
30345
03
31210
06
30328-3628 15
30505
17
30607
52
31707
08
30305
35
30904
32
30286
10
30030
52
31404
33
30306
33
30912
44
30904
23
30281-4171 08
30080
15
31907
15
30309
17
30660
52
31701
52
31082
10
31742
01
31707
01
30309
17
30161
46
31201
15
31201
17
30345
44
30017
31
30076-2043 05
30308
46
30907
31
30068
17
30240
32
30207
17
30340
01
30907-9385 10
31904
30274
31
30909
36
30328
32
30080-6397 11
30067-8664 34
Page No. 4
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ALTHISAR, HENRY MARVIN
006603
ALTIZER, JAMES WITTEN
029573
ALTMAN, SHEM
031694
ALVARADO, ALAN JOSEPH
037463
ALVARADO, CARLOS S.
024774
ALVARADO, ROMULO
020398
ALVAREZ, ANGEL C
015866
ALVAREZ, FRANK MUNOZ
012669
ALVAREZ, MANUEL LAZARO
013109
AMADOR, ANTONIO M.
027268
AMADOR, JUAN RAMON
032118
AMAKER, RAYMOND DAVIS
037464
AMARASINGHE, AMARASINGHE AW 021475
AMATRIAIN, FERNANDO FERMIN 008031
AMBROSE, SAMUEL SHERIDAN, JR 007023
AMBROZE, WAYNE LEE, JR
033019
AMBURGEY, THOMAS MICHAEL
031378
AMERSON, JAMES RICHARD
006604
AMERSON, JAMES RICHARD, JR. 026820
AMERSON, JENNIFER LOW
037122
AMES, GREGORY GENE
031865
AMIE, JACK MARLIN
014120
AMILINENI, RAM MANOHAR
036085
AMIN, HOMAYOUN SADREDDIN
030427
AMIN, KAUSHIK
037465
AMIN, MAHENDRAKUMAR GOVINDBHAI 027483
AMIN, RAMESH NARSIBHAI
028242
AMLER, ROBERT WILLIAM
022505
AMMONS, JOHN CARL
008032
AMMONS, KATHARINE MARIE
037744
AMPORFUL, SAM G
030940
AMRUTHA, BRAHMAVAR V.
026216
AMSTER, STEVEN MARK
025574
AMU, CHUKWUDI BATO
026967
ANAGNOSTAKIS, JOHN
018356
ANAND, KANWALJEET SINGH
037123
ANAND, VANDANA CHOPRA
035804
ANASTASIADES, KONSTANTINOS DIN 026435
ANDERS, DAVID LLOYD
029133
ANDERS, KENYA POWELL HOUGHTON 029134
ANDERS, MACELYN VELSTIN
007365
ANDERS, MARK ALAN
035363
ANDERS, REBEKAH YATES
007142
ANDERSEN, CHRIS STEVEN
030708
ANDERSON, AMOS MILLEDGE 111 019632
ANDERSON, BASIL LAMONT
032120
ANDERSON, BENJAMIN STRATMAN, J 009755
ANDERSON, BONNIE LOUISE BATES 029836
ANDERSON, CHARLES CRAGIN
038666
ANDERSON, CHARLES RUSSELL
015066
ANDERSON, CRAIG HOWARD
028707
ANDERSON, DANIEL JOEL
037124
ANDERSON, DAVID WAYNE
035364
ANDERSON, DOUGLAS JAMES
035198
ANDERSON, GAIL FISK
022382
ANDERSON, GAIL VICTOR
021629
ANDERSON, HENRY HARRISON IV 033792
ANDERSON, JOHN DAVID
021630
4 EAGLETON COURT, APT. 6603 48 U.S. 19 SOUTH 3582 BROOKHILL CIR 970 SIDNEY MARCUS ijLVD, SUITE 1313 4360 ELEGANCE DRIVE 405 COWART AVENUE 713 20TH ST 1180 COURT DRIVE, APT P 12903 LARGO DRIVE 4030 WILLOWS WAY 3926 BILTMORE DRIVE 3113 SUSSEX ROAD 3741 SAPPHIRE DRIVE 5040 SNAPFINGER WOODS DR, SUITE 204 1365 CLIFTON ROAD NE, UROLOGY DEPT 1250 HEARDS FERRY RD NW 214 JOHNSTON ST 1365 CLIFTON ROAD NE 3122 KINGSCLIFF WAY 3276 EAST CASTLE CT OCONEE MEDICAL CONSULTANTS, 641 WEST THOMAS STREET 2418 PARKWOOD DR 950 STEVEN CREEK ROAD, APT A-1 483 UPPER RIVERDALE RD SW, SUITE C 2601 SALEM ROAD PO BOX 678 1290 VINEYARD DRIVE 3480 AUBUSSON TRACE 2786 OVERLOOK DRIVE NE 1313 1/2 BRIARCLIFF CIRCLE 1052 EAGLE DR 7 WESTL YN DRIVE 2927 POINTEWEST DRIVE 131 PONCE DE LEON AVE NE, SUITE 124 6040 HIGHWAY #5 1370 N CROSSINGS DRIVE 220 WEATAHERLY RUN 315 BOULEVARD NE, SUITE 240 694 NEW HOPE ROAD 694 NEW HOPE ROAD 203 WILDWOOD DRIVE 39 ASHLEY OAKS TRAIL 1255 N. HIGHWAY 314 140 VANN STREET, SUITE 350 420 CHARTER BLVD, SUITE 302 106 OAKLAND HILLS CT PO BOX 508 ROUTE 3 BOX 3478, ASKA ROAD 1480 EDINBURGH DRIVE 5091 HAMPTON LAKE DRIVE 1215A SUITE 2, GEORGE C WILSON DRIVE 3193 HOWELL MILL RD, SUITE 306 1466 NORTH CROSSING CIRCLE
CENTER FOR BUSINESS & OCCUP MED, 1800 TENTH AVENUE
36 LENOX POINTE, N.E. GRADY MEMORIAL HOSPITAL, 80 BUTLER STREET 444 FOREST HILL DR, APT 207 2704 NORTH OAK STREET
AUGUSTA
GA
CAMILLA
GA
MARIETTA
GA
ATLANTA
GA
STONE MOUNTAIN GA
VALDOSTA
GA
COLUMBUS
GA
DULUTH
GA
SAVANNAH
GA
MARIETTA
GA
COLUMBUS
GA
AUGUSTA
GA
AUGUSTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
MILLEDGEVILLE GA
BRUNSWICK
GA
AUGUSTA
GA
RIVERDALE
GA
CONYERS
GA
DOUGLAS
GA
CONYERS
GA
ALPHARETTA GA
ATLANTA
GA
MACON
GA
MACON
GA
ROME
GA
AUGUSTA
GA
ATLANTA
GA
DOUGLASVILLE GA
ATLANTA
GA
ALPHARETTA GA
ATLANTA
GA
FAYETTEVILLE GA
FAYETTEVILLE GA
STATESBORO GA
ROME
GA
RIVERDALE
GA
MARIETTA
GA
MACON
GA
DULUTH
GA
CEDARTOWN
GA
BLUE RIDGE GA
TUCKER
GA
MARIETTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
VALDOSTA
GA
30909
01
31730
17
30062-1100 31
30324
32
30083
32
31602
32
31904
32
30136
52
31419
31
30062
32
31909
10
30909
21
30907
33
30035
15
30322
52
30328-4734 41
31405
01
30322
41
30345
30033
41
31061
17
31520
52
30907
17
30274-2538 05
30208
17
31533
15
30208
33
30202
PE
30345
23
31211
17
31211-9733 10
30165
32
30909-4633 03
30308
17
30135
03
30329
32
30202
33
30312
31
30214
17
30214
17
30458
53
30165
10
30296
15
30060
41
31210
52
30136
10
30125
10
30513
36
30084
52
30068
36
30909
32
30327
53
30329
17
31902-2167 26
30324
33
30335
08
31210
10
31602
17
Page No. 5
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ANDERSON, JOHN LAWRENCE
022207
ANDERSON, JOHN LEE JR
009062
ANDERSON, LARRY JAMES
019030
ANDERSON, LARRY WILKINS
020648
ANDERSON, MARY HAMILTON
031554
ANDERSON, ROBERT GREGORY
032121
ANDERSON, ROBERT H JR
007741
ANDERSON, SCOTT WILLIAM
020649
ANDERSON, STEPHEN WOODARD
025935
ANDERSON, THOMAS JEFFERSON JR 005540
ANDERSON, THOMAS LEE
025093
ANDERSON, TIMOTHY MICHAEL
034285
ANDERSON, VICTORIA HELENE GREE 036333
ANDERSON, WALLACE STEVE
028708
ANDERSON, WALTER FAUST
021939
ANDERSON, WILLIAM BARTLETT 011204
ANDERSON, WILLIAM DEATON
034765
ANDERSON, WILLIAM J
019364
ANDERSON, WILLIAM R
006366
ANDREWS, BENJAMIN CHARLES, JR. 031867
ANDREWS, CATHERINE SANDERS 023560
ANDREWS, CHARLES WILLIAM, JR 038169
ANDREWS, DAVID FRANK III
019811
ANDREWS, JAMES MASON
038668
ANDREWS, JAMES MCKAY
037938
ANDREWS, JOHN RONALD
013718
ANDREWS, JOHNS.
031555
ANDREWS, JOHN SCOTT, JR.
024775
ANDREWS, MICHAEL BRYAN
034286
ANDREWS, ROBERT STANLEY
035199
ANDREWS, WILSON PITTMAN, JR. 028709
ANDUZE, ALFRED LEE
032866
ANEGUNDI, SUDHINDRA KRISHNARAO 017970
ANFINSON, THEODORE JOSEPH
036915
ANGELGUINGUE, EDUARDO
020509
ANGELL, JOHN H
007366
ANGIOLETTI, LEE MITCHELL
036675
ANGLYN, DERRELL WINSOR, JR. 024198
ANGOOD, PETER BRIAN
037125
ANISMAN, LEE ROBERT
037939
ANSARI, IRADJ
019909
ANSLEY, JOSEPH DICKERSON
011926
ANTALIS, JOHN STEPHEN
026767
ANTHONY, CLEMENT REESE
027752
ANTHONY, JAMES E., JR.
007969
ANTHONY, LARRY WILSON
030709
ANTIN, TODD MITCHELL
036495
ANTON, BLANCA R
012026
ANTON, MANUEL P
012027
ANWAR, MUHAMMAD USMAN
038669
APANAY, MANOLO BUNAG
013575
APGAR, JOHN THOMAS
014265
APOSTOL, ATHANASSIOS TONY
034766
APPEL, SIDNEY DAVID
013832
APPELQUEST-COE, ELIZABETH LEA 035806
APPELROUTH, DANIEL J
018358
APPLE, DAVID FRENCH JR
010096
APPLE, HARVEY V
016206
1965 NORTH PARK PLACE, SUITE 102
770 PINE ST
CENTERS FOR DISEASE CONTROL, MAILSTOP G17
3725 ZOAR ROAD 1505 WINTER ST., SUITE E
1610 JOHN ORR DRIVE, SUITE G
715 JESSE JEWELL PKWY, SUITE 301
755 COMMERCE DR
5455 MERIDIAN MARK RD, SUITE 520
513 CHATEAU DRIVEN W
105 WEST CRANFORD AVENUE
1231 CLAIRMONT 36C
933 MERRY STREET
1311 OCILLA ROAD
9245 STONEMIST TRACE
2150 PEACHFORD ROAD, SUITE N
506 SUMMIT POINTE WAY NE
755 COMMERCE DRIVE, SUITE 333
1102 E LAMAR ST BOX 568
113 RAWLEY ROAD
3825 CHEROKEE STREET
1130 LANIER BLVD NE
PO BOX 312
795 HAMMOND DRIVE, APARTMENT 1703
320 LAUREL GREEN WAY
2205 WEST DOUBLEGATE DRIVE
102 E HARALSON STREET
4210 QUAIL RIDGE WAY
55 SOUTH MEDICAL DRIVE, SUITE 240
1025 NORTH HOUSTON ROAD
155 TRAIL POINT
3818 COURTYARD DRIVE, NW
2138 SUITE E SCENIC HWY
2429 KING ARTHUR CIRCLE
CENTRAL STATE HOSPITAL, BOX 34
PO BOX 13918
95 COLLIER RD NW, SUITE 3000
55 SIMS STREET
340 BLVD. SUITE 101
1579-F MONROE DRIVE, SUITE 412
1121 JOHNSON FERRY RD
DEPT OF SURGERY, 69 BUTLER STREET
1114 PROFESSIONAL BLVD
391 HALL DRIVE
4927 CASTLEWOOD DR. S.W.
750 CORDER ROAD, APT 66
6191 NEELY FARM DRIVE
1748 STONECLIFF CT
1748 STONECLIFF CT
701 VALLY BROOK CROSSING
250 ARROWHEAD BLVD
1462 MONTREAL ROAD, SUITE 307
521 WEST MONTGOMERY STREET, SUITE 16
1462 MONTREAL ROAD, SUITE 205
915 SPRING ST
993 JOHNSON FERRY ROAD NE, BLDG D, SUITE 370
2001 PEACHTREE RD., N.E., SUITE 400
1196 ST ANDREWS CIR
ATLANTA
GA
MACON
GA
ATLANTA
GA
LITHONIA
GA
AUGUSTA
GA
Tl FTON
GA
GAINESVILLE GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
VALDOSTA
GA
DECATUR
GA
AUGUSTA
GA
DOUGLAS
GA
ROSWELL
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
AMERICUS
GA
AMERICUS
GA
KENNESAW
GA
ATLANTA
GA
WARM SPRINGS GA
ATLANTA
GA
ALPHARETTA GA
ALBANY
GA
LAGRANGE
GA
NORCROSS
GA
MARIETTA
GA
WARNER ROBINS GA
ATLANTA
GA
ATLANTA
GA
SNELLVILLE GA
ATLANTA
GA
MILLEDGEVILLE GA
SAVANNAH
GA
ATLANTA
GA
MCDONOUGH
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
DALTON
GA
HAMILTON
GA
LILBURN
GA
WARNER ROBINS GA
NORCROSS
GA
DECATUR
GA
DECATUR
GA
DECATUR
GA
JONESBORO
GA
TUCKER
GA
MILLEDGEVILLE GA
TUCKER
GA
WASHINGTON GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
30339
33
31201
36
30333
RS
30058
10
30934
32
31794
52
30505
41
30030-2675 17
30342
32
30305-1925 17
31602
32
30030
41
30904
33
31533
10
30076
33
30338
33
30329-4034 17
30030
10
31709
32
31709
08
30144
30306-3549 31
31830
17
30328
33
30202-6648 34
31707
36
30240
33
30092
30060
16
31093
15
30350
32
30339
27
30278
50
30345
17
31062
01
31416
15
30309-1735 27
30253
10
30312
41
30324
17
30068-5425 52
30303
41
30720
10
31811
10
30247
41
31088
10
30092
33
30033
33
30033
33
30033
32
30236-1106 41
30084
06
31061
28
30084
41
30136
10
30342
37
30309
28
30338
01
Page No. 6
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
APPLETON, BROWN GRAY
014026 1608 WALTHOUR ROAD
APPLETON, TRICIA ANN
D35551 741 FREDERICKA STREET, APT. 1
AQUADRO, MICHAEL ANTHONY
028491 2612 NORTHGATE DR
ARANAS, CATALINA TOJONG
020957 959 17TH ST
ARANDA, RICARDO JOSE R
021373 330 TURNER MCCALL BLVD, SUITE 301
ARANGO, VIRGILIO A
012138 3164 WINDFIELD CIRCLE
ARANKE, SHEILA VIJAY M. VANIKA 036676 452 CREEK RIDGE
ARANSON, ROBERT
037467 507 SUMMIT POINTE WAY, NE
ARASI, RICHARD
032512 160 TOWNE LAKE PARKWAY
ARASI, ROBERT
028492 15365 TULLGEAN DRIVE
ARBAN, WILLIAM JOSEPH
034767 510 HADDINGTON LANE
ARCARO, SUSAN ELIZABETH GRASSY 037127 3 FAY CIRCLE
ARENSBERG, DANIEL
015569 2224 GUINEVERE WAY
ARIAS, MANUEL
014596 3045 ASCOT LANE
ARIAS, RAMON ARIAS
012237 1936 BANKHEAD HWY, SUITE 201
ARIMURA, JEROME JIRO
035200 134 MALLARD POINTE WAY
ARKIN, DAVID BARRY
028136 696 PIKE ST, SUITE 280
ARKIN, EVA B SCHUTTERMAN
022887 980 JOHNSON FERRY RD NE, SUITE 510
ARKIN, LAWRENCE MICHAEL
033020 325 WEST 9TH STREET
ARKIN, MURRAY C
006860 PO BOX 15238
ARLEN, PHILIP MARTIN
036052 505 LENOX WAY, NE
ARMAND, JEROME MICHAEL
019138 2701 NORTH DECATUR RD.
ARMENIA-COPE, ROBIN RENEE
035807 2415 DEVON LEIGH WALK
ARMISTEAD, JOSEPH JACKSON
033021 581 BOULDERCREST DRIVE
ARMOND, RICHARD H III
017672 5444 D ROCKBRIDGE RD.
ARMOREDA, LEON M
022208 OCILLA RD P.O. BOXC 1204
ARMOUR, CHRISTOPHER EUGENE 030944 2725 THORNBURY WAY
ARMSTEAD, SANDRA HOLLINGSWORTH 022787 3816 BROOKVALE PLACE
ARMSTRONG, DAVID NIGEL
036677 7410 PRINCETON TRACE NW
ARMSTRONG, NATHANIEL EVAN JR 012385 *PO BOX 1258, 2308 PARKWOOD DR
ARMSTRONG, NED BROOKS
025936 4555 N SHALLOWFORD ROAD, SUITE 102
ARMSTRONG, WILLIAM SANSOM
026821 440 BARRETT PKY, SUITE 55
ARMSTRONG-MILLER, MARSHA CHRIS 033795 3912 CASTLEWOOD PARKWAY
ARNALL JR., GUY COLE
033514 1912 NOBLE CREEK DRIVEN W
ARNALL, DAVID WOODS
036916 212 WEST 10TH STREET
ARNALL, JOHN R
007743 PO BOX 1143
ARNETT, JOHN DAVID
038423 1408 CALIBRE WOODS DR
ARNOLD, BRIAN LEE
028493 PO BOX 888835
ARNOLD, DAVID MICHAEL
035808 THE SPINE CLINIC, 700 SUNSET DR - SUITE 602
ARNOLD, JOSEPH ALLAN
009065 2910 N DRUID HILLS RD
ARNOLD, KATHRYN ELISE
038670 1443 BERKELEY LANE, NE
ARNOLD, LEMUEL M
021224 2575 PEACHTREE ROAD NE, #23G
ARNOLD, MAURICE FRANKLIN, III. 022713 P.O. BOX 4965, 781 SPRING STREET
ARNOLD, THOMAS SEYMOUR
022714 404 SHALLOWFORD CIRCLE
ARNOLD, WILLIAM STANLEY
020400 100 10TH ST NW
ARONOVITZ, GERSON HARVEY
009351 2714 CLAIRMONT RD NE
ARONSON, MICHAEL HARVEY
029302 1970 CLIFF VALLEY WAY NE, SUITE 201
ARORA, OM PRAKASH
021632 4634 HWY 29 #A
ARORA, RAJESH
031697 4385 RIDGE VALLEY DR
ARORA, VIJAY LAKSHMI
021633 4634 LAWRENCEVILLE HWY, SUITE A
ARRAS, MILTON J
014027 2024 DIXON LANE EB
4RRINGTON, GERTRUDE BROWN
027036 SOUTHEASTERN HEALTH SERVICES, 1720 PHOIENIX BLVD
,RRINGTON, LAWRENCE EUGENE 033022 1125 TROUPE STREET, PO BOX 3845
ARROWSMITH, SCOTT RANDALL
018359 58 HOSPITAL ROAD, SUITE 202
ARROYO-MORALES, MARTA J.
035552 4114 MILL STREET
ARSHAD, MOHAMMED
020511 871 FOREST PKY
ARTERBURN, JAMES NICHOLAS
034287 2 WWESLEY RD NW, #9
ARTIME, MANUEL ENRIQUE
007068 2703 CRAVEY DR NE
SAVANNAH
GA
ATLANTA
GA
ALBANY
GA
COLUMBUS
GA
ROME
GA
TUCKER
GA
MARTINEZ
GA
ATLANTA
GA
WOODSTOCK
GA
ALPHARETTA GA
PEACHTREE CITY GA
RINGGOLD
GA
ATLANTA
GA
ROSWELL
GA
AUSTELL
GA
ATHENS
GA
LAWRENCEVILLE GA
ATLANTA
GA
ROME
GA
SAVANNAH
GA
ATLANTA
GA
DECATUR
GA
DULUTH
GA
MARIETTA
GA
STONE MOUNTAIN GA
DOUGLAS
GA
COLLEGE PARK GA
DECATUR
GA
ATLANTA
GA
BRUNSWICK
GA
DUNWOODY
GA
KENNESAW
GA
COLUMBUS
GA
ATLANTA
GA
TIFTONF
GA
PERRY
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
LILBURN
GA
AUGUSTA
GA
LILBURN
GA
ST SIMONS IS GA
COLLEGE PARK GA
AUGUSTA
GA
NEWNAN
GA
COVINGTON
GA
FOREST PARK GA
ATLANTA
GA
ATLANTA
GA
31410
08
30306
33
31707
36
31901
15
30165-2747 15
30084
32
30907
53
30329
17
30188
06
30201
03
30269-3339 10
30736
03
30345
05
30076
36
30001-3696 32
30606
01
30245
17
30342-1607 15
30165
27
31416
04
30324
17
30033
32
30136-5873 26
30064
36
30088
10
30533
01
30349
10
30034
32
30328
39
31520
41
30338
46
30144-4901 17
31907
36
30327
17
31794
17
31069
10
30329
17
30356
03
30606
28
30329
10
30329
10
30305
32
31208
41
30907
15
30309-3846 17
30329
32
30329
33
30247
41
30909
33
30247
32
31522
31
30349
32
30914-3845 36
30263
46
30209
32
30050-2309 15
30305-3539 11
30345-1417 04
Page No. 7
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ARTIS, APRIL LAVERNE
038671 537 WOOD HOLLOW COURT
ARTMAN, MARTIN ROBERT
030945 3517 STEVENS WAY
ARTRESS, FRANK LYNN
016528 610 SOUTH 8TH STREET, SUITE F
ARTRESS, GEORGE E
012139 2350 BELMONT CIR SE
ARU, GIORGIO MARIA
027270 3378 LANSBURY VILLAGE DRIVE, APT 5
ARUNACHALAM, KRISHANAN
024649 P.O.BOX 1409
ARWOOD, WILLIAM C JR
006861 HAND AVE
ARZU, RICARDO AUGUSTO
025322 315 WINN WAY
ASBELL, JIMMY ROBERT
010856 420 CHARTER BLVD, SUITE 401
ASERON, CIRILO A JR
015867 417 COUNTRY CLUB ROAD
ASH, LINDA SHARON
034999 682 HEMLOCK STREET, SUITE 400
ASH, PETER
036678 802 LULLWATER ROAD NE
ASHER, HAROLD
008698 5669 PEACHTREE DUNWOODY RD NE, SUITE 240
ASHFORD, ALEXANDER W
005276 409 PINE CIRCLE
ASHFORD, CLINTON BURKETT
020651 1750 S. LUMPKIN STREET
ASHFORD, REBECCA COLEY
024384 1750 S. LUMPKIN ST
ASHFORD, WALTER PEPPER
035553 1605 MULKEY RD, STE A
ASHKAR, FU'AD GEORGE
016553 3187 WILTSHIRE DRIVE
ASHKAR, ZIAD MAURICE
038673 3439 NORTH DRUID HILLS RD, APT. H
ASHLEY, DENNIS WAYNE
033266 745 ROSALIA STREET SE, APT 753
ASHLEY, LENORA MARGARET
031698 3260 SUMMER VIEW DRIVE
ASHMORE, MICHAEL EUGENE
027024 2 FOX CHASE S.W.
ASHTON, SUSANNE STERLING
031870 1050 MOUNTAIN DRIVE, SUITE B
ASIKA, DOMINIC IKWUEME
031871 5559 OAKWOOD DR
ASKARI, NEVORN SEDELLA HALL 028712 1401 WEST SPRING STREET
ASKEW, DANNYE
013719 1211 SHERWOOD PARK DRIVE
ASKEW, JAMES L ASKREN, EDWARD L III
009758 8312 CARLTON ROAD
007744 * 1616 FRIAR TUCK ROAD NE
ASKREN, EDWARD L JR
005673 1616 FRAIR TUCK RD NE
ASSAD, RAMZI T
019633 3624 J DEWEY GRAY CIRCLE, SUITE 250
ASSEVERO, MICHAEL L
036335 429 GRANT ST SE
ASTACIO, JOSEPH
028494 4905 COURTNEY DR
ASTIN, GEORGE T.
026439 705 DIXIE STREET
ASTIN, PHIL CARROLL
035368 115 AMBULANCE DRIVE
ASTIN, PHIL CARROLL, JR.
006164 * 702 DIXIE ST
ASTWANI, MAHER
036917 302 NAPA DRIVE
ATEFI, DAVID AMIR
019029 2500 HOSPITAL BLVD, SUITE 480
ATHA, JOHN FRANCIS
010097 P.O. BOX 506, 701 N HOGUE AVE
ATHA, WILLIAM JACKSON
008365 20 R!VERMONT DR. S.W.
ATKINS, _ERNEST C JR
006367 1510 OAK GROVE ROAD, SUITE 3
ATKINS, KEITH LANTRIP
037469 906 WOODHILL TRAIL
ATKINS, PAUL ANTHONY
038674 2595 # D NEW BEDFORD WAY
ATKINS, SAM 0
010857 2600 MARTIN LUTHER KING JR DR SW, SUITE 207
ATKINSON, GEORGE OREN JR
015727 2909 NORTHBROOK DR
ATKINSON, JOHN PEPPER
012994 4181 CANYON ROAD
ATKINSON, PAUL FREDERICK
027486 3300 BUCKEYE ROAD, #178
ATKINSON, ROBERT C
022383 320 FOLIAGE CT
ATKINSON, STEWART
013877 615 PEACHTREE ST, N.E., SUITE 1213
ATKINSON, THEODORE EDWARD, Ill 036679 990 HAMMOND DRIVE, SUITE 170
ATKINSON, WILLIAM LEE
032514 1112 HOUSTON MILL RD., N.E.
ATLURI, REVATI
017508 2801 N. DECATUR ROAD, SUITE 300
ATON, JAMES KEYES
018599 847 PARK CHASE DRIVE
ATTAWAY, DEAN SCOTT
021634 1475 HOLCOMB BRIDGE RD, SUITE 129
ATTOKAREN, JOHN KURIEN
029575 1305 HEMBREE RD, SUITE 204
ATWATER, PAUL C
015447 105 COLLIER RD, SUITE 4040
ATWELL, EDDIE ALLAN
029303 PO BOX 200188
ATWOOD, ALAN RICHARDSON
031872 700 S. ENOTA DRIVE
AUBLEY, GEORGE LEONID
030262 6460 SPALDING DRIVEN W, SUITE A
MARIETTA MARTINEZ GR! FF IN SMYRNA ATLANTA DOUGLAS PELHAM DECATUR MACON STATESBORO MACON ATLANTA ATLANTA MONROE ATHENS ATHENS AUSTELL AVONDALE DECATUR ATLANTA ALPHARETTA ROME DAHLONEGA ST MOUNTAIN MONROE GAINESVILLE RIVERDALE ATLANTA ATLANTA AUGUSTA ATLANTA FOREST PARK CARROLLTON CARROLLTON CARROLLTON AUGUSTA ROSWELL ROCKMART ROME DECATUR AUGUSTA ATLANTA ATLANTA ATLANTA MACON ATLANTA ROSWELL ATLANTA ATLANTA ATLANTA DECATUR EVANS ROSWELL ROSWELL ATLANTA CARTERSVILLE GAINESVILLE NORCROSS
GA 30067
17
GA 30907
08
GA 30223
03
GA 30080
10
GA 30341
41
GA 31533
GA 31779
02
GA 30030
GA 31210
46
GA 30458
36
GA 31201
17
GA 30307-1240 33
GA 30342-1701 11
GA 30655
41
GA 30606
15
GA 30606
GA 30001
17
GA 30002
33
GA 30033
17
GA 30312
41
GA 30202
33
GA 30165
03
GA 30533
15
GA 30087
08
GA 30655
32
GA 30501
11
GA 30296
36
GA 30309
33
GA 30309-2612 11
GA 30909
11
GA 30312-3113 15
GA 30050-1427 32
GA 30117
10
GA 30117
17
GA 30117
01
GA 30909
23
GA 30076-4907 17
GA 30153
17
GA 30161
03
GA 30033
41
GA 30909
17
GA 30345
~7
GA 30311-1636 49
GA 30340
36
GA 31210
17
GA 30341
17
GA 30076
44
GA 30308
27
GA 30328
32
GA 30329-3830 17
GA 30033
17
GA 30809
06
GA 30076
10
GA 30076-3816 05
GA 30309
30
GA 30120-9004 28
GA 30501
41
GA 30092
17
Page No. 8
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
AUCHUS, ALEXANDER PATRICK AUDA, STEPHEN PETER AUERBACH, ANDREW JAMES AUFDERHEIDE, ERIK AUGUST, GARRY L AULTMAN, WILLIAM ANDREW AUPONT, PIERRE MAX AUSTIN, COLLEEN SHANE AUSTIN, DAVID BRYAN AUSTIN, GARTH E AUSTIN, HOWARD MC VAY AUSTIN, JACK HULON, JR AUSTIN, JACK L AUSTIN, KIRK OLEN AUSTIN, MARTIN LAWRENCE AUSTIN, MICHAEL AUST! N, RALPH AUSTIN, WAYNE D AUSTIN, WILLIAM F AUSTRIA, ALFRED JOHN AUTRY, ERNEST DAVID AVANT, EARL STANLEY AVERETT, JACK M JR AVERETT, JAMES ELI JR AVERHOFF, FRANCISCO MIGUEL AVERY, ALFRED ESTIN AVERY, ANTHONY PARKE AVERY, KAREN !NEZ BENTLEY AVERY, KATRINA BELINDA AVERY, WILLIAM G AVONDA, THOMAS RICHARD AVRET, EDWIN T AWAD, ERIC ADRIAN AXELROD, BENNETT JON AXLER, JOEL LEE AXTELL, LUCY DEBORAH AYENI, FRANCIS AKINLAWON 0. AYERS, BOBBIE FRANKLIN JR AYERS, GARY RAY AYERS, WILLIAM THEODORE, JR. AYOUB, MACRAM M AYRES, JULIAN ALEXANDER AYRES, REBECCA RUTH ISON AYRES, STEPHEN M AYULO, MARCO ANTONIO AZAHAR, RAMON PINEDA AZAR, GORDON JEROME AZAR, KENNETH ANTHONY AZIZ, EZZAT MOFID AZIZ!, MOHAMMAD DAUD
034288 020653 037943 038676 018360 026440 019366 022506 029577 021940 018600 032689 004476 037471 037749 025937 021140 020654 007025 037750 019635 009004 015650 009066 036336 033517 015728 033928 037431 005097 038677 008368 035203 026442 035369 025576 026699 021227 018601 019477 020187 017770 028714 030947 036088 017544 008699 013721 014229 028137
3481 LAKESIDE DR. N.E., APT 2207
ATLANTA
GA
325 N JEFF DAVIS DR
FAYETTEVILLE GA
4614 BLAKEFORD CT
FLOWERY BR GA
4274 CEDAR BLUFF WAY
LILBURN
GA
500 18TH STREET, SUITE A-30
COLUMBUS
GA
1001 N MONROE ST
ALBANY
GA
1009 RIVERDALE DRIVE
WAYCROSS
GA
1100 LAKE HEARN DRIVE, NE, SUITE 500
ATLANTA
GA
619 TRAILWOOD LANE
MARIETTA
GA
1736 TAMWORTH COURT
DUNWOODY
GA
880 POWER LAKE DRIVE
ATLANTA
GA
820 ST SEBASTIAN WAY, SUITE 4A
AUGUSTA
GA
108 SUMMIT DR
GRIFFIN
GA
39 C.LARK TERRACE
SAVANNAH
GA
2839 PACES FERRY ROAD# 900
ATLANTA
GA
4801 LISMOOR TRACE
MABLETON
GA
800 FIRST STREET, SUITE 210
MACON
GA
901 N. BROAD, P.O. BOX 1761
WINDER
GA
3011 KEMBLE AVENUE
BRUNSWICK
GA
1280 W. PEACHTREE STE, NW, APT 3705
ATLANTA
GA
1137 HUDSON BRIDGE ROAD, PROF. BLDG B, SUITE 6
STOCKBRIDGE GA
2770 NORTHWOODS DRIVE
MACON
GA
2300 MANCHESTER EXP. BLDG G, ST FRANCIS MEDICAL PARK COLUMBUS
GA
105 COLLIER RD NW, SUITE 2010
ATLANTA
GA
5141 AMSTERDAM CT
LILBURN
GA
100 PROFESSIONAL PARK, SUITE 110
CARROLLTON GA
15 JOHN MADDOX DR
ROME
GA
100 PROFESSIONAL PARK, SUITE 110
CARROLLTON GA
915 CHAMPION PINES LANE
AUGUSTA
GA
1215 MT PARAN RD NW
ATLANTA
GA
535 WINDSWEPT WAY
ALPHARETTA GA
4151 MEMORIAL DR, SUITE 105-B
DECATUR
GA
95 COLLIER ROAD NW, SUITE 4045
ATLANTA
GA
4555 NORTH SHALLOWFORD ROAD
DUNWOODY
GA
2801 BUFORD HIGHWAY, SUITE 260
ATLANTA
GA
5605 GLENRIDGE DRIVE, SUITE 720
ATLANTA
GA
6995 IVY POINT DRIVE
AUSTELL
GA
5000 OAK BLUFF CT.
DUNWOODY
GA
164 INTERLOCHEN DRIVE
ATLANTA
GA
702 CAMELLIA DRIVE
LAGRANGE
GA
MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK ST., PO BO MACON
GA
125 CLA!REMONT AVENUE, SUITE 300
DECATUR
GA
125 SOUTHSHORE CT
ROSWELL
GA
993 F JOHNSON FERRY RD, SUITE 320
ATLANTA
GA
SATILLA REG. TREATMENT CENTER, 410 ZACKRY STREET
WAYCROSS
GA
187 ADMIRALTY WAY
MILLEDGEVILLE GA
960 JOHNSON FERRY RIYAD, SUITE 235
ATLANTA
GA
3412 DUNNINGTON CT.
AUGUSTA
GA
UNIVERSITY HOSPITAL, 1350 WALTON WAY (10)
AUGUSTA
GA
2111 BENNINGTON COURT
LAWRENCEVILLE GA
30326
23
30214-1627 41
30542-3684 08
30247
08
31901
17
31701
15
31501
03
30342
19
30064-4630 03
30338
31
30327-4752 36
30910
17
30223
30
31404
10
30339
17
30059
08
31208
10
30680
10
31520
10
30309
08
30281
32
31204
00
31904
11
30309
46
30247
10
30117
23
30165-1498 30
30117
23
30909
15
30327
13
30202
03
30032
17
30309
23
30338
46
30329
33
30342
33
30001
30360
23
30342
53
30240
41
31208
41
30030
27
30076
36
30342
15
31501
17
31061
52
30342
17
30909
33
30910
21
30243
03
BABAL!AROS, CONSTANTINE N BABBE, GREGORY JAMES BABINO, CLARE MARIE BABU, SYLVIA SHAKUNTALA
-8-
013111 037129 031197 033268
1203 CLEVELAND AVE# 1B 558 OAKBROOK DRIVE 4000 CUMBERLAND PKY, SUITE 1100 969 OAK STREET, SW
Page No. 9
EAST POINT MARTINEZ ATLANTA ATLANTA
GA 30344-3473 41
GA 30907
10
GA 30339
25
GA 30310
32
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BACASTOW, DAVID WESLEY
025939 1000 HAWTHORNE AVE
BACCUS, LLOYD TEVIS
011268 1698 JOHNSON ROAD
BACHNER, ROBERT SETH
036918 3247-A SOUTH FLOWERS ROAD
BACKER, THOMAS SCHEELE
030711 11660 ALPHARETTA HIGHWAY, SUITE 285
BACKERMAN, !VAN ARNOLD
009067 MEDICAL ARTS BLDG, 1136 CLEVELAND AVE., STE. 500
BACKSTROM, DEAN RICHARD
037130 438 BIG CANOE
BADARUDDIN, ROSE BENIGNA
020401 PEDIATRICS AND ADOLESCENT MED, 4759 ROCKBRIDGE RD
BADDOUR, DAVID BISHARA
031557 2 HOSPITAL PARK
BADDOURA, SAM! K
032343 1530 WOODLAKE DRIVE, APT E
BADR, KAMAL F
036089 2870 PHARR COURT SOUTH, APT 2506
BAENS-BILON, RITA GARCIA
037474 3138 ASBURY SQUARE
BAER, GREGORY SHERWIN
027157 103 JOHN MADDOX DR
BAETTI, EDUARDO ALBERTO
025323 100 TENTH STREET, N.W.
BAFFOE-BONNIE, IGNATIUS HENRY 037751 11 00 BOOTH CT
BAGGETT, MARTIN ALAN
031198 717 SOUTH 8TH STREET
BAGH, ADEL
017038 35 COLLIER ROAD, SUITE 375
BAGHERI, MOHAMMED-TAHER
013582 719 SCENIC HWY #A
BAGLEY, CHARLES EDWARD
010858 *PO BOX 220
BAHR, EVAN CHRISTOPHER
037131 2258 WRIGHTSBORO ROAD SUITE 300
BAHR, HELGA ANNA LI~A RAESTRUP 035811 PO BOX 723837
BAIK, YONG HWAN
025855 118 NORTH WOOD DRIVE
BAILEY, ALBERT GLENN
009068 303 SMITH ST
BAILEY, ANNIE ANDERSON
005975 474 HILLSBORO STREET
BAILEY, BILL MARTIN
007427 ROUTE 3, BOX 18
BAILEY, CHARLES EDWARD
018602 490 PEACHTREE ST., N.E., SUITE 151-B
BAILEY, DANIEL HOMER
030713 401 EAST 4TH AVE
BAILEY, DONALD HOSFORD
026444 206 JOHNNY MERCER BLVD# A
BAILEY, EDWARD ROYLAND
023562 4168 TATE STREET
BAILEY, ERROLL JEROME
034768 6 WIEUCA TRACE
BAILEY, HENRY W
006369 3218 DRESDEN WAY
BAILEY, JAMES LYNCH
031873 1043 BRIARCLIFF ROAD, NE
BAILEY, JAMES MICHAEL
028368 1891 CEDAR CANYON DRIVE
BAILEY, JOEL GRIFFITH
025712 9360 MARTIN ROAD
BAILEY, JOSEPH PEYTON JR
007428 3021 BRANSFORD RD
BAILEY, MARION THOMAS JR
010467 960 JOHNSON FERRY RD NE
BAILEY, PAUL REED
038679 229 VERNON BERG RD
BAILEY, PHILIP BATES
015349 1243 BROADRICK DR
BAILEY, THOMAS E
004226 1111 DRUID PARK AVE
BAILEY, THOMAS E JR
015651 820 ST SEBASTIAN WAY, SUITE 8 UNIV MED CENTER
BAILEY, WILLIAM MICHAEL
012421 2950 HILANDALE CIRCLE
BAILON, ALEXANDER GERABAN
037133 10205 TWINGATE DRIVE, DOUBLE GATE SUBDIV!S10N
BAILON, BENJAMIN BARROGA
027025 890 WEST MAIN STREET
BAIN, MICHAEL WARREN
036680 2370 KIMBROUGH COURT
BAIRD, JOSEPH B JR
013250 1938 PEACHTREE ROAD NW, SUITE 710
BAIRD, LITELL STEPHENS
006606 3048 DUKE OF GLOUCESTER
BAIRD, WILBUR LOCHRIE
025713 2001 PEACHTREE RD NE, SUITE 415
BAISDEN, CHARLES ROBERT
020403 CLINICAL PATH LAB TALM MEM HOSP, MED COLLEGE OF GA
BAKAY, ROY A.E.
024199 DEPT OF NEUROSURGERY, 1365 CLIFTON ROAD NE
BAKER, BARRY
022675 1303 MIDDLESEX AVE NE
BAKER, BONNER LEE
018603 440 CHARTER BLVD., SUITE 2203
BAKER, CHAMP LEROY JR
019031 6262 HAMILTON ROAD
BAKER, DAVID H
033269 22 PELHAM ROAD
BAKER, EDWARD LAMAR, JR
030714 755 KIRK ROAD
BAKER, JOHN BRADEN
022385 * 500 - 3RD AVENUE, SUITE 102
BAKER, JOHN WILLIAM
036919 549 CRANFORD WAY
BAKER, LARRY ALLEN
022715 #2 HOSPITAL DRIVE
BAKER, LAWRENCE DAVID
015570 934 BRIARCLIFF RD NE
BAKER, MICHAEL PATRICK
036497 2002 TEBEAU STREET
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
ROSWELL
GA
EAST POINT GA
BIG CANOE
GA
STONE MOUNTAIN GA
MOULTRIE
GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
ROME
GA
ATLANTA
GA
MARIETTA
GA
GRIFFIN
GA
ATLANTA
GA
LAWRENCEVILLE GA
ALMA
GA
AUGUSTA
GA
ATLANTA
GA
MILLEDGEVILLE GA
LAGRANGE
GA
MONTICELLO GA
CAIRO
GA
ATLANTA
GA.
CORDELE
GA
SAVANNAH
GA
COVINGTON
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ROSWELL
GA
AUGUSTA
GA
ATLANTA
GA
SAVANNAH
GA
DALTON
GA
AUGUSTA
GA
AUGUSTA
GA
MACON
GA
ALPHARETTA GA
LAKELAND
GA
DUNWOODY
GA
ATLANTA
GA
EAST POINT GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
COLUMBUS
GA
SAVANNAH
GA
DECATUR
GA
ALBANY
GA
MARTINEZ
GA
HIAWASSEE
GA
ATLANTA
GA
WAYCROSS
GA
30610
46
30306
33
30341
28
30076
05
30344-6650 15
30143
17
30083
32
31768
52
30329
30305
22
30346
32
30165-1493 27
30309
30060-3291 17
30223
01
30309
41
30245
41
31510
17
30904
15
31139
17
31061
01
30240
41
31064
38
31728
33
30308
17
31015
15
31410-2114 01
30209
17
30342
28
30909
41
30306
17
30345
03
30076
08
30909
37
30342
17
31419
08
30720-2565 17
30904
32
30910
46
31204
05
30202
17
31635
10
30350
33
30309
33
30344
41
30309-1476 41
30912
31
30322
44
30306-3278 08
31210
11
31995-3299 46
31411
36
30030
26
31701
44
30907
17
30546-0000 10
30306-2655 33
31501
23
Page No. 10
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
C!TY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BAKER, ROY POWELL
025096
BAKER, TIMOTHY WAYNE
026447
BAKER-BROWN, JUDIETH EVONNE 036090
BAKIN, DAWN RENEE MIELKE
037752
BAKIN, GRANT ROBIN
025714
BALA, AYER
020656
BALAN, RAY
017771
BALASUBRAMANIAN, AMMUNNI SANKA 031874
BALASUBRAMANIAN, NAMASIVAYAM 036920
BALBONA, JOSE LUIS
011624
BALCH, KYLE CHRISTIAN
038680
BALCH, THOMAS STEPHEN
016015
BALCOS, ORLANDO GARCIA
024201
BALDASAN, MICHELLE DENISE
038171
BALDRICH, DAVID ALLAN
024777
BALDWIN, BENJAMIN C
010861
BALDWIN, EDWARD LORENZO, JR 036641
BALDWIN, MARJORIE VIRGINIA 006773
BALDWIN, MICHAEL HARFORD
030429
BALDWIN, RICHARD LEE
023894
BALK, MICHAEL ALAN
034533
BALKCOM, ICHABOD LAFAYETTE 027715
BALL, HENRY FAVER
014457
BALL, HORACE C JR
008370
BALL, LARRY TURNER
009070
BALL, TURNER I JR
011271
BALL, WESELYN LYNETTE
035001
BALL, WESLEY J
008700
BALLANTYNE, GEORGE MITCHELL 030948
BALLARD, DAVID CLARK, Ill
022509
BALLARD, JULIA ELIZABETH
021637
BALLARD, MARGUERITE C
005838
BALLARD, RICHARD SCOTT
034769
BALLARD, WILEY PERRY, Ill
030265
BALLARD, WILLIAM LEE
035554
BALLENGER, READE ALLEN
025922
BALLINGER, DARRELL MAYNARD 037754
BALOG, ISTVAN
025524
BALOG, ROBERT ANDREW
025097
BALOGH, SCOTT ERIC
037475
BALSLEY, ROBERT STUART
019636
BALTZELL, DAVID ROBERT
035002
BAMFORD, SOPHIA B
015146
BANDERAS, JULIO C
015219
BANDISODE, MADHUKAR S
016716
BANDUKWALA, QURESH Z
027959
BANK, ESTELLE R
030003
BANKS, DAVID MONROE
025715
BANKS, DAVID WOOD
021941
BANKS, GILBERT WESLEY
029139
BANKS, REBECCA ELAINE DOCKERY 033271
BANNISTER, CAROLYN FLEMING 029840
BANNISTER, PHILLIP NOLAN
016503
BANOV, MARKS.
033519
BANOV, MICHAEL DAVID
037945
BANTLY, THOMAS WAITE
023013
BARBARA DE FERNANDEZ, VIVIAN R 028347
BARBER, BART ONIS
037477
4 JACKSON BLVD 107 PINECREST DRIVE PO BOX 8007 1488 LA CHONA CT 1488 LA CHONA COURT N.E. 4849 PAULSEN STREET, SUITE 201 1144 BONVIEW LN 330 RIVERSONG WAY PO BOX 779 V.A. MEDICAL CENTER 3449 -M NORTH DRUID HILLS RD 3250 HOWELL MILL ROAD, SUITE 204 PO BOX 128, 354 WRIGHT AVE 4009 VILLA LN 2675 NORTH DECATUR RD, SUITE 506 3408 UNIVERSITY AVE 771 E PECAN CT WILDWOOD LIFESTYLE CENTER & HOSP PO BOX 508 9280 HWY 5, SUITE A 1390 N MORNINGSIDE DRIVE P.O. BOX 527 2350 WASHINGTON RD 755 COMMERCE DRIVE, SUITE 503 2536 LAWRENCEVILLE HWY 1405 CLIFTON ROAD NE 1025 FOREST OVERLOOK TRAIL 1814 ABERCORN ST PO BOX 609 790 CHURCH STREET EXTENTION, SUITE 570 1891 ARDMORE ROAD, #30 3092 ARGONNE DR NW 1342 SHEFFIELD GLEN WAY 2001 PEACHTREE RD, N.E., SUITE 525 1700 HOSPITAL SOUTH DR., SUITE 302 ERIN OFFICE PARK, SUITE 10 125 WINTERBERRY ROG 109 BROCKINTON DR 8 MCDONOUGH ST, PO BOX 251 3414 KERRY PLACE 2 BOAR'S NEST LANE 1131 VILLA DRIVE, NE, APT 3 PO BOX 274 113 UPPER RIVERDALE RD SW 115 SIGMAN PLACE 1 WREN PLACE 23 NORTHWOOD AVE NE 1154 HANCOCK DRIVE, NORTH EAST 11685 ALPHARETTA STREET 307 4TH STREET POST OFFICE BOX 2505 5888 ASHRIDGE COURT PO BOX 1768 2151-A IDELWOOD ROAD 611 CAMPBELL HILL ST, SUITE 105 1462 MONTREAL ROAD, SUITE 218 3530 HABERSHAM ROAD NW 3520 NASSAU DR
SAVANNAH
GA
PEACHTREE CITY GA
FT GORDON
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
ALPHARETTA GA
RIVERDALE
GA
DUBLIN
GA
DECATUR
GA
ATLANTA
GA
ROBERTA
GA
MARTINEZ
GA
DECATUR
GA
COLUMBUS
GA
FT GORDON
GA
WILDWOOD
GA
AMERICUS
GA
DOUGLASVILLE GA
ATLANTA
GA
CUTHBERT
GA
AUGUSTA
GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
NEWNAN
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUSTELL
GA
DUBLIN
GA
FAIRBURN
GA
ST SIMONS ISL GA
HAMPTON
GA
AUGUSTA
GA
SAVANNAH
GA
ATLANTA
GA
TIGNALL
GA
RIVERDALE
GA
MARTINEZ
GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
ROSWELL
GA
WAYNESBORO GA
PEACHTREE CITY GA
STONE MOUNTAIN GA
LAWRENCEVILLE GA
TUCKER
GA
MARIETTA
GA
TUCKER
GA
ATLANTA
GA
AUGUSTA
GA
31499-3501 23
30269
36
30905
10
30329
08
30329
33
31405
16
30324
31
30202
36
30274
36
31021
33
30329
27
30327
11
31078
30907-4149 03
30033
31907
06
30905
33
30757
17
31709
36
30133
30306
17
31740
30904
33
30033
15
30033
17
30322
36
30331
33
31401
41
30264
28
30060
17
30309
17
30305
16
30329
03
30309
16
30001
05
31021
17
30213-3478 15
31522
01
30228
10
30909
33
31411
17
30306
33
30668
01
30274-4919 46
30907
17
30161
30309
32
30306
32
30076
52
30830
22
30269
15
30087
17
30246
15
30084
26
30060-1301 33
30084
33
30305
32
30909-2624 03
Page No. 11
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BARBER, ELAINE KAYE ADCOCK 035812 1414 S MAIN ST
MOULTRIE
GA
BARBER, JAMES HOMER JR
022386 307 FERNCLIFF DRIVE
VIDALIA
GA
BARBER, WILLIAM ALAN
025525 35 COLLIER RD NW, SUITE 230
ATLANTA
GA
BARBOUR, APRIL LYNN
037946 3309 BRIARCLIFF GABLES
ATLANTA
GA
BARCELLI, UNO OMAR
035555 1810 MULKEY ROAD, SUITE 103
AUSTELL
GA
BARCLAY, CHARLES DUANE
023564 4367 SNAPFINGER WOODS DRIVE
DECATUR
GA
BARDACK, RICHARD ALAN
012782 660 CHEROKEE ST
MARIETTA
GA
BARDWELL, LLOYD RICHARD JR 027960 2793 CHELSEA PLACE
MARIETTA
GA
BAREBO, RONALD ERNIE
037478 1007 GRAYLING COURT
AUGUSTA
GA
BAREFIELD, KAYE PORTER
030430 2773 CRAVEY DRIVE NE
ATLANTA
GA
BARET, ERIC HERVE
025856 CARROLLTON PEDIATRIC CLINIC, 202 CROFT STREET
CARROLLTON GA
BARFIELD, JAMES ADAM
033520 142 ADAMS STREET
DECATUR
GA
BARFIELD, RANDALL
015206 47 PEACHTREE PARK DR
ATLANTA
GA
BARFIELD, WILLIAM ELLIOTT JR 013724 818 ST SEBASTIAN WAY, SUTIE 400
AUGUSTA
GA
BARFIELD, WILLIAM ELLIOTT, SR 005279 807 AUMOND PLACE, EAST
AUGUSTA
GA
BARGER, JAMES HAROLD
033023 829 BARRETT LANE
AUGUSTA
GA
BARGERON, EUGENE P
008701 800 E 70TH ST
SAVANNAH
GA
BARI, SHAHNAZ
033521 MEDICAL COLLEGE OF GEORGIA, DEPARTMENT OF ANESTHESIA AUGUSTA
GA
BARJA, ROBERTO HASSENTEUFED 039020 754 WEST PORT COURT
AUGUSTA
GA
BARKER, STEVEN RICHARD
028370 1001 BURNT HICKORY RD, APT 625
MARIETTA
GA
BARLASCINI, CORNELIUS OTTAVIO, 030577 500 - 18TH STREET, SUITE A-30
COLUMBUS
GA
BARLIN, ROSAL
018462 1323 EAST SHOTWELL ST.
BAINBRIDGE, GA
BARLOW, JAMES B
030717 1590 ADAMSON PARKWAY, SUITE 260
MORROW
GA
BARLOW, JAMES CANNIE
029304 1801 SOUTH 6TH STREET
GRIFFIN
GA
BARLOW, RICHARD EMMETT
017126 280 QUIET WATER LANE
DUNWOODY
GA
BARMORE, BURTON B., III
024894 PO BOX 540, 315 FLUKER STREET
THOMSON
GA
BARNARD, BENJAMIN CARSON
021638 342 BOY SCOUT ROAD
AUGUSTA
GA
BARNARD, DENISE MARGARET
036642 4172 KNOLLCREST CIRCLE
AUGUSTA
GA
BARNES, DAVID LESLIE
027757 10480 WATERS ROAD
ALPHARETTA GA
BARNES, GEORGE, JR
037479 3078 CLAIRMONT RD, APT 821
ATLANTA
GA
BARNES, JOE HENRY
012074 975 JOHNSON FERRY ROAD NE, SUITE 400
ATLANTA
GA
BARNES, MICHAEL EDWARD
036091 PO BOX 526
ARLINGTON
GA
BARNES, RATCLIFFE COX
006795 BOX 67
BYRON
GA
BARNES, STEPHEN NORTON
014151 P O BOX 7147
MACON
GA
BARNES, WALTER P JR
006110 P.O. BOX 7147
MACON
GA
BARNES, WILLIAM SIDNEY
026449 PO BOX 7147
MACON
GA
BARNETT, BEN JOSEPH
037947 589 ELMWOOD DRIVE, NE
ATLANTA
GA
BARNETT, CRAWFORD F JR
010745 3250 HOWELL MILL RD NW, WEST PACES FERRY PROF BLDG #2 ATLANTA
GA
BARNETT, DANIEL RAGON
027758 1938 GOTHAM WAY NE
ATLANTA
GA
BARNETT, DAVID WESLEY
034536 365 PINE FOREST RD, NE
ATLANTA
GA
BARNETT, JOHN EDWIN, JR
008036 6363 ROSWELL RD NE
ATLANTA
GA
BARNETT, JOSEPH CARL JR
005977 776 CANTON RD
MARIETTA
GA
BARNETT, LAURIE JEANNE
034289 200 26TH ST, NW, APT F-203
ATLANTA
GA
BARNETT, STEPHEN M
015350 105 COLLIER ROAD NW, SUITE 1020
ATLANTA
GA
BARNGROVER, KENNETH
027027 3301 CATHRYN DRIVE
COLUMBUS
GA
BARNHILL, JAMES EDWIN, III BARNHILL, STEPHEN DOUGLAS
030578 600 PROFESSIONAL DR, SUITE 220
030702 * 116 PELICAN COURT
LAWRENCEVILLE GA TYBEE ISLAND GA
BARNWELL, WILLIAM LAWRENCE 013177 1111 PROFESSIONAL BLVD
DALTON
GA
BARON, FELICE
034770 1809 CALIBRE VININGS WAY
SMYRNA
GA
BARON, MARK STEPHEN
034771 533 B ST CHARLES AVENUE
ATLANTA
GA
BARON, MELANIE K
038681 4775 LONGCHAMPS DR
ATLANTA
GA
BARON, MICHAEL LESLEY
033273 1505 LILBURN SUITE 100, STONE MT RD
STONE MT
GA
BARON, MURRAY GILBERT
024202 375 WWESLEY ROAD NW
ATLANTA
GA
BARR, FRANK WOODWORTH
025940 1060 GRAY HIGHWAY
MACON
GA
BARR, JOSEPH
028372 1900 WESLEYAN DRIVE, #2802
MACON
GA
BARR, SIDNEY MONTEZ
037948 1655 RIDGEWOOD DR, NE
ATLANTA
GA
BARRATT, PETER JOHN
028718 3193 HOWELL MILL RD N.W., SUITE 323
ATLANTA
GA
BARRETT, GENE NATHAN
022716 DOUGLAS PEDIATRICS ASSOC PC, P. 0. BOX 609
DOUGLASVILLE GA
31768
46
30474
17
30309-1602 41
30329
17
30001
17
30035
30060-7202 05
30064
15
30907
17
30345
33
30117
32
30030
23
30309
32
30904
15
30909
13
30909-3454 33
31405
46
30912-2700 03
30907
28
30064-4715 13
31901
17
31717
32
30260
08
30223
11
30350
36
30824-0540 10
30909
10
30907
33
30202
41
30329
41
30342
15
31713
10
31008
26
31209
46
31209
28
31209
46
30306
17
30327-4187 17
30324
30342
44
30328
33
30060
44
30309
10
30309
41
31906
30245- 7651 05
31328
30720
27
30080
15
30308-1811 23
30319-1029 03
30087
10
30305
53
31201
01
31210
32
30307
17
30327
15
30134
32
Page No. 12
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BARRETT, JOHN THOMAS BARRETT, MARY ELIZABETH BARRINGTON, PATRICIA HULSEY BARRIOS, FELIPE BARRON, OTIS ALLEN BARRON, WILLIAM EARNEST JR BARROSO, CARLOS FABIAN BARROSO, CAROLOS HUMBERTO BARROW, BENJAMIN C BARROW, BRENT ALAN BARROW, DANIEL LOUIS BARROW, JOSEPH GORDON JR BARRY, WILLIAM EARL BARTH, GARIN DANIEL BARTHOLOMEW, ALBERT DAVID BARTHOLOMEW, PHILIP RODNEY BARTLETT, MARIA HERNANDEZ BARTON, DEWEY L BARTON, EARL G. BARTON, JAMES HOWARD BARTON, JOHN LAING BARTON, JOHN WILLARD BARTON, LOUIS ANTHONY BARZILAY, JOSHUA ISRAEL BASDEN, CHERYL ANN WILLIAMSON BASHINSKI, BENJAMIN JR BASHINSKI, BENJAMIN III BASHUK, ROBERT GLENN BASILIO, FLORIDA SELGA FORTES BASIR, MIR ABDUL BASKIN, JOHN HAGAN JR BASS, ELDRED CHRISTOPHER BASS, FRED DONALD BASS, NINA BRAZELL BASSALI, REDA WADIE BASSETT, WILBUR B JR BASSEY, EPHRAIM NSEABASI BASTIAN, ROBERT JOSEPH BASTIDAS, RUBEN BAT, THOMAS EDWARD BATCHELOR, CURTIS A BATE, DAVID MICHAEL BATEMAN, JOHN DANIEL BATES, DEBORAH JORDAN BATES, JACK MILES BATES, JACKSON H BATES, JOHN GILBERT BATES, KATHLEEN REBECCA BATES, ROGER A BATES, WILLIAM B JR BATES, WILLIAM BOWERS III BATH, NICOLAS MIDDLETON BATISTA, JOSE ANTONIO BATLLE, MARIA ALINA BATTEY, LOUIS L BATTEY, LOUIS LE GARDE JR BATTEY, PATRICK MELL BATTLE, LEE HARRIS III
036092 207 WATERVALE ROAD
MARTINEZ
GA
036921 50 HUNTINGTON ROAD
ATLANTA
GA
037480 5295 TWILLINGATE PLACE
DULUTH
GA
036922 3423-Q NORTH DRUID HILLS ROAD
DECATUR
GA
037949 100 FIRST CT
COLUMBUS
GA
007747 C/0 PAPP CLINIC P.A., 15 CAVENDER STREET
NEWNAN
GA
029404 6535 RIVERSIDE DRIVE
ATLANTA
GA
010862 1009 N HOUSTON ROAD, BOX 1890
WARNER ROBINS GA
008373 1010 PRINCE AVE E
ATHENS
GA
035204 292 SOMERLANE PLACE
AVONDALE ESTA GA
028110 SECT OF NEUROLOGICAL SURGERY, 1327 CLIFTON RD NE
ATLANTA
GA
004836 4161 POOL ROAD
WINSTON
GA
012422 2000 PRINCE AVE.
ATHENS
GA
030949 WEST GA. DERM. PC, 1555 DOCTORS DRIVE
LAGRANGE
GA
031201 P.0. BOX 1285
CALHOUN
GA
010098 960 JOHNSON FERRY RD, SUITE 122
ATLANTA
GA
030579 330 HOSPITAL DR, SUITE 215
MACON
GA
011254 2704 NOAK STREET BLDG D
VALDOSTA
GA
009762 1005 OXFORD ROAD
ATLANTA
GA
009763 *PO BOX 468
SOCIAL CIRCLE GA
026817 101 COVENTRY RD
ATHENS
GA
034290 ATHENS REG MED CTR-RADIOLOGY, 1199 PRINCE AVE
ATHENS
GA
033024 * 1305 REDMOND CIR
ROME
GA
033929 13 PLANTATION DR NE
ATLANTA
GA
030951 5186 BIFFLE ROAD
STONE MOUNTAIN GA
007668 445 LAMAR DRIVE
MACON
GA
024895 3623 J DEWEY GRAY CIR., SUITE 309
AUGUSTA
GA
026451 3910 AUSTELL ROAD, SUITE 204
AUSTELL
GA
028720 3 PINE NEEDLE COURT
COLUMBUS
GA
037756 147-C PETERSBURG CIR
MARTINEZ
GA
007431 35 COLLIER ROAD
ATLANTA
GA
004953 * 409 CEDAR STREET
CARROLLTON GA
009428 32 JACKSON STREET
NEWNAN
GA
031559 THE CHILDREN'S CLINIC OF ATL, 3104 EAST SHADOWLAWN ATLANTA
GA
038682 950 STEVENS CREEK RD# NS
AUGUSTA
GA
016208 633-A 19-TH STREET
COLUMBUS
GA
014992 4830 TIMBERLAND DR
MABLETON
GA
034538 160 TREADWICK DRIVE
DUNWOODY
GA
014599 700 OGLETHORPE AVE
ATHENS
GA
030952 NORTH FULTON FAMILY MEDICINE, 2001 WESTSIDE PKWY SUI ALPHARETTA GA
011526 109 ALLEN MEMORIAL DR.
BREMEN
GA
034291 300 STERLING RIDGE DR
AUGUSTA
GA
007144 P. 0. BOX 577
SASSER
GA
019367 1499 WALTON WAY, SUITE 1400
AUGUSTA
GA
010099 1622 BELLEVUE ROAD
DUBLIN
GA
016554 52 TOWER ROAD NW
MARIETTA
GA
010036 208 MC DONALD AVE, PO BOX 329
CUTHBERT
GA
028374 1205 LAKE CHARLES DR
ROSWELL
GA
009764 2005 PIONEER STREET
WAYCROSS
GA
005098 1415 ALICE STREET
WAYCROSS
GA
022389 VASCULAR RADIOLOGY ASSOC II, 1125 TROUPE STREET
AUGUSTA
GA
016555 428 WINN COURT
DECATUR
GA
022118 2244 HENDERSON MILL RD NE, SUITE 200
ATLANTA
GA
034772 3400 MC CLURE BRIDGE ROAD, SUITE C
DULUTH
GA
005280 818 ST SEBASTIAN WAY, SUITE 404
AUGUSTA
GA
021141 550 PEACHTREE STREET
ATLANTA
GA
024388 25 PRESCOTT ST NE, SUITE 5441
ATLANTA
GA
020858 14 BUCKINGHAM CT
CARTERSVILLE GA
30901
36
30309
10
30136
10
30033
21
31908-7188 28
30263
17
30328
03
31099
17
30606
11
30002
36
30307-1013 44
30187
05
30606
06
30240
10
30703
08
30342
12
31201
05
31602
36
30306
31
30279
01
30605
33
30613
36
30165-1393 33
30324-2935 09
30088
10
31210
52
30909
23
30001
23
31907
32
30907
32
30309
50
30117
01
30263
41
30305
33
30907
32
31901
19
30059-1426 22
30350
03
30606-2221 01
30202
10
30110
10
30909
33
31785
41
30901-2650 11
31021
33
30060
17
31740
10
30075-2828 31
31501
41
31501
10
30904-4178 36
30030
52
30345-2740 17
30136
32
30901
05
30365
05
30308-2293
30120-6449 10
Page No. 13
NAME
BATTLES, CARLE. SR. BATTLES, WILLIAM MELVIN BATTS, JOHN EDWARD BATTU, PRABHAKAR BATTU, SHOBA RAO RAMAN BAUCOM, MARK FRANCIS BAUDEAN, MARIE LOUISE BAUDIN, BRETT CHANDLER BAUER, GREGG ALAN BAUER, JOSEPH GERARD BAUER, WILLIAM BAUER, WILLIAM MONIE BAUERBAND, JAMES RAYMOND BAUGH, JAMES E BAUGH, WILBUR E BAUM, JOSEPH JAMES BAUM, SHELDON ELLIS BAUMANN, PATRICIA LOUISE BAUMGARTEN, DEBORAH ANN BAUMGARTNER, BRUCE RICHARD BAUTE, ANTONIO VICENTE BAUTISTA, GRACE C BAUTISTA, VICTOR CRUZ BAUZA, JOSE A. BAWANY, MOHAMMED HUSSAIN BAXLEY, JOHN BAYNARD Ill BAXLEY, WILLIAM WARD JR BAXT, JAN LESLIE BAXTER, BRIAN DONNAN BAXTER, GARY STUART BAXTER, JAMES DAVID BAXTER, STEPHEN MARSHALL BAYDAR, ISIK D BAYKAL, DEMIR BAYNE, LOU! GARRETT BAYNHAM, BRET O'NEIL BEACH, ANN FLEMING BEACHAM, CHARLES H BEAL, EDDIE CLIFFORD BEALE, GREGORY SCOTT BEALL, AVERY PATTON BEALL, JAMES HARVEY BEALL, VIRGIL EMMITT BEAN, JAMES LEWIS, JR. BEAN, MARILYN LOUISE BEARD, CARL LUMPKIN JR BEARD, CHARLENE HINTON BEARD, DAROLD KEVIN BEARD, ROBERT WAID BEARDEN, DWIGHT LEE BEARMAN, DALE MITCHELL BEASLEY, CARROLL BEASLEY, ERNEST W JR BEASLEY, ERNEST WILLIAM III BEATTY, DOUGLAS C BEATTY, JAMES FRANCIS BEATY, JOHN FRANKLIN BEATY, ROY DAVID
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
028138 035557 027760 030266 026220 034773 023898 036682 034108 030267 025578 033523 032692 006167 007433 037134 014731 032870 033931 013008 019142 016775 016776 032096 028498 016872 014029 019911 038683 026452 027963 019235 014231 036643 008299 037135 023596 020659 018097 027964 008038 007434 034293 013010 038175 009008 020513 030719 023565 028247 030432 008375 006755 025100 015652 035813 035559 038176
P.O. BOX 930275 1402 MICHAEL PLACE PO BOX 458 589 FIRESTONE PLACE 589 FIRESTONE PLACE 1113 MCCLELEN WAY 980 HIGHWAY 29 SOUTH 3448 CHINABERRY LN 4366 COLUMNS DRIVE 3400-A STATE BRIDGE ROAD, SUITE 550 MEDICAL PLAZA SUITE 204, 58 HOSPITAL RD. 3028 CARDINAL DRIVE 1285 SIMS STREET BOX 669 BOX 926 1611 SANDS PLACE PO BOX 171 5000 CHEDWORTH DRIVE 2469 HUNTING VALLEY DRIVE RADIOLOGY DEPT, 1365 CLIFTON ROAD NE 140 LACY ST, SDUITE B PO BOX 950, 214 FRASER DR BOX 87 3880 INVERNESS WAY 408 WHEELER STREET, PO BOX 13092 1502 ANTHONY RD 330 HOSPITAL DRIVE, BLDG C, SUITE 310 2121 FOUNTAIN DRIVE, SUITE M 2840 WARM SPRINGS RD 414 EAST 14TH STREET 315 BOULEVARD NE, SUITE 328 13-A JOHN MADDOX DRIVE 508 N MAIN ST 1210 WEATHERSTONE DRIVE 980 JOHNSON FERRY ROAD, SUITE 1020 115 POWERS PLANTATION DRIVE 2525 CUMBERLAND PKWY 3505 LOST TREE LANE 1093 CLEVELAND AVE 1000 WILLIAMSBURG DRIVE 805 S FOREST AVENUE 5070 SANDERLIN MT., 353 BIG CANOE 2454 BRIARMOOR RD 11685 ALPHARETTA HIGHWAY, SUITE 120 2677 WOODRIDGE DR 245 FAIRWAY DRIVE 155 WINNONA DRIVE 4053 LAVISTA ROAD, SUITE 200 4451 PAULSEN STREET 160 WILLIAMSON DRIVE 960 JOHNSON FERRY ROAD NE, SUITE 430 405 SAINT MARYS LN 315 BOULEVARD NE, SUITE 242 5505 PEACHTREE DUNWOODY ROAD NE, SUITE 200 PO BOX 838 199 14TH STREET NE, #1202 822 SECOND ST SE 1800 WESLEYAN DR, APT 142
NORCROSS
GA
HEPZIBAH
GA
MOULTRIE
GA
MARTINEZ
GA
MARTINEZ
GA
DECATUR
GA
LAWRENCEVILLE GA
SNELLVILLE GA
MARIETTA
GA
ALPHARETTA GA
NEWNAN
GA
AUGUSTA
GA
GAINESVILLE GA
MILLEDGEVILLE GA
MILLEDGEVILLE GA
MARIETTA
GA
CORNELIA
GA
STONE MOUNTAIN GA
DECATUR
GA
ATLANTA
GA
MARIETTA
GA
HINESVILLE GA
MIDWAY
GA
MARTINEZ
GA
SAVANNAH
GA
AUGUSTA
GA
MACON
GA
SNELLVILLE GA
COLUMBUS
GA
TIFTON
GA
ATLANTA
GA
ROME
GA
CEDARTOWN
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
AUGUSTA
GA
EAST POINT GA
VALDOSTA
GA
ADEL
GA
BIG CANOE
GA
ATLANTA
GA
ROSWELL
GA
DECATUR
GA
WARNER ROBINS GA
DECATUR
GA
TUCKER
GA
SAVANNAH
GA
MACON
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
DONALSONVILLE GA
ATLANTA
GA
MOULTRIE
GA
MACON
GA
30093-0275 10
30815
33
31776-0458 08
30907
36
30907
17
30033-5628 06
30245
32
30278-4097 36
30067
15
30202
41
30263
30
30909
01
30501
15
31061
01
31061
36
30067
10
30531-0171 15
30087
03
30033
36
30322
36
30060-1114 17
31313
32
31320
03
30907
36
31416
01
30906
10
31201
30
30278
23
31904
08
31794
09
30312
30161
03
30125
17
30324
05
30342
46
31210
46
30339
17
30907
31
30344-6740 33
31602
31620
17
30143
33
30345
23
30076
15
30033-4845 03
31088
15
30030
32
30084
17
31405
31210
33
30342
25
30064-1435 10
30312
09
30342
17
31636-0868 AS
30309
03
31768
33
31210-1064 15
Page No. 14
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of 6ctober, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BEATY, STEPHEN LEE
030005 PO BOX 4276, 2000 - 10TH AVE - SUITE 400
BEAUCHAMP, ROBERT DRAKE
035004 2230 PEACHTREE ROAD, #B-1
BECERRA, HERNAN
014232 1203 CLEVELAND AVE, SUITE 2-C
BECHTEL, HARRY B
010328 2101 N PATTERSON ST
BECK, ALLEN DALE
033525 1327 CLIFTON ROAD NE
BECK, CHARLES EDWARD
037482 136 ST. CLAIRE DR.
BECK-SAGUE, CONSUELO MARIA 038177 2877 MCCLAVE DR
BECKER, BRUCE H
018604 980 JOHNSON FERRY RD NE, SUITE 270
BECKER, CLIFFORD ERNEST
026453 3892 POINTE BLEUE DR
BECKER, MARY ELIZABETH HECKMAN 029580 6704 KNOLLWOOD CIRCLE
BECKES, KIRT ARON
D36096 1376 THE BY WAY NE
BECKFORD, AVRIL PATRICIA
035814 1640 TYLER GREEN TRAIL
BECKLOFF, GEORGE NICK
018463 2742 CHIMNEY SPRINGS DRIVE
BECKMAN, ALAN CLARK
037954 3645 SUTTON DR
BECTON, ELIZABETH CONRAD
038178 1101 PEACHTREE RD
BECTON, JAMES LOUIS
009075 1521 ANTHONY RD.
BECTON, JAMES LOUIS, JR.
033932 806 CARRIAGE COURT
BEDELL, DAVID T
013112 1631 PHOENIX BLVD, SUITE 9
BEDELL, RHONDA LYNNE
036097 MEDICAL CENTER OF CENTRAL GA, PO BOX 6000
BEDGOOD, RAYMOND ALFRED
037955 1905 TARA PL
BEDINGFIELD, CARL 0
017020 113 ROBERSON
BEDINGFIELD, HERBERT MARVIN 011929 5354 REYNOLDS ST CANDLER POB, SUITE 206
BEDINGFIELD, JAMES A
005099 TIPPINS ST
BEDINGFIELD, JAMES ANDREW
027343 103 FAIRVIEW PARK DRIVE
BEEBE, RONALD GENE
030006 675 WHITE SULPHUR ROAD
BEEBER, BRUCE JEFFRY
026825 1009 MILSTEAD AVE NE, SUITE 110
BEECHAM, ALLEN RANDLE BEECHAM, PAUL EVERETT
025102 1333 ALABAMA RD
013726 * 833 CAMPBELL HILL STREET NE, SUITE 440
BEEGLE, PHILIP HAROLD JR
017773 3673 RANDALL MILL RD NW
BEER, SALLY GABRIELLE
034295 285 BOULEVARD NE, SUITE 435
BEESON, CHARLES WALKER II
010100 4750WATERS AVE, SUITE 302
BEESON, JAMES DANIEL
024897 RT 4, BOX 525-D
BEESON, TIMOTHY NORMAN
031560 3715 SAPPHIRE DRIVE
BEESON, TOMMY CHARLES
031700 BOX 2798 BROWN'S LANE, ROUTE 2
BEGOVIC, SVIJETLANA B.
037432 1725 ALDERBROOK COURT
BEHLMER, PATRICIA MAUREEN
037136 2525 CUMBERLAND PARKWAY
BEHR, MICHAEL JAMES
035560 2662 HYDE MANOR DRIVE, NW
BEHRMANN, PAUL J
019638 DAWSON FAMILY PRACTICE P.C., BOX 330
BEIL, KENNETH ALLEN
032516 112 KILDARE COURT
BEKER, HERSCHEL IRA
025103 1200 LACKEY ROAD
BELCHER, WILLIAM T JR
008705 2499 WILLIAMSWOOD COURT
BELDICK, GARY ARTHUR
019368 5669 PEACHTREE DUNWOODY RD, SUITE 202
BELESS, DANIEL JAMES
023424 2715 COSMOS DRIVEN E
BELK, BEVERLY
010474 PO BOX 7341
BELL, ALISA
036923 NEPROLOGY ASSOC OF COLUMBUS, 18 W 7TH STREET
BELL, ANITA JOYCE BORGER
034775 425 THIRD AVE, SUITE 300
BELL, BEVERLY ANN
026221 2040 RIDGEWOOD DRIVE NE
BELL, CHARLES B
020404 109 GLENN CIRCLE
BELL, DAVID MITCHELL
030720 BLDG 3 RMB 43, 1600 CLIFTON RD A-07
BELL, EUGENE D
006168 OCILLA RD
BELL, EUGENE D JR
019032 7286 ZEBULON ROAD
BELL, FRANK C
016556 5671 PEACHTREE DUNWOODY RD NE, SUITE 610
BELL, FRED M., JR.
006865 446 PEACHTREE BATTLE AVE.,NW
BELL, HUGH V JR
004955 905 BARTON WOODS RD, NE
BELL, IVERSON CHARLES, JR.
021376 7750 SAGEBRUSH DRIVE
BELL, JACK E
004838 2211 CRESTWOOD DRIVE
BELL, JAMES TERRY
028721 1050 MOUNTAIN DRIVE, SUITE A
BELL, JEFFREY L
034539 SW GA NEPHROLOGY CLINIC, 1200 N JEFFERSON STREET
COLUMBUS
GA
ATLANTA
GA
EAST POINT GA
VALDOSTA
GA
ATLANTA
GA
ST. SIMONS ISL GA
DORAVILLE
GA
ATLANTA
GA
DECATUR
GA
DOUGLASVILLE GA
ATLANTA
GA
SMYRNA
GA
MARIETTA
GA
COLUMBUS
GA
AUGUSTA
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
MACON
GA
DALTON
GA
DUBLIN
GA
SAVANNAH
GA
BAXLEY
GA
DUBLIN
GA
GAINESVILLE GA
CONYERS
GA
ACWORTH
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
THOMASVILLE GA
MARTINEZ
GA
HARTWELL
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DAWSONVILLE GA
LAGRANGE
GA
ROSWELL
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
TIFTON
GA
COLUMBUS
GA
ALBANY
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
DOUGLAS
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
AUGUSTA
GA
DAHLONEGA
GA
ALBANY
GA
31904
27
30309
36
30344
10
31601
06
30322
27
31522
33
30340-1941 53
30342-1607 27
30034
08
30135
15
30306-2616 03
30080
32
30062
26
31909-3134 36
30909-3819 32
30910-0799 53
30909
10
30349
33
31208
17
30720
10
31021
32
31405
28
31513
01
31021
41
30505
00
30207-4527
30102-2318
30090
33
30327-2746 47
30312
05
31404
05
31792
03
30907
00
30643
10
30345
17
30327
23
30327
28
30534
10
30240
36
30075
46
30033
27
30342
27
30345
31793-7341 32
31901
22
31701
17
30322
32
30030
17
30333
32
31533
10
31210
52
30342-5000 27
30305
41
30307
31
30350
33
30904
32
30533
32
31701
22
Page No. 15
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BELL, JOHN A JR
D03669 309 BELLEVUE AVENUE
DUBLIN
GA
BELL, MEREDITH WINDHAM
037956 199 14TH ST NE APT 1509, APTE 20-A
ATLANTA
GA
BELL, PATRICIA MARIE
031745 1001 JOHNSON FERRY ROAD
ATLANTA
GA
BELL, RAYMOND ARTHUR
032694 3770 WESTLAKE DR.
MARTINEZ
GA
BELL, SCOTT ALEXANDER
036498 751 ST CHARLES AVE, APT B
ATLANTA
GA
BELL, SIDNEY ALLEN
012076 1825 MARTHA BERRY BLVD
ROME
GA
BELL, STEPHEN FRANKLIN
031383 PO BOX 11
GOOD HOPE
GA
BELL, \JYNDOLYN C
022392 7750 SAGEBRUSH DRIVE
DUNWOODY
GA
BELL-CARTER, DENISE MARIE
037758 4917 TERRACE GREEN \JAY
ST MOUNTAIN GA
BELL-TAYLOR, AVA PATRICE
031204 497 \JINN \JAY, SUITE 260
DECATUR
GA
BELLAM, RAM R
022718 P.O. BOX 960069
RIVERDALE
GA
BELLAM, SAMARA S
022719 1134 MAIN ST
FOREST PARK GA
BELLAMY, SONYA
036098 3206 GABLES DRIVE
ATLANTA
GA
BELLECCI, PAULINE MARIE
032345 P.O. BOX 777
WAYCROSS
GA
BELLO, EDWIN
036099 115 HABERSHAM DR, SUITED
FAYETTEVILLE GA
BELLODAS, GERARDO
017127 221 \JEST POPLAR
GRIFFIN
GA
BELSON, MARTIN GLENN
038425 1336 BRIARHILL LANE
ATLANTA
GA
BELSON, SUSAN WARE
029305 DOCTORS LABORATORY, INC, PO BOX 2658
VALDOSTA
GA
BELTRAN, PAUL M
020189 1000HA\JTHORNE, SUITE L
ATHENS
GA
BELTRAN, SIMON EVERADO
021942 2649 PEACHTREE BATTLE PLACE
ATLANTA
GA
BELVIN, ROBERT EMMETT BENDINS, KARLIS
032346 90 E 2ND AVE
014993 * 607 FAYETTEVILLE ROAD
ROME
GA
JONESBORO
GA
BENEDICT, ALAN LEE
035371 3890 GLENHURST DRIVE
SMYRNA
GA
BENEDICT, LINDA CONSTANCE MCIN 035372 3890 GLENHURST DRIVE
SMYRNA
GA
BENIAN, GUY MARTIN
030007 EMORY UNIV, WOODRUFF MEM BLDG. - ROOM 717
ATLANTA
GA
BENIGNO, BENEDICT B
017010 980 JOHNSON FERRY RD NE, SUITE 900
ATLANTA
GA
BENN, LESTER ELWYN
031205 584 TRAIL\JOOD LANE
MARIETTA
GA
BENNETT, ALFRED J
013537 ROUTE 1, BOX 1100
YOUNG HARRIS GA
BENNETT, GARLAND P JR
008706 755 COMMERCE DRIVE, SUITE 333
DECATUR
GA
BENNETT, GERTRUDE KRISTINE 028140 975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA
GA
BENNETT, JAMES KENT
022676 128 NORTH AVENUE SUITE 100
ATLANTA
GA
BENNETT, JAMES WILLIAM
005283 820 ST SEBASTIAN \JAY STE 1-B
AUGUSTA
GA
BENNETT, JAN M
030580 1223 HILLTOP DRIVE
ALBANY
GA
BENNETT, JUDITH CECILE BENNETT, NELSON CHARLES
033026 2620 LANSING DRIVE
032873 * 703 ALDERLY LN
ALBANY
GA
PEACHTREE CTY GA
BENNETT, WILLIAM J
016210 PO BOX 2535
LILBURN
GA
BENNETT-JOHNSON, DIANNE J
037957 7139 WATER'S EDGE DRIVE
STONE MOUNTAIN GA
BENNING, ERIC A.
033527 405 MCGILL PARK AVE
ATLANTA
GA
BENSHOFF, ERICHA ROSS
035562 163 CHADWICK DRIVE
MACON
GA
BENSON, EARL BENNETTE
004956 391 RIDGECREST CIRCLE
CLAYTON
GA
BENSON, JOY S
020961 NW HEALTH DIST 1 UNIT 2, BRYMAN PLAZA NORTH, 111 BRYA DALTON
GA
BENSON, KATHRYN MARY
032695 3400 MC CLURE BRIDGE ROAD, SUITE C
DULUTH
GA
BENSON, KENNETH CHARLES
016019 5635 PEACHTREE PKY, SUITE 180
NORCROSS
GA
BENSON, RICHARD LATIMER
007146 PO BOX 39
FITZGERALD GA
BENSON, ROBERT MOORE, JR
034776 BULLOCH URGENT CARE CENTER, 605 BRANNEN STREET
STATESBORO GA
BENSON, WILLIAM H
004712 3188 ATLANTA STREET SE
SMYRNA
GA
BENT, JOHN PEALE, III
033766 319 HABERSHAM CIRCLE
MARTINEZ
GA
BENT-HARLEY, SHARON ANTOINETTE 028500 5545 REYNARD TRAIL
LITHONIA
GA
BENTLEY, ALONZO J
010475 918 S BROAD ST
THOMASVILLE GA
BENTLEY, HELENA KAREN
027494 2177 GODBY ROAD, #B
COLLEGE PARK GA
BENTLEY, PATRICIA ANN FOSTER 030268 833 CAMPBELL HILL STREET, SUITE 380
MARIETTA
GA
BENTON, FRANK RIDGELY
028501 341 HABERSHAM ROAD
MARTINEZ
GA
BENTON, JAMES BERNARD
033027 117 LYMAN HALL ROAD
SAVANNAH
GA
BENTON, PATRICIA LEE
018983 2853 CANDLER RD, #5
DECATUR
GA
BENTON, PHILLIP GERALD
009431 7444 HANNOVER PKWY, SUITE 205
STOCKBRIDGE GA
BERENS, SANFORD V
013113 5223 PAULSEN ST
SAVANNAH
GA
BERENSON, JOEL EDWARD
016020 PO BOX 1007
DECATUR
GA
BERENSON, MORTON PHILLIP
011581 1905 7TH AVE
COLUMBUS
GA
31021
10
30309-3686 36
30363
03
30907
27
30306
17
30165
28
30641
32
30350
32
30088
10
30030
33
30296
03
30050-1444 17
30319
06
31501
17
30214
15
30223
41
30324
32
31604
31
30606
17
30327
08
30161-3136 17
30236
01
30080
27
30080
06
30322
17
30342-1607 13
30064
25
30582
01
30030
10
30342-1619 47
30308
52
30901-2694 32
31707
08
31707
32
30269-1154 33
30226
17
30087
17
30310
08
31210
36
30525
OT
30720
PH
30136
32
30092-2812 27
31750
36
30458
10
30080
33
30907
30
30058
25
31792
30
30349
32
30060
27
30907
32
31410
17
30034-1421 26
30281
46
31405
36
30031-1007 36
31901
17
Page No. 16
NAME
BERENT, CRAIG T BERG, CYNTHIA JEAN BERG, ERNESTINE HILLIARD BERG, JOSEPH C BERG, JOSEPH L BERG, TERESA GRACE BERGEN, WILLIAM STEVEN BERGER, JAY STEVEN BERGER, JOSEPH HENRY BERGER, MITCHELL ZACHARY BERGER, PAUL ROBERT BERGER, ROBERT BERGERON, GLYNN ANTHONY BERGHERM, BRUCE ALLEN BERGMAN, ROBERT EUGENE BERGMAN, STEVEN R BERGSAGEL, DANIEL JOHN BERGSTROM, CHARLES ALBERT BERINHOUT, RANDALL CHARLES BERKE, MATTHEW DAVID BERKELMAN, RUTH LYON BERKLEY, WILLIAM GREGORY BERKOWITZ, FRANK ELLIS BERKOWITZ, HOWARD M BERKOWITZ, ROBERT BENNETT BERKOWITZ, STUART MARVIN BERL, SETH ALLEN BERLIN, SCOTT ANDREW BERLINER, STEVEN HARVEY BERMAN, BRIAN LOUIS BERMAN, EARL JOSEPH BERMAN, IRWIN RALPH BERMAN, JEROME DAVID BERMAN, LAWRENCE DAVID BERMAN, MERRILL BERMAN, STUART M BERNARD, ANNETTE MARY BERNARD, JAMES DONALD BERNARDINO, MICHAEL ENRICO BERNARDY, MARK OTTO BERNOT, MICHAEL PETER BERNSTEIN, ARNOLD BERNSTEIN, GARY LEONARD BERNSTEIN, JEFFREY A BERNSTEIN, KENNETH ELLIOT BERNSTEIN, RICHARD BRUCE BERRY, ARNOLD JOEL BERRY, CURRELL VANCE BERRY, EMMETT REAVES BERRY, JOSEPH NORMAN BERRY, NEIL C BERRY, PETER E BERRY, THOMAS DANIEL BERSON, MICHAEL JAY BERTHOLD, KERRY JANE BERTRAM, BRADLEY ALAN BERTRAND, STYLES LESLIE BESKIN, JAMES LAWRENCE
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
020366 1001 THORNTON ROAD, #302
LITHIA SPRINGS GA
029406 1787 COUNCIL BLUFF DR NE
ATLANTA
GA
036500 31 BASSWOOD CIRCLE
ATLANTA
GA
021643 500 THIRD AVENUE
ALBANY
GA
004480 PO BOX 483
ALBANY
GA
037137 558 OAKBROOK DRIVE
MARTINEZ
GA
034109 145 EAGLES WALK, SUITE C
STOCKBRIDGE GA
026455 NEWNAN MEDICAL PLAZA, 58 HOSPITAL ROAD SUITE 203
NEWNAN
GA
028722 305 B WEST HANSELL STREET
THOMASVILLE GA
033028 1260 UPPER HEMBREE RD, SUITED
ROSWELL
GA
032126 560 STRATON CHASE
MARIETTA
GA
033029 342 LOG CABIN ROAD NE, SUITE 11-B
MILLEDGEVILLE GA
019482 5223 PAULSEN STREET
SAVANNAH
GA
011627 38 RIDGEMERE TRACE
ATLANTA
GA
021378 7780 LANDOWNE DRIVE
ATLANTA
GA
038686 7780 LANDOWNE DRIVE
ATLANTA
GA
029407 5455 MERIDIAN MARK ROAD, SUITE 260
ATLANTA
GA
033030 926 SHARON COURT
FAYETTEVILLE GA
034777 3481 LAKESIDE DRIVEN E, SUITE 2503
ATLANTA
GA
036101 878 AMSTERDAME AVENUE, NE, APT 2
ATLANTA
GA
027032 196 OLD ROSSER RD.
ST. MTN.
GA
034540 560 TERESA LANE
CANTON
GA
030009 1174 AURORA COURT
ATLANTA
GA
035373 5305 OLD HUNDRED LANE
ATLANTA
GA
024652 840 CHURCH STREET, SUITE 3, BLDG B
MARIETTA
GA
015073 503 GUILFORD CIRCLE
MARIETTA
GA
024390 9 HOSPITAL PARK
MOULTRIE
GA
036924 114 RAMBLEWDOD DRIVE
STATESBORO GA
037958 THOMASTON OB/GYN, 214 CHEROKEE RD
THOMASTON
GA
032696 1210 BROOKVIEW DRIVE
ATHENS
GA
032347 3614-B J DEWEY GRAY CIRCLE
AUGUSTA
GA
020661 2301 PARKWOOD DRIVE
BRUNSWICK
GA
005834 1150 BROOKHAVEN GREEN, N.E.
ATLANTA
GA
035374 102 NORTHRIDGE DRIVE
LAGRANGE
GA
010102 3001 S COBB DRIVE, SUITE 101
SMYRNA
GA
032348 1090 N VIRGINIA AVE
ATLANTA
GA
036102 GLENN BLDG. - INT MED DEPT, 69 BUTLER ST, SE
ATLANTA
GA
015641 * 4480 COVINGTON HIGHWAY, SUITE A
DECATUR
GA
023426 EMORY UNIVERSITY CLINIC, 1364 CLIFTON ROAD, NE
ATLANTA
GA
028502 DIAGNOSTIC IMAGING SPECIALISTS, PO BOX 1007
DECATUR
GA
035563 2001 PEACHTREE ROAD NE, SUITE 400
ATLANTA
GA
016559 340 BOULEVARD NE
ATLANTA
GA
030269 1938 PEACHTREE RD NW, SUITE 401
ATLANTA
GA
012673 2550 WINDY HILL ROAD, SUITE 206
MARIETTA
GA
030010 2833 RANGEWOOD TERRACE N.E.
ATLANTA
GA
018465 PACES PAVILLION, 3193 HOWELL MILL RD NW
ATLANTA
GA
019483 EMORY UNIVERSITY HOSPITAL, 1364 CLIFTON RD, N.E./ANES ATLANTA
GA
027495 2001 PEACHTREE ROAD NE, SUITE 630
ATLANTA
GA
023905 376 ROGERS AVENUE
MACON
GA
007147 755 MOUNT VERNON HWY NE, SUITE 500
ATLANTA
GA
013727 275 UPPER RIVERDALE ROAD, SUITE B
RIVERDALE
GA
011697 3540 DULUTH PARK LN, SUITE 260
DULUTH
GA
032127 3280 HOWELL MILL RD., SUITE 240
ATLANTA
GA
021232 1305 MILSTEAD AVENUE
CONYERS
GA
037483 MCG - RADIOLOGY
AUGUSTA
GA
030011 3520 WALTON WAY EXT
AUGUSTA
GA
025718 MEDICAL COLLEGE OF GA, ORTHOPEDIC DEPARTMENT
AUGUSTA
GA
027344 2001 PEACHTREE RD NE, SUITE 705
ATLANTA
GA
30057
17
30345-4139 25
30328
33
31701
12
31702
11
30907
25
30281-6334 41
30263-1230 27
31792
30
30076-1144 16
30067
17
31061
36
31405
36
30328
03
30350
03
30350
03
30342
10
30214
10
30326
03
30326
53
30087
01
30114
30338
00
30327
28
30060
04
30068
17
31768
17
30458
03
30286
15
30606
08
30909
17
31520
41
30319
32
30240
03
30080
36
30306
32
30303
17
30035
06
30322
36
30031-1007 36
30309
28
30312
13
30309
41
30067
15
30345
31
30327-2118 23
30322
03
30309
17
31204
30328-4274 17
30274
28
30136-3200 17
30327
41
30207
49
30912
36
30909
00
30912
46
30309-1476 46
Page No. 17
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BESS, DOUGLAS R
017972 3910 FLOWERLAND DRIVE NE
ATLANTA
GA
BESSER, ARTHUR SHELDON
035207 205 HUNTERS HILL COUPT
MACON
GA
BESSEY, ROGER BRUCE
026063 1901 CENTURY BLVD. N.E., SUITE 20
ATLANTA
GA
BESTAWROS, ONSY A
017587 P. 0. BOX 2339
DALTON
GA
BETHEA, JAMES STEPHEN III
015224 5669 PEACHTREE DUNWOODY RD NE, SUITE 195
ATLANTA
GA
BETON, RALPH ROBERT
031207 1307 KITTREDGE CT
ATLANTA
GA
BETZ, CHARLES JOSEPH
017130 100 JOHN MADDOX DRIVE
ROME
GA
BEVERIDGE, WAYNE DOUGLAS
020405 2100 CENTRAL AVE, SUITE
AUGUSTA
GA
BEVERLY, BRIAN KEITH
035375 818 GORDON AVE
THOMASVILLE GA
BEVILL, CARL THOMAS, III
028143 PO BOX 200185
CARTERSVILLE GA
BEVILLE, ROGER WAYNE
028377 DECATUR CLINIC, 755 COMMERCE STREET, SUITE 333
DECATUR
GA
BEW, DAVID FITZGERALD
011102 P. 0. BOX 1172
ST MARY'S
GA
BHACHAWAT, DEYENDRA KUMAR
038688 301 WALTON WAY
SMYRNA
GA
BHALLA, MADHU BALA
019237 2320 WRIGHTSBORO ROAD
AUGUSTA
GA
BHANSALI, SANJAY ATMARAM
035006 790 CHURCH ST, SUITE 140
MARIETTA
GA
BHARMAL, FARZANA MOHSIN HUSAIN 036684 4206 AUTUM HILL DRIVE
STONE MOUNTAIN GA
BHASKARAN, RAGHAVA-AYYAR
025580 13 RIVER BEND ROAD, PO BOX 1508
RICHMOND HILL GA
BHAT, ANNAPURNA
031138 200 CREEK VIEW TRL
FAYETTEVILLE GA
BHAT, SUBRAHMANYA
030576 200 CREEK VIEW TRL
FAYETTEVILLE GA
BHATIA, DINESH K
035376 ATLANTA MED ASSOCIATES, 100 TENTH ST, NW
ATLANTA
GA
BHATIA, JATINDER JS
018784 SECTION OF NEONATOLOGY-BG 114, MEDICAL COLLEGE OF GEO AUGUSTA
GA
BHATIA, SHAINUL KASSAM
027158 2885 WHITBY DRIVE
DORAVILLE
GA
BHATTI, NAZIR A
014159 C/0 MEDICAL COLLEGE OF GEORGIA, ORTHOPEDIC DEPT
AUGUSTA
GA
BHATTI, SARWAT ARA
025719 2746 NOAH'S ARK RD.
JONESBORO
GA
BHOLE, RAJ
023260 ROUTE 4 BOX 280 AA, HOMER RD
TOCCOA
GA
BHOLE, SUNIL
024513 8953 OLD SOUTHWICK PASS
ALPHARETTA GA
BHOOMKAR, ASHA EKBOTE
033909 789 #3 HOUSTON MILL RD
ATLANTA
GA
BIAFORE, JO-ANNE MARIE
036342 970 SIDNEY MARCUS BLVD, APT 2213
ATLANTA
GA
BICKERS, DONALD SIMS BIDDLE, MICHAEL DEAN
004958 1800 GARRAUX ROAD, N.W.
031563 * 610 SOUTH 8TH STREET, SUITE 3
ATLANTA
GA
GRIFFIN
GA
BIEHLER, DARREN FOSTER
035208 365 DRIVERS CIRCLE COURT
ALPHARETTA GA
BIEHUSEN, FREDERICK CHARLES 026828 644 CENTER CT. DR.
AUGUSTA
GA
BIELAWNY, MARK PATRICK
035564 1280 W PEACHTREE ST NW, APT 2012
ATLANTA
GA
BIELFELT, BRUCE HARVEY
021644 NORTHLAKE REG MEDICAL CENTER, 1455 MONTREAL ROAD
TUCKER
GA
BIELING, FRIEDRICH C
017995 5040 SNAPFINGER WOODS DR, SUITE 204
DECATUR
GA
BIGGER, JOHN F JR
015225 2050 WALTON WAY
AUGUSTA
GA
Bl GGERS, ED I TH E
035816 206 CI TYL! NE AVE, NE
ATLANTA
GA
BIGGERS, JAMES ROBERT, JR. 034541 2178 GRANDVIEW
JASPER
GA
BIGGER$, WILLIAM H
010781 3193 HOWELL MILL ROAD, SUITE 302
ATLANTA
GA
BIGGERSTAFF, ANNAMARIA MARCHIO 038179 880 PARKVIEW DR
MACON
GA
BIGGERSTAFF, EDWARD DANIEL, II 023427 5354 REYNOLDS ST. SUITE 306, P. 0. BOX 22788
SAVANNAH
GA
BIGGS, BARBARA CONNER
025105 611 CAMPBELL HILL STREET, SUITE 103
MARIETTA
GA
BIGHAM, PETER JOHN
036501 818 ST SEBASTIAN WAY, SUITE 404
AUGUSTA
GA
BIKOFF, WILLIAM STUART
019484 285 BOULEVARD NE, SUITE 535
ATLANTA
GA
BILLINGSLEY, GARY MICHAEL BILLIPS, WILLIAM CLARK
029582 3624 J DEWEY GRAY CIRCLE, SUITE 240
013836 * 2680 LWARENCEVILLE HIGHWAY, SUITE 201
AUGUSTA
GA
DECATUR
GA
BILLMAN, ROGER JOHN
037484 761 CROSS FIRE RIDGE
MARIETTA
GA
BILLS, ELBRIDGE FREDERICK
037139 PO BOX 420649
ATLANTA
GA
BILODEAU, PAUL ALAN
022720 AUGUSTA ONCOLOGY ASSOCIATES, 2101 CENTRAL AVE
AUGUSTA
GA
BILSKY, GERALD STEVEN
031701 115 LANDSEER WAY
ATLANTA
GA
BILSTEN, GEORGE GB
011530 35 COLLIER RD NW, SUITE 420
ATLANTA
GA
BINA, WILLIAM FRANK, III
034298 FAMILY HEALTH CENTER, 3780 EISENHOWER PARKWAY
MACON
GA
BINDER, SUZANNE
028724 3592 COLD WATER CANYON CT
TUCKER
GA
BINDEROW, SANDER ROBERT
036925 2238 ASBURY SQUARE
DUNWOODY
GA
BINET, EUGENE FRANCIS
029583 MED. COLLEGE OF GEORIA/HOSPITAL, RADIOLOGY DEPT.
AUGUSTA
GA
BINION, LOUIS BLOUNT
026456 PO BOX 849
VILLA RICA GA
BINKLEY, GERALD ALAN
035209 C/0 MICHAEL HOGAN, 1120 TUNER ROAD
CUMMING
GA
BIRCH, HERBERT W
008645 1521 VICTORIA FALLS DR
ATLANTA
GA
30319
33
31210
41
30345
01
30720
36
30342-1701 46
30329
17
30165
10
30904
44
31792
17
30120
17
30030
10
31558
36
30082
53
30904
15
30060-7281 30
30083
33
31324
36
30214-7230 17
30214-7230 17
30309
22
30912-3741 32
30340
08
30912
46
30236
15
30577
46
30202
17
30329
25
30324
05
30327
44
30223
10
30202
03
30909
30309
15
30084
12
30035
15
30904
27
30308
23
30143
10
30327
33
31211-1441 03
31403
17
30060
17
30901
05
30312
23
30910
32
30033-2526 27
30064
17
30342
15
30904
17
30350
35
30309
23
31206
10
30084
01
30346
41
30912
36
30180
17
30130
28
30329
13
Page No. 18
NAME
BIRCOLL, LAWRENCE ALAN BIRD, MACK GEORGE BIRDSONG, GEORGE GARLAND BIRES, JILL ANN BIRGE, JACK EDWIN BISAT, TAREK BISCHOF, STEVEN DONALD BISESE, JOHN HERBERT BISGARD, JAY CRISPIN BISHARA, HANY MICHEL BISHKO, JAY RICHARD BISHOP, ANDREW ROWAN BISHOP, EMMETT RUCKER JR BISHOP, JOHN STEPHEN BISHOP, JOSEPH A BISHOP, JOSEPH WILLIAM BISHOP, LINTON HINES JR BISKOBING, DIANE MARY BITTINGER, MARVIN D BITTLE, CHARLES R BIUSO, JOSEPH DENNIS BIVENS, EDWARDS. BIVINS, BLAKE STEPHEN BIVINS, HAROLD ALLAN, JR BIXLER, FRANK ARTHUR BIXLER, GLENN GEORGE BIZZARO, WILLIAM EDWARD BLASER, REGINALD JOSEPH BLACK, ALAN SCOTT BLACK, GRADY EMMET BLACK, JAMES DURWARD, JR. BLACK, JEFFREY REUBEN BLACK, JOHN BURTON BLACK, JUDSON GREGORY BLACK, MARIA MYERS BLACK, MARY ELLEN BLACK, PAUL WILLIAM BLACK, ROBERT JACOB BLACK, WILEY S BLACKBURN, DAPHNE L BLACKMAN PAULA BLACKMAN, WILLIAM M JR BLACKMON, JOHN ALEXANDER BLACKSTOCK, STEPHEN FEW BLACKSTON, RONALD DWAIN BLACKWELL, J THOMAS, JR BLACKWELL, JAMES COLLIER BLACKWELL, LINDA KAY BLACKWELL, MARTHA ANNE BLACKWELL, PATRICIA ANN BLACKWELL, RAY ANTHONY BLACKWOOD, ROBERT ADAIR BLADOWSKI, JOHN R BLAHOVE, MARK BLAIN, MICHEL WILLY BLAIR, DONALD FERGUSON BLAIR, DONALD WARING BLAIR, HENRY DUANE
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
036926 035210 029410 034299 007751 030954 036103 027346 038180 032874 020297 029142 015450 035377 010372 033935 005542 032875 018204 008646 028726 011144 006867 030955 034779 033277 029584 037485 034542 005102 028379 037486 031702 017131 023907 038428 012143 005891 009767 034780 034301 016312 029585 037960 011740 023908 017132 037487 037488 030271 035378 025106 019144 035817 033278 031564 029586 007151
2165 N DECATUR RD
DECATUR
GA
301 PLAZA AVENUE
EASTMAN
GA
GRADY HOSP., DEPT. OF PATHOLOGY, 80 BUTLER STREET SE ATLANTA
GA
5745 CAMERON HALL PLACE
ATLANTA
GA
100 PROFESSIONAL PARK, SUITE 202
CARROLLTON GA
MERCER SCHOOL OF MEDICINE, DEPT OF PEDIATRICS
MACON
GA
119 KEOWN ROAD
ROME
GA
818 FOX HOLLOW PARKWAY
MARIETTA
GA
DELTA AIRLINES, INC. DEPT.984, HARTSFIELD ATL AIRPORT ATLANTA
GA
3517 BILLINGSLY DRIVE
MARIETTA
GA
1406 WATERFORD GREEN DR
MARIETTA
GA
1938 PEACHTREE ROAD, SUITE 408
ATLANTA
GA
5105 PAULSEN STREET, EXECUTIVE COURT - SUITE 133
SAVANNAH
GA
1825 MARTHA BERRY BLVD
ROME
GA
PO BOX 247
CALHOUN
GA
1575 JOHNSON ROAD
ATLANTA
GA
25 PRESCOTT STREET NE, SUITE 2401
ATLANTA
GA
2904 SHADY WOODS CIRCLE
LAWRENCEVILLE GA
5293 WHITE HOUSE PLANTATION RD
MACON
GA
VA HOSPITAL, ANESTHESIA SERVICE
AUGUSTA
GA
330 TURNER MCCALL BLVD
ROME
GA
1769 DYSON DR NE
ATLANTA
GA
404 BEECH ST
COCHRAN
GA
4750 WATERS AVENUE, SUITE 202
SAVANNAH
GA
ROUTE 5, BOX 425
BAXLEY
GA
WALTON REHAB HOSPITAL, 1355 INDEPENDENCE DRIVE
AUGUSTA
GA
2500 HOSPITAL BLVD, SUITE 480
ROSWELL
GA
5943 WHITEHAVEN DR
COLUMBUS
GA
2907 LAKE FOREST DR
AUGUSTA
GA
567 S NINTH ST
GRIFFIN
GA
MED ARTS CTR - SUITE 206, 962 JOE F. HARRIS PKWY,S.E. CARTERSVILLE GA
1837 FENWICK STREET
AUGUSTA
GA
5144 MEDFORD LANE
AUSTELL
GA
3193 HOWELL MILL RD NW, SUITE 317
ATLANTA
GA
3412 KAMEL CIRCLE
AUGUSTA
GA
1480 WILLOW LAKE DRIVE, APT F, BOX 313
ATLANTA
GA
975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA
GA
110 DEVEREAUX DR
THOMASVILLE GA
1075 B JESSE JEWELL PKWAY NE
GAINESVILLE GA
3202-B OAKWOOD VILLAGE LANE
CHAMBLEE
GA
219 IVYWOOD LANE
ROSWELL
GA
1111 PROFESSIONAL BLVD
DALTON
GA
808 GORDON AVE
THOMASVILLE GA
1436 DRAYTON WOODS DRIVE
TUCKER
GA
2040 RIDGEWOOD DRIVEN E
ATLANTA
GA
515 E. 63RD ST. SUITE 3
SAVANNAH
GA
1109 BURLEYSON RD, SUITE 203
DALTON
GA
27 FRANCES DRIVE
ROME
GA
810 RIVERFRONT ROAD
AUGUSTA
GA
3881 MURDOCK COURT
DULUTH
GA
3431-0 NORTH DRUID HILLS ROAD
DECATUR
GA
115 DAVIS ROAD, PO BOX 211849
MARTINEZ
GA
800 E. DOYLE STREET
TOCCOA
GA
8 STEPHENSON AVE
SAVANNAH
GA
1415 HAMPTON HILL DRIVE
ALPHARETTA GA
214 BRECKENRIDGE DRIVE
VALDOSTA
GA
801 13TH AVE, SUITE 104
ALBANY
GA
2675 NORTH DECATUR ROAD, SUITE 710
DECATUR
GA
30033-5371 46
31023
15
30335
31
30328
03
30117
01
31207
32
30161
10
30068
36
30320
53
30062
31
30068
03
30309
28
31405
17
30165-1698 41
30703-0247 10
30306
33
30308
17
30244
17
31210
08
30910
03
30161
17
30307-1315 36
31014
10
31404
15
31513
17
30901
38
30076-4907 17
31909
17
30909
03
30223
32
30120
52
30904
33
30001
36
30327-2118 09
30909
30329
33
30342-1619 47
31792
11
30501
11
30341
17
30076
08
30720
27
31792
31
30084
28
30322
32
31405
30720
17
30165
10
30901
08
30136
01
30033
41
30917-2118 33
30577
30
31405
03
30202
10
31602
01
31701
23
30033
41
Page No. 19
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BLAIR, JOHN ROBERT
027496 1022 STOVALL BLVD
BLAKE, PAUL A
017439 1771 TIMBERLAND ROAD NE
BLAKESLEE, DON BEAL
038430 HABERSHAM CO MED CTR, PO BOX 37
BLALOCK, CLYDE PHILLIP
024901 810 ST ANDREWS DR
BLALOCK, HARVEY SHERMAN
009770 820 ST SEBASTIAN WAY, SUITE 8
BLALOCK, JACK H JR
012675 * 2300 MANCHESTER EXPWY, ST FRANCIS MED PARK BLDG F-1
BLALOCK, TULLY T
004229 LENBROOK SQUARE, 3747 PTREE RD NE #1406
BLALOCK, WILLIAM ALLEN COOK 029588 65 CONIFER CIRCLE
BLANC, JAMES SALOMON
015910 3834 AUSTELL ROAD, SUITE C
BLANCHARD, THOMAS WALTER
010400 1512 ANTHONY RD
BLANCO, ANTONIO FRANCISCO
029979 4385 DUNMORE RD
BLANCO, MAXIMINO J
014602 3405 OLD SAVANNAH RD, GA REGIONAL HOSP AT AUGUSTA
BLAND, JAMES RICHARD, III
028727 165 CLINIC AVE
BLAND, JAMES W JR
009079 2525 PEACHTREE ROAD NE,# 30
BLAND, WILLIAM H
010870 1004 REDBUD LANE SW
BLANDIN DE CHALAIN, TRISTAN M. 038141 1806 TREELODGE PKY
BLANK, STEPHEN CARL
019640 755 MOUNT VERNON HWY, NW, STE 200
BLANTON, ELISABETH D
015189 3878 WENTWORTH LANE
BLANTON, JAMES R
015190 1192-A ROCKBRIDGE ROAD
BLASBERG, ROBERT DAVID
026223 5671 PEACHTREE DUNWOODY ROAD
BLASE, MARVIN
016778 6111 PEACHTREE DUNWOODY RD NE, SUITE G-103
BLASINGAME, JOHN THOMAS, III 035379 618 CALIBRE LAKE PARKWAY
BLASINGAME, WILBUR B
013457 PO BOX 5096
BLATT, HERBERT LEE
020964 8954 HOSPITAL DR, SUITE 120-B
BLECHNER, MARK HENRY
033033 1908 SUMMIT POINTE WAY
BLEE CH, DAVID M
020663 P.O. BOX 129
BLEEKRODE, LAURA MURPHY
034514 5635 PEACHTREE PKWY, SUITE 250
BLEICH, ALLAN C
009433 5669 PEACHTREE DUNWOODY RD NE, SUITE 350
BLEICH, JACK BENTON
019202 2221 PEACHTREE ROAD, N.E., #D-145
BLEICHNER, JOHN CARL
024745 210 SOUTHLAND STATION DRIVE, #178
BLEVENS, KIMBERLY THOMAS
032131 116 S HOUSTON RD
BLEVINS, JAMES WESLEY
025721 5448 YORKTOWNE DRIVE, SUITE 115
BLEVINS, LEWIS STUART
036685 THE EMORY CLINIC, 1365 CLIFTON ROAD NE
BLEWETT, PATRICIA ANN ROTTMANN 035211 601 TUPELO TRAIL, APT 38
BLINCOE, WILLIAM ARMSTRONG 023018 95 COLLIER ROAD, SUITE 2075
BLISSIT, JOSEPH ALDEAN
007754 175 DECATUR RD, SUITE B
BLITCH, PIERCE G JR
006612 820 ST SEBASTIAN WAY, SUITE 3-A
BLITSTEIN, LARRY ELLIS
036343 4928 OLD COLONY
BLIVEN, FLOYD E JR
007669 619- SCOTTS WAY
BLIZZARD, JOHN DAVID
033532 306 STEVENS ENTRY
BLOCH, ALAN BRUCE
031877 1639 COLEBROOK CIRCLE
BLOCK, DAVID NORMAN
037140 345 NORTH COBB STREET
BLOCK, DONALD LEON
010782 1175 PEACHTREE ST
BLOCK, LISA MENDEL
037141 101 E 55TH ST
BLOODWORTH, JAMES HENRY
036686 7309 EAST WYNFIELD LOOP
BLOODWORTH, THOMAS WAYNE
018124 9450 COLONNADE TRL
BLOOM, RICHARD RICARDO
029589 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS
BLOOM, WILLIAM F
012676 111 PRESTWICH PARK
BLOUNT, BENROE WAYNE
036344 2713 BOARS' HEAD ROAD
BLOUNT, LINDEN VAN
019641 627 STEVENS CROSSING
BLOUNT, MELISSA SUE
036502 2152 MEADOWCLIFF DRIVE
BLOUNT, WADE BRANTLEY
020406 818 ST SEBASTIAN WAY, SUITE 400
BLUE, RICHARD HOWARD
027348 651 S MILLEDGE AVENUE
BLUESTEIN, BARRY MARSHALL
022393 2675 NORTH DECATUR ROAD, SUITE 504
BLUMBERG, HENRY MICHAEL
027160 1182 OAKDALE ROAD
BLUMENFELD, ALVIN
009434 2754 N DECATUR RD, SUITE 112
BLUMENTHAL, DANIELS
015226 MOREHOUSE SCHOOL OF MED., 720 WESTVIEW DR
BLUMENTHAL, IRVIN
004959 4649 VILLAGE DRIVE
ATLANTA
GA
ATLANTA
GA
DEMOREST
GA
MACON
GA
AUGUSTA
GA
COLUMBUS
GA
ATLANTA
GA
AUGUSTA
GA
MARIETTA
GA
AUGUSTA
GA
MARIETTA
GA
AUGUSTA
GA
CARROLLTON GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
LIBURN
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
SMYRNA
GA
CORDELE
GA
DOUGLASVILLE GA
ATLANTA
GA
CANON
GA
NORCROSS
GA
ATLANTA
GA
ATLANTA
GA
WARNER ROBINS GA
WARNER ROBINS GA
ATLANTA
GA
ATLANTA
GA
HINESVILLE GA
ATLANTA
GA
MCDONOUGH GA
AUGUSTA
GA
COLUMBUS
GA
AUGUSTA
GA
PEACHTREE CITY GA
DECATUR
GA
MILLEDGEVILLE GA
ATLANTA
GA
SAVANNAH
GA
MIDLAND
GA
ALPHARETTA GA
COLUMBUS
GA
MACON
GA
MARTINEZ
GA
MARTINEZ
GA
ATLANTA
GA
AUGUSTA
GA
ATHENS
GA
DECATUR
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
30319
03
30345
11
30535
30
31210
36
30901
46
31904
17
30319-1360 17
30909
21
30060
48
30904
52
30068-4222 33
30906
33
30117
36
30305
03
30311
32
30350-6069 47
30328-4277 15
30247
10
30087
10
30342
27
30328-4577 33
30082
08
31015
01
30134
27
30329
10
30520
08
30092
32
30342-1701 17
30309
17
31088
31
31088
32
30349
33
30322
09
31313
10
30309
17
30253-2098 10
30901-2688 17
31909
10
30909
46
30269
41
30033
PH
30161
23
30309
15
31405
33
31820
31
30202-5191 13
31901
41
31210
36
30907
10
30907
10
30345
31
30902
15
30605
27
30033
17
30307
17
30033-5910 17
30310
32
30338
41
Page No. 20
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BLUMENTHAL, JEROME BRUCE
010104
BOATRIGHT, CHARLES DANNY
022513
BOATWRIGHT, JERRY ARVIN
018275
BOATWRIGHT, MARTHA HELEN
012279
BOAYUE, KOH BLEH
037489
BOBO, WALTON EARL
010478
SOBON, BENIGNO BURTON
034303
BOCK, NAOMI NANCY
034543
BODDIE, PATRICE DARCELLE
027966
BODDIE, WILLIAM LEON
036503
BODE, BRUCE WELSH
023909
BODEN, SCOTT DAVID
035566
BOONE, DAVID JEROME
036687
BODNER, GARY R
018205
BODZINER, LAWRENCE S
005543
BODZINER, RICHARD ALLAN
026224
BOECKER, JOSEPH WALDMAN
013441
BOEDY, ROBERT FREDERICK
034085
BOERNER, DAVID ALAN
024903
BOGER, ROBERT MARTIN
009081
BOGGS, KIMBERLEY STILL
032349
BOHANAN, GERALD W
010105
BOHANNON, DONALDS
016875
BOHLER, CHARLES EMORY
007157
BOHLKE, WILLIAM SCOTT
037490
BOHN, ERIC LOUIS
038691
BOHN, GERALD JOSEPH
030957
BOHNSTENGEL, SANDRA KAE
038692
BOLAND, PAMELA JEANNE HENDRICK 032397
BOLAND, RYAN F
030958
BOLCH, SIDNEY J III
016876
SOLEMAN, ROBERT CHARLES
025723
BOLES, BONNIE KRISTINE
036927
BOLING, BARBARA EMMERT
023567
BOLING, JAMES FRED
023568
BOLNICK, ALAN DAVID
027967
BOLNICK, JAY M.
028729
BOLTRI, JOHN MARK
035819
BONASERA, ALBERTO ITALO
024207
BOND, ROBERT KARL
020408
BONDELL, STEVEN PAUL
017675
BONDURANT, H WILLIAM
004361
BONE, SAMUEL NICHOLAS, Ill
037142
BONFANTE, RODRIGO
016718
BONHOMME, JEAN J E
021945
BONK, CATHERINE M
030435
BONNER, JOHN TRENT
011830
BONNER, WILLIAM HERBERT
004598
BONNER, WILLIAM RICHARD
031704
BONSACK, TIMOTHY ALAN
029412
BOOKER, DANIEL COLEMAN JR
021379
BOOKER, DAVID LEE
027033
BOOKER, WILLIAM BARRYARLE
037961
BOOKER-ROBERTS, KARLA L.
033800
BOONE, ARLIE GORDON
024564
BOONE, DANIEL HILLIARD
030013
BOOR, DARWIN RUSSELL
029590
BOOTH, ARTHUR STOVALL, JR
011286
790 CHURCH STREET EXT 1040 CAMBRIDGE SQUARE BOX 187 PO BOX 49406 3131 N DRUID HILLS RD, APT 9108 465 WINN WAY, SUITE 201 1459 MONTREAL ROAD, SUITE 506 343 WINNONA DRIVE PO BOX 1219 2841 GREENBRIAR PARKWAY 3193 HOWELL MILL RD NW, SUITE 230 EMORY CLINIC SPINE CENTER, 2165 NORTH DECATUR ROAD 107 MELROSE PARK 980 JOHNSON FERRY RD NE, SUITE 410 19 MED ARTS CTR 4 JACKSON BLVD 200 ACWORTH MEDICAL COMMONS 2714 BOAR'S HEAD ROAD 2040 CLIFF SIDE COURT 1670 CLAIRMONT RD 923 BELMONT DRIVE 102 HOSPITAL DRIVE 8 SANDY POINT ROAD 128 PARKER AVE N 6029 FLAT ROCK RD, APT 237 5020 VALLEY COURT 231 GREAFE STREET 112 E. 45TH STREET 102 LOYER LANE GEORGIA EYE INSTITUTE INC, 5205 FREDERICK STREET 6 ST JOSEPH'S MEDICAL OFFICE PAR, 11700 MERCY BLVD 365 CANDLER PARK DRIVE 1288 LINDENWOOD LANE 105 PROFESSIONAL PARK DRIVE 105 PROFESSIONAL PARK DRIVE 1820 N, COLUMBIA STREET 1820 N. COLUMBIA STREET 17 MARSH POINT DRIVE 5191 WEST JONES BRIDGE ROAD 40 N. MAIN STREET, P. 0. BOX E 315 BOULEVARD NE, SUITE 240 3528 PACES PLACE, NW 2575 DELK RD 122 OCCONOR DRIVE N.W. 4133 GREEN HAWK TRAIL 315 WINN WAY 98 HUNTINGTON RD 530 RIVERVIEW ROAD 1001 JOHNSON FERRY ROAD 1070 ASHBURY DRIVE 2002 ALICE ST DIRECTOR OF PATHOLOGY DEPT, 2321 KINGS WAY 1500 OLD MILL CROSSING 3566 RIVER MILL COURT 306 WESTSIDE DRIVE, PO BOX 1343 3623 J DEWEY GRAY CIRCLE, SUITE 100 2340 MIDVALE FOREST DRIVE 993 JOHNSON FERRY RD, SUITE 200F
MARIETTA
GA
ALPHARETTA GA
BRUNSWICK
GA
ATLANTA
GA
DECATUR
GA
DECATUR
GA
TUCKER
GA
DECATUR
GA
MILLEDGEVILLE GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
CARROLLTON GA
ATLANTA
GA
SAVANNAH
GA
SAVANNAH
GA
ACWORTH
GA
AUGUSTA
GA
SMYRNA
GA
DECATUR
GA
ALPHARETTA GA
WARNER ROBINS GA
SAVANNAH
GA
BROOKLET
GA
COLUMBUS
GA
OAKWOOD
GA
GRIFFIN
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
CUMMING
GA
CUMMING
GA
MILLEDGEVILLE GA
MILLEDGEVILLE GA
SAVANNAH
GA
NORCROSS
GA
ELLIJAY
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
MILLEDGEVILLE GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
DECATUR
GA
WAYCROSS
GA
AUGUSTA
GA
MARIETTA
GA
ELLENWOOD
GA
DOUGLAS
GA
AUGUSTA
GA
TUCKER
GA
ATLANTA
GA
30060
17
30201
15
31521
01
30355
33
30033
32
30030
41
30084
17
30030
17
31061
17
30331
17
30327-2118 07
30033
28
30117
36
30342-1607 15
31405
15
31405
23
30101
01
30907
21
30080
17
30033
17
30202
32
31056-2299 36
31404
03
30415
10
31907
10
30566
10
30223
17
31405-2115 10
31411
36
31405
27
31419
17
30307
08
30319
17
30130
17
30130
31061
31061
15
31406
10
30092
30540
17
30312
31
30327
46
30067
36
31061
23
30035
33
30030
25
30309
03
30606
32
30363
03
30030
36
31501
46
30904
31
30062
17
30049
15
31533
17
30909-6553 17
30084
23
30342
41
Page No. 21
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BOOTLE, JAMES CHILDS
015732
BOOTLE, WILLIAM AUGUSTUS
010040
BOOTWALA, NAJEEBA QURBAN ALI P 035212
BOOZER, TIMOTHY WAYNE
033237
BORDERS, BLAINE MCDERMOTT
035213
BORDERS, JUEL PATE
010479
BORDERS, WILLIAM HOLMES JR 010480
BORDON!, RODOLFO EDUARDO
031167
BORGER, HOWARD EDWARD
029591
BORJSON, RICHARD LEWIS
023569
BORKAT, GORDON
030959
BORNSTEIN, WILLIAM ALLEN
028942
BORTOLAZZO, GERALD WILLIAM 017997
BOSCH, MARTA A
014685
BOSCH, MIGUEL A
014686
BOSS, JAMES LARRY
009437
BOSSAK, PETER W
018365
BOSSE, BRUCE ERIC
034503
BOSSHARDT, DAVID CHARLES
026225
BOSTOCK, WILLIAM KEVIN
026458
BOSTWICK, JOHN III
011287
BOSWELL, SARAH ELIZABETH BOWDE 036504
BOSWELL, THOMAS C
006757
BOSWELL, VINCENT EVERETT
035820
BOSWELL, WILLIAM CARSON
035380
BOSWORTH, GEORGE A
021946
BOTHE, BRIAN MICHAEL
028249
BOTSTEIN, GARY ROBERT
022515
BOTT, JEFFREY NORMAN
035010
BOTTI, DEBORAH IDA
029146
BOTTNER, RANDY KYLE
035381
BOUDET, OTONIEL MOISES
023719
BOUQUETT, VIKTOR RODRICK
026769
BOURDEAUX, WARD CLEMENS
011206
BOURLAND, MICHAEL DOW
033533
BOURNJGAL, ERICK
033280
BOUSQUET, FRANKLYN P JR
007374
BOUSQUET, FRANKLYN PHILIP III 024653
BOUTWELL, JOSEPH HASKELL JR 023020
BOVERI, JOSEPH FRANCIS
038693
BOWCOCK, JAMES ZITZER
008040
BOWDEN, GARRY BLAKE
034545
BOWDEN, JOHN O'NEAL
032350
BOWDEN, TALMADGE ARTON JR
011288
BOWE, RICHARD LEE
030961
BOWEN, ALAN LEE
018878
BOWEN, DIANE GWYN
031386
BOWEN, EDWARD G
011744
BOWEN, EDWARD L
013012
BOWEN, ELIZABETH LINVILLE
033037
BOWEN, MALCOLM GARRY
017776
BOWEN, PAUL ALLEN II
020965
BOWEN, PHILIP JOHN
033282
BOWEN, ROBERT WAYNE
014333
BOWEN, WILLIAM L JR
010483
BOWER, DAVID JAMES
030014
BOWER, THOMAS L.R.
015734
BOWERS, RICHARD JAMES
019369
4575 N SHALLOWFORD RD
ATLANTA
GA
102 HOSPITAL DRIVE
WARNER ROBINS GA
3008 VINE CIRCLE
DECATUR
GA
1107 CARRIAGE PLACE COURT
DECATUR
GA
1305 WATERS EDGE DRIVE
AUGUSTA
GA
JUEL PATE BORDERS PROF BLDG, 991 MARTIN LUTHER KING J ATLANTA
GA
759 ML K JR DR NW
ATLANTA
GA
2712 LAWRENCEVILLE HWY, STEMMER BLDG
DECATUR
GA
3200 DOWNWOOD CURCLE, SUITE 200
ATLANTA
GA
8 WOODBRIDGE ROAD
AUGUSTA
GA
705 17TH STREET
COLUMBUS
GA
478 PEACHTREE ST NE, SUITE 107-A
ATLANTA
GA
5226 OLD MOUNTAIN LANE
POWDER SPRINGS GA
31 WYLLY AVE
SAVANNAH
GA
31 WYLLY AVE
SAVANNAH
GA
611 NORTH AVE
VILLA RICA GA
9395 HUNTCLIFF TRACE
ATLANTA
GA
4555 N SHALLOWFORD RD, SUITE 204
ATLANTA
GA
102 GROSS CRESCENT SUITE 304, SUITE 304
FT OGLETHORPE GA
860 COLLINS HILL RD.
LAWRENCEVILLE GA
DEPT OF PLASTIC SURGERY, 25 PRESCOTT ST NE
ATLANTA
GA
2061 COTTAGE LANE, NW
ATLANTA
GA
TATE COMMUNITY CLINIC
TATE
GA
1401 W. PACES FERRY ROAD, APT 5115
ATLANTA
GA
1211 WINSTON AVE
SAVANNAH
GA
330 TURNER MCCALL BLVD, #304
ROME
GA
3969 SOUTH COBB DRIVE, SUITE 102
SMYRNA
GA
2712 N DECATUR ROAD
DECATUR
GA
2574 LAUREL RIDGE DRIVE
DECATUR
GA
3688 EAGLEROCK DR
DORAVILLE
GA
4849 PAULSEN ST, SUITUE 314
SAVANNAH
GA
CENTRAL STATE HOSPITAL, BOX 71
MILLEDGEVILLE GA
948 WILLOW RUN
STONE MOUNTAIN GA
993 JOHNSON FERRY RD NE, BLDG. F SUITE 320
ATLANTA
GA
1590 ADAMSON PKWY, SUITE 260
MORROW
GA
3222 SHRINE ROAD
BRUNSWICK
GA
13 MAD TURKEY CROSSING
SAVANNAH
GA
8 STEPHENSON AVE
SAVANNAH
GA
512 KINGS'S BRIDGE
ATLANTA
GA
EMORY UNIV GYN/OB, 69 BUTLER ST, SW
ATLANTA
GA
2675 NORTH DECATUR ROAD, SUITE 709
DECATUR
GA
337 OSPREY POINT
STONE MOUNTAIN GA
PO BOX 80363
CONYERS
GA
3409 WHEELER RD
AUGUSTA
GA
PO BOX 1227, 401 FIRST AVE
ALBANY
GA
1825 MARTHA BERRY BLVD
ROME
GA
C/0 R WBOWEN, MD, 110 WINTERTHUR COURT
FAYETTEVILLE GA
5555 P'TREE DUNWOODY RD., SUITE 340
ATLANTA
GA
2356 LENORA CHURCH RD
SNELLVILLE GA
1001 BURNT HICKORY RD, APT 435
MARIETTA
GA
1538 OAK GROVE RD
DECATUR
GA
ROOM BAA-907 NEPHROLOGY SECT, MED COL OF GA
AUGUSTA
GA
6649 ANGEL'S LANE
TUCKER
GA
110 WINTERTHUR CT
FAYETTEVILLE GA
1010 PRINCE AVE
ATHENS
GA
2176 EAST LAKE ROAD
ATLANTA
GA
117 GREENHOUSE DRIVE
ROSWELL
GA
2009 OLD LA FAYETTE ROAD
FT OGLETHORPE GA
30338
31
31088
36
30033
32
30033
03
30901
05
30314
15
30314
17
30033
19
30327
27
30809
31901
32
30308-3103 17
30073
08
31406
33
31406
33
30180
10
30350
08
30338-6403 AA
30742
17
30243
17
30308
47
30318
33
30177
10
30327
28
31404-5508 41
30165
32
30080
38
30033
37
30033
41
30340-4106 33
31405
05
31062
30088
17
30342-1645 15
30260
08
31520
10
31411
27
31405
30329
31
30303
15
30033
33
30087
10
30208
10
30909-1841 41
31702
03
30165
28
30214
01
30342
15
30278-2375 01
30064
10
30033
33
30912
22
30084
03
30214-1362 15
30606-5870 15
30307
00
30076-1449 12
30742
15
Page No. 22
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BOWLES, STEPHEN BOWLING, LAWSON H JR BOWMAN, CHARLES BRADLEY BOWMAN, DELIA KATHLEEN BOWMAN, KENNETH LEE BOWMAN, MAC ANDREW BOWMAN, ROBERT CLYDE BOWRON, JAMES SHELBY, JR BOX, JOEL CRAIG BOYCE, WILLIAM ALLEN BOYD, CARL RICHARD BOYD I CHERYL J BOYD, CLAUD AL~EN BOYD, DONALD LEE BOYD, FRED DANIEL BOYD, GLENN HEYWARD BOYD, RONALD JACK BOYD, WILLIAM S BOYDSTON, WILLIAM ROY BOYER, KEVIN LOUIS BOYER, THOMAS DAVID BOYETT, JAMES EDWARD BOYETTE, DAVID MORTON BOYLE, STEPHEN BOYTER, HENRY HUGH BRACEY, VICTOR ALFRED BRACHMAN, PHILIP SIGMUND, JR BRACKETT, JOHN GORDON BRACKETT, MICHAEL LEE BRADEN, JAMES MANUEL BRADFORD, ANDREA CAROL COOLEY BRADFORD, GILDA M. MONTALVO BRADFORD, MARTHA SUMMEROUR BRADFORD, ROGER MONTALVO BRADLEY, CHARLES K BRADLEY, DONALD JOHN BRADLEY, JAMES BRITT, JR. BRADLEY, PAUL LEWIS BRADLEY, PAUL SIMON BRADLEY, ROBERT ANDREW BRADLEY, WILMER DORNON BRADSHAW, JAMES CARY BRADY, DONALD WAYNE BRADY, MICHAEL NELSON BRAGG, CORDELL LEE, III BRAHN, GEORGE R BRAINTWAIN, JOSEPH JOHN BRAMAN, ROBERT TILDEN BRAMBLETT, RUPERT H BRAMLETT, DANNY JOE BRAMMER, WILLIAM MILTON BRAMWELL, RODERICK STUART BRANAM, JAMES WILLIE, JR BRANAN, WILLIAM JENNINGS JR BRANCH, CARLA SUE STRICKERT BRANCH, CLINTON E JR BRANCH, DAVID LOUIS JR BRANCH, ROGER GARY
015147 2847 CEDAR CAYON CT 011103 4015 SOUTH COBB DRIVE, SUITE 270 036689 1406 BRIERS DRIVE 024395 2113 CHRYSLER DRIVE 026227 110 CREEK VIEW CIRCLE 021647 818 ST SEBAT!AN WAY, SUITE 104 031387 RT 3, BOX 108-B 037491 1120 HANCOCK DRIVE, NE 037763 4352 CHASTAIN WALK DRIVE 036505 4 MEDICAL DR 018609 4750 WATERS AVE, SUITE 213, PROVIDENT PROF BLDG 032700 328 BROOKEWOOD DRIVE 012878 1509 ANTHONY RD 010484 1105 PALMYRA RD 010872 610 HEMBREE PARKWAY, SUITE 404 017510 1203 MEMORIAL DRIVE 009438 351 HORACE VEAL RD NW 004599 2258 WRIGHTSBORO RD, SUITE 300 034112 5455 MERIDIAN MARKS RD NE, SUITE 540 032351 PO BOX 15265 032701 40 BATTLE RIDGE DRIVE 007351 2093 ROOSEVELT HWY 009439 1462 MONTREAL ROAD, SUITE 403 013449 NEWTON-ROCKDALE SURGICAL SPEC, 1372 WELLBROCK CIRCLE 005428 1425 PEACOCK AVE 036928 3320 GLENROSE TRAIL 030962 4279 WICKERSHAM DR NW 005106 4319 SPRUCEBOUGH DRIVE 026462 303 SMITH ST 022212 1560 WOODLAND AVE 026832 P.O. BOX 8196 035821 MED COL OF GA - OPTHALMOLOGY 010986 ROCKY CREEK APT. L-1, 950 STEVENS CREEK RD. 035822 MEDICAL COL OF GA - FM MEDICINE 009772 440 WASHINGTON STREET 021233 1420 TEMPLE JOHNSON ROADS W
028926 * 120 LAKE RIDGE ROAD, NE
004716 410 WEST CUYLER STREET 030016 2 MODENA RD 025725 185 GLENEAGLES CIRCLE 037143 5000 RIVERFIELD DRIVE 031567 101 HICKORY LANE 037145 609 VIRGINIA AVE,# 7110 033534 235 MAJESTIC OAK CIRCLE 026463 RT 4, BOX 488
014464 * 1701 WATSON BLVD
016879 4977 LAKELAND DR 017137 228 TOPI TRAIL 004961 BRAMBLETT HOWELL BLDG, 326 DAHLONEGA STREET 018572 500 WEST MAIN STREET 032702 2007 SOUTH VIEW DRIVE 020194 3186 LARAMIE DRIVE NW 020409 360 HOSPITAL DRIVE, BLDG D, SUITE 230 008042 1220 GEORGE C WILSON DRIVE 029847 100 CAMBRIDGE CT. 016878 715 JESSE JEWWELL PKY, S 305, SUITE 305 007159 5 RAMBLE WOOD CIR 030272 PO BOX 538
ATLANTA
GA
SMYRNA
GA
STONE MOUNTAIN GA
ATLANTA
GA
DUBLIN
GA
AUGUSTA
GA
TIFTON
GA
ATLANTA
GA
ATLANTA
GA
ELBERTON
GA
SAVANNAH
GA
PEACHTREE CITY GA
AUGUSTA
GA
ALBANY
GA
ROSWELL
GA
DALTON
GA
MILLEDGEVILLE GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
COLLEGE PARK GA
TUCKER
GA
CONYERS
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
LA GRANGE
GA
THOMASTON
GA
COLUMBUS
GA
AUGUSTA
GA
AUGUSTA
GA
AUGUSTA
GA
GAINESVILLE GA
LOGANVILLE GA
EATONTON
GA
DALTON
GA
SAVANNAH
GA
MACON
GA
NORCROSS
GA
BONAIRE
GA
ATLANTA
GA
BYRON
GA
THOMASVILLE GA
WARNER ROBINS GA
MARIETTA
GA
HINESVILLE GA
CUMMING
GA
THOMASTON
GA
DALTON
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
STATESBORO GA
GAINESVILLE GA
VALDOSTA
GA
METTER
GA
30345
03
30080-6316 33
30083
27
30345
31021
36
30909
05
31794
10
30306
08
30342
41
30635
46
31404
41
30269
17
30904
06
31701-1933 46
30076
17
30720
17
31061
10
30904-4765 17
30342-1613 44
30333
30342
11
30337
41
30084
30
30207
41
31906
11
30341
36
30327- 3653 17
30062
30
30240
30286
28
31908
30912-3400 27
30907
01
30912
10
30501
27
30249-2464 03
31024-9430 33
30720
41
31411
17
31210
31
30092
03
31005
08
30306
17
31008
17
31792
03
31093
41
30068
08
31313
11
30130
01
30286
10
30720
36
30339
03
31201
33
30914
32
30458
10
30501
23
31602-4209 46
30439
10
Page No. 23
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BRANCH, THOMAS PAUL
030963 2165 NORTH DECATUR ROAD
DECATUR
GA
BRAND, DEBRA ELIZABETH
029416 2001 PEACHTREE ROAD, N.E., SUITE 510
ATLANTA
GA
BRAND, ROBERT L III
012427 PO BOX 14039
AUGUSTA
GA
BRAND, THEODORE
028730 5455 MERIDIAN MARK ROAD
ATLANTA
GA
BRANDAU, A GORDON JR
014161 2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
BRANDENBURG, DAVID SAUL
017138 5667 PEACHTREE DUNWOODY RD NE, SUITE 310
ATLANTA
GA
BRANDT, DAVID JOHN
033038 1984 PEACHTREE RD NW, SUITE 505
ATLANTA
GA
BRANDT, HENRY
007674 11706 MERCY BLVD, 1 ST JOSEPH'S PROF. PLAZA
SAVANNAH
GA
BRANDT-SASIN, ILONA PASZKA 031707 835 BUTTERCUP TRACE
ALPHARETTA GA
BRANITZ, BRUCE HOWELL
020410 2121 FOUNTAIN DRIVE, SUITED
SNELLVILLE GA
BRANN, ALFRED WILLARD, JR
017366 80 BUTLER STREETS E, PO BOX 26015
ATLANTA
GA
BRANN, EDWARD ALLAN
032133 3020 RHODENHAVEN DRIVE, NW
ATLANTA
GA
BRANNEN, ALFRED LYNNE, II
030584 3623 J DEWEY GRAY CIRCLE, SUITE 100
AUGUSTA
GA
BRANNEN, EDMUND A
004717 969 NOTTINGHAM DRIVE
MACON
GA
BRANNEN, JAMES 0
010485 6205 RIVERSHORE PKWY NW
ATLANTA
GA
BRANNON, JAMES ELLIOTT
031708 353 PARKWAY DRIVEN E, SUITE 101
ATLANTA
GA
BRANNON, LAWRENCE T
007756 4015 SOUTH COBB DRIVE, SUITE 260
SMYRNA
GA
BRANNON, WILLIAM ANTHONY DAVID 035011 352 WHITE GRAVES ROAD, N.E.
RANGER
GA
BRANSOME, EDWIN D JR
013880 MCG SECT OF METABOLIC & END
AUGUSTA
GA
BRANSON, BERNARD MICHAEL
033802 2175 ELDORADO DR
ATLANTA
GA
BRANT, JEFFREY RANDALL
027351 962 JOE FRANK HARRIS PKWAY, SUITE 201
CARTERSVILLE GA
BRANTLEY, DAVID BRUCE
028506 204 E 15TH STREET
ALMA
GA
BRANTLEY, GERALD KEITH
033535 1023 KEITH DRIVE
PERRY
GA
BRANTLEY, MARVIN A III
009440 4760 CHERRYWOOD LANE NE
ATLANTA
GA
BRANTLEY, STEVEN DOUGLAS
035384 1660 MULKEY ROAD, SUITED
AUSTELL
GA
BRANUM, GENE DALE
037146 1355 HARVARD ROAD NE
ATLANTA
GA
BRANYON, DONALD L JR
008716 130 WEXFORD PLACE
ATHENS
GA
BRAR, HARINDER SINGH
033939 2102 TURTLE COURT
AUGUSTA
GA
BRASS, BARRY NEAL
027352 330 TURNER MCCALL BLVD, SUITE 301
ROME
GA
BRASWELL, LOUIE RENDER
003443 2575 PACHTREE ROAD NE, SUITE 10-B
ATLANTA
GA
BRATHWAITE, MICHEL DE L'HOMMME 038694 1207 BRIARCLIFF GABLES CIRCLE
ATLANTA
GA
BRAUCHER, CHARLES LANDIS, JR 030726 ATHENS ADULT & PEDIATRIC MEDICIN, 740 PRINCE AVE BLDG ATHENS
GA
BRAUDE, JAMES STEVEN
019643 1109 WEST PEACHTREE STREET
ATLANTA
GA
BRAUN, BARRY HOWARD BRAUNFELD, HARVEY DAVID
027504 428 CONNELL ROAD
023277 * 299 PAT MELL RD., SE
VALDOSTA
GA
MARIETTA
GA
BRAUNSTEIN, KENNETH MYRON
024905 1159 BYRNWYCK COURT
ATLANTA
GA
BRAVERMAN, JUANA MARIA
031536 2399 COUBLETREE DRIVE
ACWORTH
GA
BRAVY, STAN BORIS
028145 2357-A DUNWOODY CROSSING
DUNWOODY
GA
BRAWLEY, ALBERT VINCENT
033283 456 CAMBRIDGE WAY
MARTINEZ
GA
BRAWNER, DARNELL L
004962 PO BOX 22248, 4401 HABERSHAM STREET
SAVANNAH
GA
BRAWNER, JAMES N III
009086 35 COLLIER RD, SUITE 775, PIEDMONT PROF. BLDG.
ATLANTA
GA
BRAY, CATHERINE L.
028731 755 COMMERCE DRIVE, SUITE 914
DECATUR
GA
BRAY, DAVID ALLEN
026464 1321 PROFESSIONAL PARK DR, PO BOX 519
BALDWIN
GA
BRAY, WESLEY ROBERT
027035 MARIETTA PULMONARY MEDICINE, 54 TOWER ROAD
MARIETTA
GA
BRAZ-WRIGHT, PATRICIA
035012 988 N MILLARD WAY
STONE MOUNTAIN GA
BRAZIEL, FARRELL HOBBS
024906 3050 S. ATLANTA ROAD
SMYRNA
GA
BRAZIEL, JAMES HARRISON III 020918 1700 MURPHY LANE
DUBLIN
GA
BRECKENRIDGE, HOMER ELMER III 019644 102 HOSPITAL CIRCLE, PO BOX 677
DONALSONVILLE GA
BRECKENRIDGE, HOMER ELMER, JR. 010487 BOX 677
DONALSONVILLE GA
BREEDLOVE, WILLIAM DAVID
026465 P.O. BOX 1907
BLAIRSVILLE GA
BREGMAN, JOEL DONALD
034546 718 GATEWOOD ROAD
ATLANTA
GA
BREIBART, SIDNEY
010329 11 LAVISTA PERIMETER OFFICE PARK, SUITE 22
TUCKER
GA
BREMER, MARTIN LAMAR
023910 P.O. BOX 38
LAKEMONT
GA
BRENA, STEVEN FRANCIS
015913 3400 MC CLURE BRIDGE ROAD, BLDG F, SUITE B
DULUTH
GA
BRENDE, JOEL OSLER BRENNAMAN, BRUCE HOWARD
030273 3302 COLLEGE DRIVE
031709 * 920 18TH ST
COLUMBUS
GA
COLUMBUS
GA
BRENNAN, JAMES A
019645 303 SMITH STREET
LAGRANGE
GA
BRENNAN, LEONARD HENRY
030964 SOUTHWESTERN STATE HOSPITAL, PO BOX 1378
THOMASVILLE GA
30033
46
30309
15
30919
46
30342
32
30033
05
30342-1725 11
30309
06
31419
23
30202
26
30278
52
30303
32
30327
35
30909-6553 34
31211
13
30328
33
30312
03
30080
11
30734
03
30912
12
30345
32
30120
27
31510
41
31069
17
30342
33
30001
36
30306
41
30606
15
30907
41
30165-2747 15
30305-3658 41
30329
22
30606
17
30309
17
31602
41
30060
17
30319
01
30101
32
30338
33
30907
32
31499
15
30367
17
30030
10
30511-9765 17
30060
34
30088
15
30080
33
31021
03
31745
41
31745
01
30512
10
30322
33
30084
32
30552
17
301.36
01
31907
33
31901
41
30240
17
31799-1378 33
Page No. 24
NAME
BRENNER, SUE ANNE BRETON, TAMI L BRETT, MILES E BREWER, ALVIN LEWIS BREWER, DOUGLAS ALAN BREWER, PHILIP LEE BREWER, RICK ADEN BREWER, S. MARK BREWER, SPENCER S JR BREWSTER, EDWARD WOOD JR BREWTON, LLOYD CLIFFORD BREWTON, SAMUEL ALTON, JR. BRIANT, THOMAS PAUL BRICE, ANTON MELVILLE, JR BRIDGES, BERNARD JACKSON BRIDGES, CAROLYN RUTH BRIDGES, GLENN JACKSON JR BRIDGES, HENRY ALFORD BRIDGES, HENRY BENTON BRIDGES, MERCER TRUETT, JR BRIDGES, WILLIAM ZACHERY BRIDGES, WILLIAM ZACHERY BRIDGEWATER, RICHARD LEON BRIGGS, WILLIAM J III BRIGHTON, PATRICK ANDREW BRIGHTWELL, LARRY EUGENE BRIGLEV!CH, ROSE M BRIGMAN, JAMES A BRILL, HARRY HARRIS, JR BRIN, FOSTER BLAKE BRINCKMANN, OSCAR ALBRECHT BRINKLEY, AVERY B BRINN, KENNETH A BRINSFIELD, DOROTHY EMILY BRINSON, BONNIE LEAH BRINSON, JOHN B JR BRIONES, JOSE B. BRIONES, PRIMA A BRIONES, WILLIAM K BRISS, PETER ANTHONY BRISSETTE, JOSEPH PAUL BRISTOL, WILLIAM PAUL BRITTON, LINDA JANE BRITTON, MATTHEW JAMES BROADNAX, GARY BURKS BROADWELL, RICHARD OLLEN BROCATO, SIMONE BROCK, CAROL ELAINE BROCK, PAUL BENNETT BROCK, PAUL WARRINGTON, JR BROCK, WILLIAM ALLEN BROCKETT, TED BRODER, JEFFREY NEAL BRODERICK, JOHN R BRODEUR, DAVID BRODY, HAROLD JOSEPH BROECKER, BRUCE HARRISON BROGDON, JOSEPH MILTON, JR
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
033803 2919 GALAHAD DRIVE NE 038695 120 LEAFMORE RD 017041 2520 WINDY HILL ROAD, #301 029148 1467 MONROE DRIVEN E, APT 12 038696 108 LAKEVIEW DRIVE NORTH 009441 2300 MANCHESTER EXPRESSWAY, BLDG E 031882 1501 HICKORY HILL DRIVE 035386 PO BOX 1059 007029 1938 PEACHTREE RD NW, SUITE #407 013014 1104 MARTHA BERRY BLVD. 009088 PO BOX 850 007757 206 CHEROKEE RD 009089 1984 PEACHTREE ROAD NW SUITE 515 008717 495 WINN WAY, SUITE B-220
011630 * 2870 ML K JR DRIVE SW
038697 548 WIMBLEDON RD 009092 V.A. MED. CTR.DEPT. SURGERY, 1826 VETERANS BLVD. 004963 PO BOX 934 008043 3129 RAMSGATE ROAD
032520 * 1751 POINT PLEASANT
010113 612 SOUTH BROAD STREET 036690 1485 BRIAROAKES TRAIL 035824 1903 WRIGHTSBORO RD 009094 725 LUMBER CITY HIGHWAY 034305 2306 DRUID OAK 011829 ST FRANCIS MED PARK SUITE C-3, PO BOX 6829 017042 3969 S COBB DRIVE, SUITE 107 016212 SUITE 195 THE MED QUARTERS, 5555 PEACHTREE DUNWOODY 006114 2900 WAKEFIELD WAY 029980 104 HARBOR DRIVE 035215 PO BOX 1997 005980 312 CANDLER DRIVE 038187 PO BOX 10070 ST 006174 1738 HARTS RUN 033537 504 SUMTER STREET 008044 503 GORDON AVE 028944 115 LUCKY LEAF PLACE 017916 25 DEVONSHIRE DRIVE SE 017778 25 DEVONSHIRE DR SE, ROUTE 4 036346 304 VICKERS DRIVE, NE 037147 745 ROSALIA ST, SE# 755 023334 412 OCEAN BLVD, PO BOX 20367 035013 475 CLIFTON ROAD 026067 3700 HOLCOMB BRIDGE RD, SUITE 6 016213 1409 WATERS EDGE RD 021380 121 N CASWELL STREET 006336 6045 ROUNDHILL COURT 023913 893 PLYMOUTH RD NE 026466 1825 MARTHA BERRY BLVD, HARBIN CLINIC 033805 3324 GABLES DRIVE 024782 THE TOWER BLDG, 425 THIRD AVE SUITE 400 030436 3639 WENTWORTH LANE 030017 751 DEERWOOD PLACE 007960 11702 MERCY BLVD, SUITE 10 037964 3726-H ASHFORD DUNWOODY ROAD 017139 478 PEACHTREE ST NE, SUITE 711A 030437 1901 CENTURY BLVD, NE, SUITE 14 022723 389 MULBERRY ST, SUITE 200
ATLANTA
GA
ROME
GA
MARIETTA
GA
ATLANTA
GA
MACON
GA
COLUMBUS
GA
WATKINSVILLE GA
THOMASVILLE GA
ATLANTA
GA
ROME
GA
LAGRANGE
GA
THOMASTON
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
DUBLIN
GA
BAINBRIDGE GA
AUGUSTA
GA
SMYRNA
GA
THOMASVILLE GA
ATLANTA
GA
AUGUSTA
GA
MCRAE
GA
ATLANTA
GA
COLUMBUS
GA
SMYRNA
GA
ATLANTA
GA
COLUMBUS
GA
WARNER ROBINS GA
DARIEN
GA
MACON
GA
DECATUR
GA
CHAMBLEE
GA
OGLETHORPE GA
THOMASVILLE GA
FAYETTEVILLE GA
ROME
GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
ST SIMONS ISLE GA
ATLANTA
GA
NORCROSS
GA
AUGUSTA
GA
GLENNVILLE GA
COLUMBUS
GA
ATLANTA
GA
ROME
GA
ATLANTA
GA
ALBANY
GA
LILBURN
GA
EVANS
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
30345
17
30165
17
30067
10
30324
17
31210
41
31904
12
30677
08
31799
17
30309
17
30161
36
30241
36
30286
52
30309
03
30030
17
30311
17
30324
17
31021
52
31717
08
30909
00
30080
03
31792
27
30329
27
30904
15
31055
10
30329
41
31907
41
30080
17
30342-1710 52
31906
17
31088
33
31305-1997 15
31204
36
30031-1007 36
30341
32
31068
10
31792
10
30214
36
30161-9482 33
30161-9482 10
30307
32
30312
08
31522
17
30307
17
30092-2722 10
30901-1045 15
30427
41
31904
05
30306
30165-1698 3
30319
03
31701
17
30247
08
30809
00
31419
17
30319
53
30308
06
30329
52
31201
23
Page No. 25
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BROKOPP, VONDA LYNN
035826 1014 RED BIRD RD
BROMER, RICHARD HARRIS
018206 2101 CENTRAL AVE
BRONERSKYENUMAH, LOIS ELIZABE 027970 1629 - 10TH AVE
BRONIKOWSKI, JEROME L
021650 5275 BANNERGATE DRIVE
BROOCKER, GEOFFREY
030965 EMORY EYE CENTER - ROOM 5834, 1327 CLIFTON ROAD NE
BROOKER, STUART GORDON
036929 1310 PINE HEIGHTS DRIVEN E
BROOKS, ALBERT PATRICK
022724 101 MIDDLETON COURT
BROOKS, ALRICK GEORGE
031388 137 ASHFORD PARK
BROOKS, ANDREW AARON
036691 385 HAMILTON STA
BROOKS, BETTY ANN
005744 117 TOLOMATO TRACE
BROOKS, COURTNEY CLARK, JR. 025949 600 PROFESSIONAL DRIVE, SUITE 150
BROOKS, HENRY BELK
023022 2522 WARM SPRINGS RD.
BROOKS, JAMES FRANK
007758 3400 PEACHTREE ROAD, N.E., SUITE 913
BROOKS, KAREN ROXANNE
037764 1617 POST OAK DR, SUITED
BROOKS, MICHAEL WAYNE
029420 2800 REGENTS PARK LANE
BROOKS, ROBIN PENELOPE
036107 232 CORRAL ROAD NE
BROOKS, RONALD CHARLES
033539 25 PERRY STREET
BROOKS, STEVEN ELLIOT
038698 3809 INVERNESS WAY
BROOKS, WALTER SCOTT, JR
012101 20 LINDEN AVE NE, BOX 27
BROOKS, WILLIAM PHILLIP
011935 3741 HOUSTON AVE
BROOKS, WILLIAM SIDNEY
023023 1125 TROUPE STREET, PO BOX 3845
BROOKS-WARREN, JUANITA ANNETTE 024907 2885 MARGARET MITCHELL DR NW
BROOME, CLAIRE V.
031211 1412 NORTH DECATUR ROAD
BROOME, HARRY LEE
013256 960 JOHNSON FERRY RD, SUITE 200
BROOMES, LLOYD RUDY
037148 1702 MURPHY LANE
BROOMES, LLOYDA RENEE
035387 3160 BUFORD HIGHWAY, NE', APT J-10
BROPHY, COLLEEN MARIE
036930 MCG - DEPT OF SURGERY, 1120 15TH STREET
BROSIUS, KEITH KEVIN
028734 1195 ZIMMER DRIVE
BROTHERS, DAVID BRUCE
037765 4320 GLENRIDGE STRATFORD DR NE
BROUN, PAUL COLLINS JR
014465 1610 VIENNA RD
BROUSSARD, CAROLYN
015853 1582 OLD NEWNAN ROAD
BROWN, ALGIE CURRY
012300 1150 HAMMOND DRIVE, SUITE A 1120
BROWN, ALLEN NICHOLAS
007651 PO BOX 344, DONOVAN ROAD
BROWN, BENJAMIN SEYMOUR
014891 P.O. BOX 1166
BROWN, BOBBY C BROWN, BRADFORD GEORGE
009374 PIEDMONT HOSPT - PATHOLOGY, 1968 PEACHTREE RD, NW
020859 * 386 NORTH MILLEDGE AVENUE
BROWN, CALVIN A
008387 1123 RD ABERNATHY BLVD SW
BROWN, CHARLES EDWARD
004718 77 COLLIER RD, NW, SUITE 2070
BROWN, CHARLES FREDERICK
026470 PO BOX 489
BROWN, CHARLES LAFAYETTE
028383 95 COLLIER RD NW, SUITE 2075
BROWN, CHARLES WALTER
028509 P.O. BOX 860
BROWN, CHARLES WILLIAM
010114 3193 HOWELL MILL ROAD, SUITE 312
BROWN, CRYSTAL LYNN SINGLETON 036348 205 FLEETWOOD DRIVE
BROWN, CULLEN MASON III
027971 958-A JOE FRANK HARRIS PARKWAY, SUITE 101
BROWN, DALE FOSTER
035827 PO BOX 1099
BROWN, DANIEL ADAM
034782 329 LAMPLIGHTER LANE
BROWN, DEMPSEY SHORT JR
011936 STE 310 COLISEUM PHYSICIANS CENT, 310 HOSPITAL DRIVE
BROWN, ELBERT H
010489 100 PATTON DRIVE
BROWN, ERIC L BROWN, FRANK JOSEPH
037150 107 NORTH DECATUR LANE
011937 * CSH BOX NO 75
BROWN, FRANK WAYNE
031212 1899 EAST GATE DRIVE
BROWN, GEORGE WASHINGTON, IV 030275 1000 CORPORATE CENTER DRIVE, SUITE 200
BROWN, GROVER JAMES
010490 PO BOX 908
BROWN, HERBERT EUGENE
005292 622 PARK LANE
BROWN, HERSCHEL LAWRENCE
037151 1103 TREECREST PARKWAY
BROWN, HOWARD SIDNEY
012145 760 BYRNWYCK RD NE
BROWN, JACK ALLISON
019146 2611 EAST LAKE PARK DR
BROWN, JAMES ACE
012430 3636 WHEELER RD.
AUGUSTA
GA
AUGUSTA
GA
COLUMBUS
GA
ALPHARETTA GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
MACON
GA
COLUMBUS
GA
ST SIMONS ISLE GA
LAWRENCEVILLE GA
COLUMBUS
GA
ATLANTA
GA
CLARKSTON
GA
MARIETTA
GA
MILLEDGEVILLE GA
CAMILLA
GA
MARTINEZ
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUBLIN
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
AMERICUS
GA
CARROLLTON GA
ATLANTA
GA
WRIGHTSVILLE GA
THOMASTON
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
MILLEDGEVILLE GA
ATLANTA
GA
JESUP
GA
ATLANTA
GA
FT VALLEY
GA
CARTERSVILLE GA
SANDERSVILLE GA
MARTINEZ
GA
MACON
GA
WARNER ROBINS GA
DECATUR
GA
MILLEDGEVILLE GA
STONE MOUNTAIN GA
MORROW
GA
CARTERSVILLE GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
ROCKY FACE GA
AUGUSTA
GA
30904
15
30904
16
31901
10
30201
03
30322
27
30324
03
30606
17
31210
03
31909-2838 28
31522
15
30245
17
31904
41
30326
33
30021-3022 17
30062
17
31061
10
31730
10
30907
27
30365
11
31206
10
30914-3845 36
30327
33
30306
54
30342
46
31021
33
30329
33
30912
41
30306
03
30342-4928 47
31709
10
30117
32
30328
06
31094
14
30286
15
30309
31
30601
01
30310
01
30309
17
31061
25
30309-1735 05
31545
36
30327
46
31030
10
30120
10
31082
17
30907
03
31201
50
31093
10
30033
15
31062
01
30087
12
30260
10
30120
10
30033
17
30035
08
30319-1677 48
30740
08
30909
27
Page No. 26
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BROWN, JAMES LEWIS
021652 700 OGLETHORPE AVEUNE
ATHENS
GA
BROWN, JAMES MICHAEL
033284 5470 MARTHA BERRY HWY
ARMUCHEE
GA
BROWN, JERRY L
031389 DEPT OF ANESTHESIOLOGY, MEDICAL COLLEGE OF GA
AUGUSTA
GA
BROWN, JIMMY SHEPPARD
012429 5635 PEACHTREE PARKWAY, SUITE 250
NORCROSS
GA
BROWN, JOHN BARCLAY BROWN, JOHN MARION
036931 220 CAVALIER DRIVE 004964 105 BETTY STREET
MARTINEZ
GA
DILLARD
GA
BROWN, JOISANNE ANDREA
032099 1123 RD ABERNATHY BLVD
ATLANTA
GA
BROWN, JOSEPH EDMUND
013591 PO DRAWER 31203
SEA ISLAND GA
BROWN, KATHERINE OLIVIA
036692 1029 AMSTERDAM AVENUE, NE
ATLANTA
GA
BROWN, KEVIN EMORY
036109 HEALTH CARE OF WHITE COUNTY, ROUTE 7 BOX 7074
CLEVELAND
GA
BROWN, KEVIN TIMOTHY
027772 RR 1 BOX 1698
FT VALLEY
GA
BROWN, KIRK TAHAMA
035388 5160 LOST DUTCHMAN DRIVE
LITHONIA
GA
BROWN, LANCE FORTSON
036110 COMBINED BACHELOR QTRS ROOM 328, CODE N44 NAVAL SUB B KING'S BAY GA
BROWN, LEONARD
009375 833 CAMPBELL HILL STREET, SUITE 260
MARIETTA
GA
BROWN, LINDA KAREN
032703 COBB RADIOLOGY ASSOC, 1660 MULKEY ROAD, SUITED
AUSTELL
GA
BROWN, LORIE LEIGH GREENE
034306 634 CARLTON DRIVE
AUGUSTA
GA
BROWN, LOUIS CSR
009706 759 MARTIN LUTHER KING
ATLANTA
GA
BROWN, MORRIS E
020412 1372 PEACHTREE ST NE, SUITE 301
ATLANTA
GA
BROWN, NELSON H
007761 590 HARDSCRABBLE ROAD
ROSWELL
GA
BROWN, NYDA WILLIAMS
010115 100 GALLAERIA PARKWAY, SUITE 610
ATLANTA
GA
BROWN, PAMELA JO ELLINGTON 031390 5 LAVISTA PERIMETER OFFICE PARK, SUITE 101
TUCKER
GA
BROWN, PIERPONT FLANDERS
030018 1075 B JESSE JEWELL PKWY, NORTH EAST
GAINESVILLE GA
BROWN, REAY HUGH
030728 EMORY EYE CLINIC, 1327 CLIFTON ROAD, N.E.
ATLANTA
GA
BROWN, ROBERT FULTON, JR.
025114 4451 PAULSEN STREET
SAVANNAH
GA
BROWN, ROBERT L
004689 3747 PEACHTREE RD, APT 513
ATLANTA
GA
BROWN, ROBERT MOORE
032136 3 HOSPITAL PARK
MOULTRIE
GA
BROWN, ROGER DEWEY
027003 210 BOBBY JONES EXPRESSWAY
MARTINEZ
GA
BROWN, RONALD
022517 820 ST SEBASTIAN WAY, SUITE 3E
AUGUSTA
GA
BROWN, RUTH CARDWELL
013884 755 MT VERNON H'WAY, SUITE 150
ATLANTA
GA
BROWN, SAMUEL B
015452 #27 LENOX POINTE NE
ATLANTA
GA
BROWN, SAMUEL DEAN
030586 360 HOSPITAL DRIVE, SUITE 215
MACON
GA
BROWN, SANNAGAI ANDRIQUE
036349 68 MORRIS BROWN DR
ATLANTA
GA
BROWN, SOLOMON KLINE
006616 1125 TROUPE ST
AUGUSTA
GA
BROWN, STEVEN HOLLOWAY
031569 3189 PARKRIDGE CRESCENT
CHAMBLEE
GA
BROWN, STUART T
017368 440 WINN WAY P.O. BOX 987, STD PROGRAM, DEKALB BOARD DECATUR
GA
BROWN, TERRY MICHAEL
028735 CRTS, VAMC-UPTOWN, 1 FREEDOM WAY, 32 E 116 A-U
AUGUSTA
GA
BROWN, THOMAS D JR
009777 1075C JESSE JEWELL PKWY, N.E.
GAINESVILLE GA
BROWN, TIMOTHY BONITTO
032100 165 MONTICELLO WAY
FAIRBURN
GA
BROWN, VICKIE ANNETTE MIXON 025115 541 WEST MONTGOMERY STREET, SUITE 24
MILLEDGEVILLE GA
BROWN, WALTER JOHN, JR
009098 BOX 312
WINTERVILLE GA
BROWN, WILLIAM MICHAEL
021653 150 LACY STREET, SUITE B
MARIETTA
GA
BROWN, WILLIAM MORRIS JR
006758 380 HOSITAL DRIVE, SUITE 430
MACON
GA
BROWN, WILLIAM MORRIS, III
029309 917 HERITAGE HILLS
DECATUR
GA
BROWN, WILLIAM OWEN JR
018208 PO BOX 2039
MOULTRIE
GA
BROWN, WILLIAM VIRGIL
034783 EMORY UNIV SCHOOL OF MEDICINE, PO DRAWER AG
ATLANTA
GA
BROWN-JOHNSON, STEPHANIE
024210 5478 HUNTER'S COVE
LITHONIA
GA
BROWNE, CHARLES HAMET
032878 * 743 SPRING STREET, NE
GAINESVILLE GA
BROWNE, PAUL CHRISTOPHER
030967 2675 NORTH DECATUR ROAD, SUITE G-03
DECATUR
GA
BROWNE, RODNEY M
010116 380 HOSPITAL DR, SUITE 100
MACON
GA
BROWNE, THOMAS M
006175 326 PANCRAS ROADS W
MILLEDGEVILLE GA
BROWNING, DONALD GENE
030277 600 PROFESSIONAL DRIVE, SUITE 120
LAWRENCEVILLE GA
BROWNING, JOHN W III
013813 1211 SHERWOOD PARK DRIVE NE
GAINESVILLE GA
BROWNLEE, LINDA MARIE MAMMOSER 035D14 6060 ROCKY SHOALS CT
TUCKER
GA
BROYLES, JOHN ALFRED III
013257 212 HOSPITAL DRIVE, SUITE C
WARNER ROBINS GA
BRUBAKER, JAMES CLAYTON
035828 3208 POST WOODS DRIVE
ATLANTA
GA
BRUBAKER, LEONARD HATHAWAY 010492 2230 OVERTON ROAD
AUGUSTA
GA
BRUCE, CHARLOTTE AUFILL
020020 3051 WALTON WAY
AUGUSTA
GA
BRUCE, DAVID LIONEL
033940 8069 JEFFERSON RIVER RD
ATHENS
GA
30606
17
30105-2302 10
30912-2700 03
30092-2887 32
30907
10
30537-9715 03
30310-1799 17
31561-1203 46
30306
10
30528
10
31030
30038
17
31547
17
30090
06
30001
36
30909
52
30314
05
30309-3203 17
3D075
17
30339
33
30084
25
30501
00
30322
27
31405
17
30319
11
31776
41
30907
01
30901
17
30328
32
30324
33
31201
17
30314
10
30904-4480 36
30341
17
30031
12
30909
33
30501-3814 30
30213
15
31061
06
30683
17
30060
05
31201
41
30033
41
31776
31
30322
17
30038
30501
09
30033
25
31201-3838 15
31061
32
30245
08
30501
11
30084
15
31088
06
30339
15
30904
16
30909
36
30607-3561 03
Page No. 27
NAME
BRUCE, ELIZABETH LYNN BRUCE, JACKSON BERNARD BRUCE, JAMES FREDERICK, JR BRUCE, RONALD JAMES BRUCKNER, BENNETT HOWARD BRUCKNER, HOWARD L BRUDNO, DOUGLAS SPENCER BRUECKNER, LAWRENCE T BRUHN, BENNY FUGLEDE BRULEY, MELISSA CAROLE BRUMLEY, GEORGE WILLIAM BRUNE, CARL WILLIAM BRUNER, BARBARA S BRUNETTE, DAVlD DALE BRUNETTE, JOHN JUDE BRUNO, CHRISTINE JANES BRUNO, KEITH RONALD BRUNO, STEPHEN KIP BRUNS, THOMAS BENJAMIN BRUNS, WILLIAM LUCAS, JR BRUNT, GWYNNE T JR BRUSMAN, HAROLD PAUL BRYAN REGAN, JENNIFER ANN BRYAN, FOSTER CURTIS, II BRYAN, HUNT DAVID BRYAN, JOHN A BRYAN, RALPH THOMAS BRYAN, ROBERT ERIC JR BRYANS, CHARLES I JR BRYANT, BERNARD EDWARD BRYANT, COLIN CALVERT BRYANT, JAMES M JR BRYANT, MILTON F JR BRYANT, VERNON THOMAS BRYANT-BRUCE, CHERYL DENISE BRYNGELSON, HELEN HUTCHINS BRYSON, KEITH GIBSON BUAFO, CHARLES KINGSFORD BUCHANAN, IRIS DIANE ~UCHANAN, LESLIE C BUCHANAN, MICHAEL LAWRENCE BUCHANAN, ROBERT THOMAS BUCHHAMMER, CARLOS R. BUCHHAMMER, MARCELO ERNESTO BUCHNER, EDWARD F. III BUCHOLTZ, JOHN ROBERT BUCHTER, DONA SUZANNE BUCHWALD, IRA PHILIP BUCKLEY, STEVEN LANCE BUCUR, SILVANA ZONIA-YVON BUDA, FRANCIS BENEDICT BUDD, JOHN CARTER BUDDHARI, WACIN BUDELL, JOHN WILLIAM BUDETBAUZA, LYNNETTE BUDLONG, BRENDA DAWSON BUEHLER, JAMES WALTER BUELVAS, RAULS
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
028736 GLENRIDGE MEDICAL OFFICE, 5775 GLENRIDGE RD, BLDG C ATLANTA
GA
035829 CHURCH STREET
BOWMAN
GA
023336 300 MEDICAL DRIVE
LAGRANGE
GA
019818 3051 WALTON WAY
AUGUSTA
GA
034547 696 PIKE ST SUITE 290
LAWRENCEVILLE GA
014605 909 15TH ST
AUGUSTA
GA
027972 PEDIATRICS/NEONATOLOGY DEPT, MEDICAL COLLEGE OF GEORG AUGUSTA
GA
018614 2121 FOUNTAIN DRIVE
SNELLVILLE GA
023279 3889 WIEUCA TER NE
ATLANTA
GA
036265 216 TUXWORTH CIRCLE
DECATUR
GA
023024 3545 TUXEDO DRIVEN E
ATLANTA
GA
029597 3633 WHEELER RD, SUITE 110
AUGUSTA
GA
007905 1328 HANOVER W. DRIVEN W
ATLANTA
GA
038699 5133 SUFFEX GREEN LANE
ATLANTA
GA
037152 PO BOX 200188
CARTERSVILLE GA
038700 706 OGLETHORPE DRIVE
ATLANTA
GA
038701 706 OGLETHORPE DR
ATLANTA
GA
031885 9840 BANKSIDE DRIVE
ROSWELL
GA
037153 844 SAN MIGUEL DRIVE
STONE MOUNTAIN GA
010706 1430 HARPER ST, BLDG A
AUGUSTA
GA
011292 4703 RIVERVIEW ROAD NW
ATLANTA
GA
014162 217 ARROWHEAD BLVD, SUITE C-1
JONESBORO
GA
033040 272 WATERVALE RD
MARTINEZ
GA
032139 2377 CASTLERIDGE COURT
TUCKER
GA
018616 2183 NORTHLAKE PARKWAY# 102
TUCKER
GA
014033 533 DURAND DRIVE NE
ATLANTA
GA
032522 1765 HARTS MILL RD
022122 * 311 JONES MILL ROAD
ATLANTA
GA
STATESBORO GA
004721 2336 MCDOWELL STREET
AUGUSTA
GA
024908 2472 LAUDERDALE DR NE
ATLANTA
GA
038432 4655 OLD ANNISTOWN BRIDGE ROAD
LITHONIA
GA
005294 8 CANTERBURY DRIVE
NEWNAN
GA
007622 3569 DUMBARTON RD., NW
018278 * 815 WHITAKER ST
ATLANTA
GA
SAVANNAH
GA
038702 1675 ROSWELL RD., NE APT 515
MARIETTA
GA
008471 1511 JOHNS ROAD
AUGUSTA
GA
020670 808 GORDON AVENUE
THOMASVILLE GA
023571 770 PINE STREET, SUITE 400
MACON
GA
026834 2400 MT ZION PKWY, SOUTHWOO MED OFFICE
JONESBORO
GA
005295 1000 CASTLE FALLS DRIVE, NE
ATLANTA
GA
038433 APT 1521-1501 CLAIRMONT RD
DECATUR
GA
037767 PO BOX 448
DEMOREST
GA
029598 330 HOSPITAL DR
MACON
GA
026072 330 HOSPITAL DRIVE, SUITE 305
MACON
GA
026473 168 SO MISSION RIDGE DR
ROSSVILLE
GA
025116 6378 CAPE COD DRIVE
COLUMBUS
GA
026228 3890 WIEUCA TERRACE NE
ATLANTA
GA
026229 PEDIATRIC ANESTHESIA SPECIALISTS, 1001 JOHNSON FERRY ATLANTA
GA
037965 1365 CLIFTON RD NE
ATLANTA
GA
038703 3435 N DRUID HILLS RD, APT T
DECATUR
GA
026474 340 BOULEVARD NE, SUITE 404
ATLANTA
GA
030968 4697 LOCK RIDGE CT
KENNESAW
GA
036645 2918 FOUR OAKS DRIVE
ATLANTA
GA
017369 2910-D NORTH DRUID HILLS RD NE
ATL.ANTA
GA
033797 3880 INVERNESS WAY
MARTINEZ
GA
034749 175 MILLER ROAD
CEDARTOWN
GA
026475 1773 VICKERS CIR.
DECATUR
GA
014234 11909-A MCAULEY DRIVE
SAVANNAH
GA
30328
32
30624
10
30240
46
30909
36
30245
11
30901-2677 27
30912
32
30278
46
30342-4312 17
30033
36
30305
32
30909
33
30327-1116 32
30339
33
30120
28
30319
11
30319
00
30076
36
30083
32
30910-3699 15
30327
36
30236
31
30907
03
30084
41
30084
15
30307
31
30341
17
30458
01
30904
15
30345-2231 33
30058
03
30263
01
30327
11
31401-6359 10
30062
10
30904
15
31792
52
31201
17
30236
32
30329
41
30033
17
30535
41
31201
17
31201
17
30741
17
31904
01
30342
32
30363
03
30307-1013 28
30033
53
30312
23
30144
03
30360
17
30329-3919 17
30907
32
30125
10
30030
31419-1709 46
Page No. 28
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BUESE, FRANK ANTHONY
031213 5543 ASHEFORDE WAY
MARIETTA
GA
BUFKIN, BRADLEY LANCE
035831 2066 DREW VALLEY ROAD, NE
ATLANTA
GA
BUGG, GEORGE WENDELL
027506 3614 COLUMBIA PARKWAY
DECATUR
GA
BUKA, NORMAN JOHN
023337 * 777 HEMLOCK STREET
MACON
GA
BUKER, ROBERT HUTCHINSON
032706 3355 LENOX ROAD, SUITE 1000
ATLANTA
GA
BULL, JANET HUNTER
027973 DOUGLAS WOMEN'S CENTER, 880 CRESTMARK DRIVE #200
LITHIA SPRINGS GA
BULLARD, JAMES ROGER
008721 707 SOMERSET WAY, PO BOX 14727
AUGUSTA
GA
BULLARD, LESTER LEON
021481 3966 SHADOWBROOK PLACE
DECATUR
GA
BULLOCK, ANNE CONSTANTIA
032140 68 WADDELL STREET NE
ATLANTA
GA
BULLOCK, DENNIS GAINES
027774 679 HOSPITAL ROAD
COMMERCE
GA
BULLOCK, HUEY GILES
023433 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA
BUMGARNER, JAMES BRUCE
021949 980 JOHNSON FERRY RD NE, SUITE 430
ATLANTA
GA
BUNKER, GORDON FRANK
032707 2904 NOAK
VALDOSTA
GA
BUNTIN, WILLIAM H JR
011295 406 FIRST AVENUE
ALBANY
GA
BUNYAPEN, CHANTRAPA
019243 MCG - PEDIATRICS/NEONATOLOGY DEP, BIW-848, 1120 15TH AUGUSTA
GA
BUNYASARANAND, PRICHA
014687 656 SOUTH 8TH STREET
GRIFFIN
GA
BURBAN, THOMAS
021448 107 WEST POINT DRIVE
ST SIMONS ISLE GA
BURCH, JOSEPH JOHN
033541 38 HUNTINGTON ROAD
ROME
GA
BURCH, KENNETH DWIGHT
025590 121 RIVERVIEW ROAD
SAVANNAH
GA
BURCHFIELD, JOHN ROBERT
036507 1028 EUSTIS DRIVE
AUGUSTA
GA
BURDA, MARIANNE LOUISE
034308 1010 SUMMIT POINTE WAY
ATLANTA
GA
BURDETT, V. RENEE
035573 510 COVENTRY ROAD, #5-A
DECATUR
GA
BURDETTE, FRED M
018618 2300 MANCHESTER EXPRESSWAY, ST FRANCIS MED PARK, BLDG COLUMBUS
GA
BURDGE, LAWRENCE REID, JR.
035016 25 CHATUACHEE CROSSING, THE LANDINGS
SAVANNAH
GA
BURGAMY, CLYDE A
005748 3614-D J. DEWEY GRAY CIRCLE
AUGUSTA
GA
BURGESS, PAULA ABINGTON
024211 1840 MASON MILL ROAD
DECATUR
GA
BURGESS, RUSSELL EARLE
022123 2101 CENTRAL AVE
AUGUSTA
GA
BURGETT-HUGHES, AMY CORA
030022 323 WASHINGTON AVE
SAVANNAH
GA
BURGHER-JONES, JANINE ELISE 030023 6811 RANCH FOREST DRIVE
COLUMBUS
GA
BURGSTINER, CARSON BERTELLE 008723 5354 REYNOLDS STREET, SUITE 304
SAVANNAH
GA
BURK, BILLY DON
013259 1105 N. 5TH AVE
ROME
GA
BURKE, CARZADEAN BERNADETTE 034309 310 GLENWOOD AVES E
ATLANTA
GA
BURKE, KENNETH DEAN
023914 1501 E MILULI AVE
BAINBRIDGE GA
BURKEN, RUSSELL RAY
030438 DEPT OF DERMATOLOGY, 800 EAST DOYLE STREET
TOCCOA
GA
BURKET, ROGER CLAIR
037966 805 WOODBERRY DRIVE
EVANSSVILLE GA
BURKS, CHESTER ARTHUR, JR.
033542 5426 MEMORIAL DRIVE, SUITE 102
STONE MOUNTAIN GA
BURKUS, JOHN KENNETH
037157 6262 HAMILTON ROAD
COLUMBUS
GA
BURLEIGH, BRUCE D
004602 212 AUSTIN AVE, NE
MARIETTA
GA
BURLESON, JAMES WELDON
016028 2675 NORTH DECATUR RD, #309
DECATUR
GA
BURLEY, CATHERINE ELAINE HUGHE 026230 370 BANKS ROAD
FAYETTEVILLE GA
BURNETT, CLAUDE A III
016885 145 HOMESTEAD DRIVE
ATHENS
GA
BURNETT, CLIFFORD F III
015356 370 JUNCTION TRACK
ROSWELL
GA
BURNETT, JETTIE MARITA
024783 6170 OLD NATIONAL HWY
COLLEGE PARK GA
BURNETT, MIRIAM JULIETTE
037158 58 HOSPITAL ROAD, SUITE 109
NEWNAN
GA
BURNETT, WILLIAM ELTON
020413 * 1533 PLEASANT HILL ROAD, SUITE 100
DULUTH
GA
BURNETTE, JOSEPH JOSHUA
033286 PO BOX 1686
ALBANY
GA
BURNETTE, ROBERT EUGENE
015357 605 SUMMERGLEN DRIVE
UNION CITY GA
BURNHAM, JAMES W JR
007445 2864 FOREST RIDGE DRIVE
MACON
GA
BURNHAM, ROBERT DUKE
031886 5501 CHAMBLEE-DUNWOODY ROAD
DUNWOODY
GA
BURNS, DAVID ANDREW
037159 S.W. HOSP. DEPT. ANESTHESIOLOGY, 501 FAIRBURN ROAD, S ATLANTA
GA
BURNS, JAMES B
010879 70 TOWER RD
MARIETTA
GA
BURNS, JAMES R JR
009979 660-F LANIER PARK DRIVE
GAINESVILLE GA
BURNS, JOHN ASBURY
019646 P.O. BOX 2979
GAINESVILLE GA
BURNS, JOHN KNOX III
005548 858 GLENWOOD DRIVE
GAINESVILLE GA
BURNS, JOLITA CELINE
035218 2104 CROSSING DRIVE
LITHIA SPRINGS GA
BURNS, MARK NOEL
028510 208 BYRON PLANTATION RD
ALBANY
GA
BURNS, MARY TERESA
037160 403 MONTGOMERY FERRY
ATLANTA
GA
BURNS, MATTHEW LYNWOOD
009445 16 DOGWOOD ROAD
NEWNAN
GA
30068
08
30319
41
30034
21
31210
30326
41
30057
30919-0727 03
30034
10
30307
17
30529
10
30914-3845 36
30342
31602
10
31702
03
30902
32
30223
06
31522
17
30165
36
31410
32
30904-3123 03
30329
15
30030
33
31904
48
31411
15
30909
15
30033
ci8
30904
19
31405
00
31904
10
31405
15
30165
15
30312
32
31717
17
30577
06
30809
33
30083
15
31908-9517 46
30060
10
30033
03
30214
17
30605
35
30075
17
30349
27
30263
17
30136
10
31707
41
30291
31
31204
10
30338
32
30331
03
30060
12
30505
10
30503
03
30501
15
30057
15
31707
31
30309
33
30263
41
Page No. 29
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of Oc,ober, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
BURNS, PETER FRANCIS
038190 980 JOHNSON FERRY ROAD, SUITE 860
ATLANTA
GA
BURNS, ROBERT ALEXANDER
024400 1904 COVENTRY
DALTON
GA
BURNS, WILLIAM BRANTLEY JR 010117 35 COLLIER ROAD NW, SUITE 775
ATLANTA
GA
BURNSIDE, EDWARD HALE, II
030969 * 102 HOSPITAL CT, P.O. BOX 1629
CALHOUN
GA
BURR, MAX E
014606 6262 HAMILTON RD
COLUMBUS
GA
BURRELL, DONNA ELIZABETH
038704 6201 RIVER RD, APT 303
COLUMBUS
GA
BURRELL, MATTHEW OSMOND
017998 980 JOHNSON FERRY RD NE, SUITE 900
ATLANTA
GA
BURRELL, ZEB LEE, JR.
006620 50 CHESTNUT STREET
ELBERTON
GA
BURROUGHS, FLEMING
020968 715 N. LEE ST. P.O. BOX1717
AMERICUS
GA
BURSON, ERNEST NAPIER, JR
004723 5669 PEACHTREE DUNWOODY RD NE, SUITE 210
ATLANTA
GA
BURSON, JAMES GERALD
034785 3090 STRATFORD GREEN LANE
AVONDALE ESTA GA
BURSON, JOHN HENRY III
017779 802 DIXIE STREET
CARROLLTON GA
BURSON, MARK LLOYD
036112 3280 HOWELL MLL ROAD NW, NW MEDICAL BLDG - SUITE 331 ATLANTA
GA
BURSTEIN, FERNANDO DAVID
032141 975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA
GA
BURTNER, DAVID EMERSON
024657 1550 COLLEGE STREET, MERCER UN SCH OF MEDICINE
MACON
GA
BURTON, CHARLES GEORGE
008725 COLISEUM PHYSICIANS CTR STE 310, 310 HOSPITAL DRIVE MACON
GA
BURTON, CHARLES HOWARD, JR. 023025 3852 HIGHGREEN DRIVE
MARIETTA
GA
BURTON, EDWARD MILES
015191 DEPT OF RADIOLOGY - BAN-153, MEDICAL COLLEGE OF GEORG AUGUSTA
GA
BURTON, INDIA JEAN
037496 309 CALIBRE WOODS DRIVE
ATLANTA
GA
BURTON, JOSEPH LAWSON
014892 4285 MEMORIAL DRIVE, SUITE C
DECATUR
GA
BURTON, MICHAEL ERICK
033042 1396 NORTH CROSSING DRIVE
ATLANTA
GA
BURTON, NORRIS KENT
031888 PO BOX 546, SUITE A, PERRYHOUSE ROAD
FITZGERALD GA
BURTON, ROBERT JAMES, JR.
033543 1619 DEFOORS WALK
ATLANTA
GA
BURTONIWINSKI, LESLEY TERESA 030588 272 HILLBROOK DRIVE
MARTINEZ
GA
BURWEN, DALE ROBIN
034549 3427 A NORTH DRUID HILLS RD
DECATUR
GA
BUSBEE, PERRY G JR
006377 714 23RD AVE EAST
CORDELE
GA
BUSBEE, PERRY GREENE, III
025119 165 VANN STREET
MARIETTA
GA
BUSCH, MICHAEL THOMAS
028252 13 WESTFAIR COURT
ATLANTA
GA
BUSEY, THOMAS JESSE JR
008047 1441 HELMER ROAD
RIVERDALE
GA
BUSH, DWANA MARIE
024784 90 WEST WEUICA RD., NE, SUITE 109
ATLANTA
GA
BUSH, JAMES LESESNE
003391 582 SOUTHERN PINES ROAD
DUBLIN
GA
BUSH, LEON HAYS
010119 1507 ANTHONY RD
AUGUSTA
GA
BUSH, OLIVIA DENISE
033544 404 WASHINGTON STREET
GRIFFIN
GA
BUSH, ROBERT HERRIOTT
020671 6664 WOODBERRY ROAD
COLUMBUS
GA
BUSS, RANDALL WILLIAM
030731 1825 MARTHA BERRY BLVD
ROME
GA
BUSSEY, DAVID ALAN
035574 225 MILLBROOK ROAD
MARTINEZ
GA
BUSSEY, JOHN ROBERT
017142 1938 PEACHTREE RD. NW, SUITE 406
ATLANTA
GA
BUSSEY, JOSEPH GIBSON, JR
010880 5990 LOVE ST, AUSTELL HOSPITAL
AUSTELL
GA
BUTLER, ADRIENNE BULICK
023434 1306 TRUMAN ST
WAYCROSS
GA
BUTLER, CHARLES WESLEY JR
009651 980 JOHNSON FERRY RD NE, SUITE 620
ATLANTA
GA
BUTLER, CRAIG DAMIEN
018209 1122 W. BROAD AVENUE
ALBANY
GA
BUTLER, ELIZABETH DARSEY
025728 478 PEACHTREE STREEET, N.E., SUITE 107-A
ATLANTA
GA
BUTLER, JACK ALLISON
021901 PO BOX 350
UNADILLA
GA
BUTLER, JAMES CLARK
037497 26 LARUE PLACE, NW
ATLANTA
GA
BUTLER, JAY CLARENCE
037498 3953 ST MARK'S COURT
TUCKER
GA
BUTLER, JOHN EDWARD
023435 1508 TEBRAU ST.
WAYCROSS
GA
BUTLER, JOSEPH K.M.
031391 PO BOX 4967
MACON
GA
BUTLER, ROBERT NICHOLAS, JR 037161 2916 BROOKHAVEN VIEW
ATLANTA
GA
BUTLER, SHIRLEY ANN
018789 2555 BOLTON ROAD, SUITE 12
ATLANTA
GA
BUTLER, THOMAS WALKER
019915 P O BOX 7563
ATHENS
GA
BUTLER, WALTER H
009102 4770 HARRIS TRAIL, N.W.
ATLANTA
GA
BUTLER-SUMNER, SUSAN MEREDITH 029851 16-A ALABAMA ST.
CAVE SPRING GA
BUTT, KATHLEEN SUZANNE
027775 210 RUTLAND COURT
ATLANTA
GA
BUTT, WILLIAMS BARNES
031215 4612 MULBERRY CREEK
EVANS
GA
BUTTERFIELD, ARTHUR E
010042 PO BOX 667
CALHOUN
GA
BUTTS, CALVIN L
018619 809 MERIWEATHER DRIVE
SAVANNAH
GA
BUTTS, JAMES ALLEN
009103 710 BROAD ST SE
GAINESVILLE GA
BUTTS, JAMES ALLEN
036508 715 JESSE JEWELL PARKWAY, SUITE 301
GAINESVILLE GA
30342- 5 41
30720
30367
17
30701-2077 17
31995-3299 46
31904
17
30342-1607 19
30635
17
31709
17
30342-1701 11
30002
30
30117
30
30327
52
30342-1619 47
31207
31201
41
30068
15
30912-3900 36
30329
17
30032
31
30329
17
31750-0546 10
30318
03
30907
10
30033
17
31015
10
30060
15
30328
46
30296
52
30342
31021
11
30904
17
30223
17
31904-2298 11
30165
41
30907
17
30309
08
30001-4095 41
31501
30342-1607 15
31707
10
30308-3106 17
31091
10
30327
28
30084
17
31501
31208
33
30319-5403 08
30318
10
30604
36
30327-4410 03
30124
01
30350
15
30809
36
30703
15
31406
11
30501
17
30501
41
Page No. 30
NAME
BUXTON, HUBERT RIVIERE III BUXTON, HUBERT RIVIERE JR BYARS, WILLIAM PERSHING JR BYAS-SMITH, MICHAEL GARY SYCK, DAVID BOLEY SYCK, PEGGY LEE BYERS, KENNETH WAYNE BYERS, OWEN C BYNE, EDMUND GORDON, JR. BYNES, FRANK HOWARD, JR BYRD, BEVERLY ANN BYRD, JAMES COZBY, III BYRD, JEFF W BYRD, MARCIA VIRGINIA BYRD, MILTON DANIEL BYRER, DOROTHY LYNN ELTON BYRNES, WILLIAM FREDERICK BYTELL, DAVID EARL
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
025592 380 HOSPITAL DR - SUITE 465, PO BOX 2564
MACON
007765 380 HOSPITAL DRIVE SUITE 465, PO BOX 2564
MACON
020672 1126 MEDICAL CENTER DRIVE
AUGUSTA
031715 535 EAST PONCE DE LEON AVE
DECATUR
032879 4750 WATERS AVE, SUITE 400
SAVANNAH
032880 404 HERB RIVER DRIVE
SAVANNAH
020969 10 HOSPITAL CIRCLE
ROME
018279 PO BOX 686
DEMOREST
024786 WASHINGTON CROSSING MEDICAL CTR, 2929 WASHINGTON ROAD AUGUSTA
036932 703 NOBLE OAK DRIVE
SAVANNAH
030025 315 WINN WAY
DECATUR
033043 CENTRAL PARK BLDG 200, 340 EISENHOWER DRIVE
SAVANNAH
018100 322 E WASHINGTON ST, APT 3
THOMASVILLE
023141 * 11050 CRABAPPLE RD, SUITE 105-B
ROSWELL
010494 414 BAPTIST PROFESSIONAL BLDG., 340 BOULEVARD, NJ. E. ATLANTA
035575 P.O. BOX 1479 - E. MAIN ST.
BLUE RIDGE
011297 2845 DUKE OF GLOUCESTER
EAST POINT
021950 1511 ANTHONY ROAD
AUGUSTA
GA 31203
03
GA 31203
03
GA 30909
15
GA 30030
03
GA 31404-6270 15
GA 31406
17
GA 30165
17
GA 30535
01
GA 30909
GA 31406
17
GA 32208
00
GA 31406
33
GA 31792
31
GA 30075- 2458 17
GA 30312
17
GA 30513
10
GA 30344
03
GA 30904
30
CABALLERO, IVAN ROBERTO CABANAS, ISRAEL J., JR CABANISS, WILLIAM H JR CABASARES, HORATIO V CABEZAS-MOYA, RODRIGO CABOT, ANTHONY CABOT, WILLIAM D CABRAL, JUSTO FERNANDO, JR. CABRERA-RAMIREZ, LORENZO CACCHIOLI, LOUIS G CADENHEAD, DAVID JAMES CADET, MCARTHUR CADIER, THOMAS ROCHE CADY, MARY IRENE CAGGIANO, CHRISTINE MICHELE CAHN, BERNARD J CAIN, AMANDA CAIN, ROBERT THOMAS CALCUTT, ANDREW FENTERS CALCUTT, VONDA GILGEN CALDERBANK, JAMES BLAKE CALDWELL, ALICE ANN LITTLE CALDWELL, ALTON B CALDWELL, CRAIG CALDWELL, JOHN PRICE CALDWELL, LINA BONITA CALDWELL, WILLIAM BRUCE CALHOUN, ALONZO DOUGLAS CALHOUN, CHARLES LEWIS CALHOUN, CLARENCE CALHOUN, CLYDE R JR CALHOUN, FRANK BIVINS CALK, THOMAS EVERARDE CALLAGHAN, KATHLEEN MARIE CALLAHAN, DAN CALLAHAN, DANIEL FRANCIS
-c-
014336 3355 COLLEGE AVE 037769 1130 PIEDMONT AVE., NE, APT 708 008253 1010 PRINCE AVE 018280 108 JILL CREST 016457 5669 PEACHTREE DUN~OODY RD NE, SUITE 130 018210 582 CONCORD RD, SUITE C 016887 3903 SOUTH COBB DRIVE, SUITE 104 024402 505 N. CHURCH STREET 017676 582 CONCORD ROAD, SUITE A 005664 202 W HOWELL ST 031716 * 5485 WG ROBINSON ROAD 038436 SOUTHWOOD MEDICAL OFFICE, 2400 MT ZION PARKWAY 016320 4555 N SHALLOWFORD RD, SUITE 102 019647 4451 PAULSEN STREET 038437 1489 OAKRIDGE COURT 014337 38 HIDDEN VALLEY LANE SE 037770 453 NEW ST 006872 907 N COURT ST 035391 839 WERA PLACE 036509 839 WERA PLACE 036693 CANE CREEK VALLEY RD, RR5 BOX 327 024910 3119 TRAFALGAR DRIVE 013538 4404 RIVERCLIFF DR 021658 97 MARTIN LUTHER KING JR DR 026478 3119 TRAFALGAR DRIVE 020168 615 GREYSTONE PARK, NE 029151 4404 RIVERCLIFF DRIVE 013017 THE MEDICAL TOWER - SUITE 410, 425 - 3RD AVE 017594 PO BOX 4276, 2000 - 10TH AVE - SUITE 400 023918 801 HIGHLAND AVENUE 018367 993 JOHNSON FERRY RD NE, BLDG D SUITE 270 018281 1072 BUCKNER ROAD 027507 1901 CENTURY BLVD.,NE #20 037499 1410 N CROSSING WAY 006873 140 WOODCREST CIRCLE 033044 5505 PEACHTREE DUNWOODY RD NE, SUITE 370
Page No. 31
COLUMBUS
GA
ATLANTA
GA
ATHENS
GA
PERRY
GA
ATLANTA
GA
SMYRNA
GA
SMYRNA
GA
HOMERVILLE GA
SMYRNA
GA
HARTWELL
GA
GAINESVILLE GA
JONESBORO
GA
DUNWOODY
GA
SAVANNAH
GA
DECATUR
GA
CATERSVILLE GA
MACON
GA
QUITMAN
GA
MACON
GA
MACON
GA
DAHLONEGA
GA
AUGUSTA
GA
LILBURN
GA
FORSYTH
GA
AUGUSTA
GA
ATLANTA
GA
LILBURN
GA
ALBANY
GA
COLUMBUS
GA
ALBANY
GA
ATLANTA
GA
RINGGOLD
GA
ATLANTA
GA
DECATUR
GA
WARNER ROBINS GA
ATLANTA
GA
31907
33
30309
10
30606
06
31069
41
30342-1701 48
30082
28
30080
46
31634
17
30082
15
30643
10
30506
33
30236
10
30338-6403 28
31405
17
30033
17
30120
06
31201
17
31643
01
31210
41
31210
17
30533-9685 03
30909
17
30247
03
31029
17
30909
01
30324
17
30247
03
31701
00
31904
27
31701
30342-1645 25
30736
08
30345
32
30033-4162 15
31093
01
30342-1713 34
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CALLAHAN, LEIGH ANN PURYEAR CALLAHAN, WILLIAM T CALLAN, DONNA JOAN CALLAWAY, JUAQUITA DELETTE CALLE, ROBERTO A CALLENDER, ODETTE VERONICA CALLINS, WILLIS PAUL CALVERT, JOHN RANDOLPH CALVERT, STEPHEN EUGENE CAMACHO, VICTOR MIGUEL CAMBLOR, GONZALO CAMERON, EDWARD CHRISTIAN CAMP, WILLIAM ROBERT CAMPA, JOSE CASTILLO CAMPAGNA, JAMES HARRISON CAMPANA, HERNAN ABELARDO CAMPBELL, BRENT BARTON CAMPBELL, CARLOS CLINTON CAMPBELL, DONALD HENRY CAMPBELL, DOUGLAS CAMPBELL, ELEANOR WALA!TIS CAMPBELL, JULIA ANN YOUNG CAMPBELL, LOGAN RAY CAMPBELL, MARY LYNN CAMPBELL, ORVILLE CLIFTON CAMPBELL, ROBERT CARLTON CAMPBELL, ROBERT DAVID CAMPBELL, ROBERT MARSHALL CAMPBELL, ROBERT WALLACE CAMPO, MODESTO LEONARDO CANCEL, ANGEL RAFAEL CANEDO, JOSE ALFONSO CANERIS, ONASSIS ANTHONY CANNING, SUZANNE CANNON, CLIFTON LAMAR CANNON, DEBRA JEAN CANNON, LINDA JEAN CANNON, PHILIP JOHN CANNON, ROBERT MINNICK CANNON, SHEILA ELAINE CANO, ORLANDO L CANTALAPIEDRA, SUSANA CANTRELL, DAVID MARION CANTRELL, EVERETT A. CANTRELL, FORREST CLARK, JR. CANTWELL, JOHN D CAPALLO, DAVID VINCENT CAPATI-MAGAT, ZENAIDA CAPERS, QUINN, IV CAPLAN, DANIEL BENNETT CAPLAN, GERALD E CAPLAN, HOWARD NEIL CAPLAN, STUART HARLAN CAPO, JAMES PATRICK JR CAPONE, ANTONIO, JR CAPPARELL, ROBERT CAPPS, RAYMOND LEE CAPPS, WILLIAM IRWIN
028033 3125 NATALIE CIRCLE
AUGUSTA
GA
014469 710 BROAD ST SE
GAINESVILLE GA
033045 884 CARLTON RIDGE NE
ATLANTA
GA
033289 1681 FRAZIER PARK DRIVE
DECATUR
GA
037500 4218 KNOLLCREST CIRCLE SOUTH
MARTINEZ
GA
032708 PO BOX 7008
COLUMBUS
GA
019917 4288 MEMORIAL DR, SUITED
DECATUR
GA
009652 905 LOST FOREST DRIVE
ATLANTA
GA
035219 6148 TRAVELER COURT
ST MOUNTAIN GA
023720 PO BOX 767429
ROSWELL
GA
012883 PO BOX 1184
SMYRNA
GA
022521 4053 LA VISTA ROAD, SUITE 200
TUCKER
GA
018882 75 PIEDMONT AVE NE
ATLANTA
GA
012682 3018 NORTH PATTERSON STREET
VALDOSTA
GA
033806 MOULTRIE ANES. CONSULTANTS, PC, P.O. BOX 2069
MOULTRIE
GA
030028 1710 TIMBERLAND ROAD
ATLANTA
GA
035021 2882 GREENBUSH PLACE, NE
ATLANTA
GA
023436 1690 TIMBERLAND ROAD,N E
ATLANTA
GA
017782 PO BOX 369
AUSTELL
GA
023920 2890 DELK ROADTRAIL, NW
MARIETTA
GA
033741 4085 ESSEX DR.
CUMMING
GA
037771 5247 ESSEX FARMS LANE
ST MOUNTAIN GA
012241 105 ROLLINGWOOD DR
ATHENS
GA
032526 2200 FOUNTAIN DRIVE
SNELLVILLE GA
035220 3619 STEDMAN PLACE
DULUTH
GA
032527 PO BOX 968
HAWKINSVILLE GA
022522 * 1033 EAST FORSYTH STREET
AMERICUS
GA
030029 285 BOULEVARD, N.E., SUITE 140
ATLANTA
GA
035577 102 HOSPITAL DRIVE
WARNER ROBINS GA
017512 207 HENDRIX STREET, P.O. BOX 1089
MILLEN
GA
025501 840 PINE STREET, SDUITE 700
MACON
GA
032356 W GA NEURO ST FRANCIS MED PK, BLDG H-103 2300 MANCH COLUMBUS
GA
037163 ROME NEUROSPINL CTR, 304 SHORDER AVE,# 201
ROME
GA
032882 1090 SOUTH MILLEDGE AVENUE
ATHENS
GA
009448 4 JACKSON BLVD
SAVANNAH
GA
033545 * 25309 PLANTATION DRIVE, NORTH EAST
ATLANTA
GA
030972 956 WASHINGTON PL SW
ATLANTA
GA
029853 1466 PEACHTREE BATTLE AVE
ATLANTA
GA
033046 700 SUNSET DRIVE, SUITE 503
ATHENS
GA
032528 1930 ENON PINES DRIVE
ATLANTA
GA
014995 PO BOX 1266
FAYETTEVILLE GA
036115 2336 GOODWOOD BLVD
SMYRNA
GA
032883 166 VANN STREET
MARIETTA
GA
019648 4995 DUBLIN DRIVE, SW
ATLANTA
GA
028948 3911 MULKEY WAY
AUSTELL
GA
014789 1615 E SUSSEX RD NE
ATLANTA
GA
019649 5400 SUTLIVE STREET
SAVANNAH
GA
018000 2819 ROLLING VIEW DRIVE
JONESBORO
GA
038192 1593 CLIFTON DOWNS DR SE
ATLANTA
GA
012242 2040 RIDGEWOOD DRIVE NE
ATLANTA
GA
007166 5223 PAULSEN ST
SAVANNAH
GA
015916 P.O. BOX 434
HARDWICK
GA
032885 1502 CHATTANOOGA ROAD
DALTON
GA
022363 5505 PEACHTREE DUNWOODY RD NE, SUITE 650
ATLANTA
GA
031890 THE EMORY CLINIC, 1327 CLIFTON ROAD NE
ATLANTA
GA
022523 5671 PEACHTREE DUNWOODY RD NE,# 540
ATLANTA
GA
028385 330 TURNER MC CALL BLVD, SUITE 102
027777 * 807 SOUTH ISABELLA STREET
ROME
GA
SYLVESTER
GA
30909
34
30501
11
30342
08
30033
15
30907-1634 09
31908
27
30032-1213 30
30328
03
30087
31
30076-7429 17
30081
31
30084
17
30303
41
31602
28
31776-2069 03
30345
00
30345
52
30345
30001
41
30067
30130-8737 10
30088
17
30605
33
30278
15
30136
17
31036
41
31709
10
30312
31088
36
30442
17
31201
17
31904
23
30165
23
30305
33
31405
44
30324
33
30314-2905 32
30327
08
30606
41
30331
33
30214-6266 15
30080
17
30090
17
30331
08
30001
32
30306
17
31405
41
30236
32
30316-4056 17
30322
32
31405
36
31034
32
30722
36
30342-1713 17
30322
27
30342-5000 17
30165
23
31791
10
Page No. 32
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CAPUT, WILLIAM GEORGE
024658 475 TIMBER WOLF TRAIL
MARTINEZ
GA
CAPUTI, RAFAEL AUGUSTO
037967 1399 EMORY RD, NE
ATLANTA
GA
CAPUTO, RAYMOND VINCENT
019492 960 JOHNSON FERRY RO NE, SUITE 226
ATLANTA
GA
CAPUY, HALBERT C
022925 625 HIGH HAMPTO DRIVE
AUGUSTA
GA
CAPUY, LIVIA M
036646 625 HIGH HAMPTON DRIVE
AUGUSTA
GA
CARABAJAL, NESTOR RAMON
018470 5669 PEACHTREE DUNWOODY RD NE, SUITE 390
ATLANTA
GA
CARAGHER, JOAN ELLEN
037772 1149 VILLA DRIVE, NE, APT 1
ATLANTA
GA
CARAS, DAVID SARANOOS
034552 2003 SILVASTONE OR
ATLANTA
GA
CARAS, THOMAS S
012884 641 CHURCH ST
MARIETTA
GA
CARATAO, OFELIA CAUSING
034116 333 ALCOVA ST - SUITE 5, PO BOX 1469
MONROE
GA
CARAWAY, BENJAMIN DOWLING
036510 1514 HOWELL HIGHLANDS DRIVE
STONE MOUNTAIN GA
CARBAUGH, ROBERT GARY
013883 914 CARRIE OR
WAYCROSS
GA
CARDENAS, RODOLFO MARIO
030282 6032 WYNDHAM WOODS DRIVE
POWDER SPRINGS GA
CARDENAS-MOLINA, FRANCISCO JAV 024788 1700 HOSP. S. DRIVE SW, SUITE 401
AUSTELL
GA
CARDIN, MARY JEAN
010497 4800 COPPEDGE TRAIL
DULUTH
GA
CARDOSO, DAVID
010403 108 LIVE OAK LANEN E
MILLEDGEVILLE GA
CARGILE, ROBERT MICHAEL
034310 3820 SWEETWATER DRIVE
CUMMING
GA
CARICO, JAMES MILTON
010404 PO BOX 2450
THOMASVILLE GA
CARLIN, RICHARD
018471 2347 LENORA CHURCH RD
SNELLVILLE GA
CARLISLE, JEFFREY ALAN
037164 5648 CADWELL COURT
NORCROSS
GA
CARLISLE, OSCAR BURTON
011209 3169 MAPLE DRIVE, NE
ATLANTA
GA
CARLOCK, KELLER S
010884 2525 CUMBERLAND PARKWAY
ATLANTA
GA
CARLSON, ANDREW CHARLES
034554 201 -A REESE STREET, PO BOX 664
AMERICUS
GA
CARLSON, GLEN SHERMAN
032149 90 LAUREL FOREST CIRCLE, N.E.
ATLANTA
GA
CARLSON, GRANT WALTER
025122 1327 CLIFTON ROAD NE
ATLANTA
GA
CARLSON, HAROLD DANIEL
027508 100 10TH ST NW
ATLANTA
GA
CARLSON, JAMES LEE
027778 5667 PEACHTREE DUNWOODY RD NE, SUITE 240
ATLANTA
GA
CARLSON, KAREN RUTH TRULSON 032827 3164 KINGS ARMS COURT
ATLANTA
GA
CARLSON, LAURA CHRISTY
037501 2501 CARRIAGE CREEK
AUGUSTA
GA
CARLSON, THEODORE JOHN
034118 4750 WATERS AVE, SUITE 512
SAVANNAH
GA
CARLTON, DEBRA GAY
033546 3805 IVY ROAD
ATLANTA
GA
CARLTON, FRANKE
009449 340 EISINHOWER DRIVE, 1510 CENTRAL PARK
SAVANNAH
GA
CARMAN, JOHN SCOTT
023143 * 4000 CUMBERLAND PARKWAY, BLDG 100, SUITE A
ATLANTA
GA
CARMICHAEL, GRANT PERRY
009105 RT 3, BOX 3294-6
CLARKESVILLE GA
CARMICHAEL, SANDRA JEAN
036116 ROUTE 2 BOX 214D
RISING FAWN GA
CARMICHAEL, STEPHANIE CALLOWAY 036053 5179 OAKTREE TRAIL
LITHONIA
GA
CARNES, ALAN KEITH
031217 401 SARAH LANE
LAWRENCEVILLE GA
CARO, ARMANDO IVAN
034312 PO BOX 1161
AMERICUS
GA
CARPENT~R, HARRIS DEITZ
013732 770 PINE ST, SUITE 520
MACON
GA
CARPENTER, PAUL ROBERT
023031 P.O. BOX 2450
THOMASVILLE GA
CARPENTER, RICHARD OWEN
037165 5450 ERROL PLACE
ATLANTA
GA
CARPENTER, ROBERT HENLEY SR 009708 2730 CAMILLE DRIVE
COLUMBUS
GA
CARPENTER, SUSAN ELLEN KOEHLER 037502 5450 ERROL PLACE
ATLANTA
GA
CARPENTER, WALTER ALAN
029312 3171 BOXWOOD DRIVEN E
ATLANTA
GA
CARR, ALBERT A
011846 HYPERTENSION SECTION, AF-2033, MEDICAL COLLEGE OF GA. AUGUSTA
GA
CARR, CLARENCE DELL
027509 6315 CHESTNUT HILL ROAD
FLOWERY BRANCH GA
CARR, DANIEL JOSEPH
023572 3200 DOWNWOOD CIRCLE, SUITE 125
ATLANTA
GA
CARR, FELICIA GLORIA MORGAN 028190 4849 PAULSEN ST SUITE 204
SAVANNAH
GA
CARR, JAMES ANTHONY
028949 4849 PAULSEN ST SUITE 204
SAVANNAH
GA
CARR, JOHN PAUL
015655 120 WOOD CREEK DR
MARTINEZ
GA
CARR, JOHN STEPHAN
025952 1945 COLLAND DR!VE NW
ATLANTA
GA
CARR, RICHARD DEAN
012302 475 GREYSTONE LANE
DOUGLASVILLE GA
CARRASCO, ENRICO DEDERICK
005298 5261 EAST HWY 16
SENOIA
GA
CARRIGAN, WILLIAM THOMAS
034556 440 CHARTER BOULEVARD, SUITE 2202
MACON
GA
CARRILLO, PETER JOSEPH
019374 335 ASHTON DRIVE
ATHENS
GA
CARRINGTON, HELEN ELAINE
035221 2733 RAINBOW FOREST DRIVE
DECATUR
GA
CARRIZALES, EVA DOLORES
032887 216 BANKS CROSSING, #142
FAYETTEVILLE GA
CARROLL, CHERYL ANN KENNEDY 025731 2827 CROSS COUNTRY HILL
COLUMBUS
GA
30907-8950 17
30306
17
30342-1695 06
30907
32
30907
10
30342-1701 40
30306
08
30345
05
30060
17
30655
32
30087
23
31501
03
30073-4273 08
30001
11
30136
32
31061
15
30131
08
31799
36
30278-6907 27
30092
27
30305
27
30339
32
31709
32
30342-4106 31
30322
53
30309-3846 05
30342-1725 03
30345
03
30909
08
31404
53
30342
17
31406
49
30339
30523
10
30738
08
30038
15
30245
03
31709
03
31201
52
31799
36
30327
33
31906-1242 25
30327
15
30345
36
30912-3150 17
30542
10
30327
31405
10
31405
15
30907
10
30318
17
30134
35
30276
31210
30606
32
30034
17
30214
21
31906
21
Page No. 33
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CARROLL, DALE ALAN
018003
CARROLL, HENRY BANKS
019652
CARROLL, JAMES EDWIN
026236
CARROLL, KELLI ANN
036350
CARROLL, KENNETH THOMAS
018369
CARROLL, KIMBERLY SUE
033047
CARROLL, MICHAEL SCOTT
015537
CARROLL, SCOTT KEVIN
027779
CARRUTH, JOSEPH ENOCH
019653
CARSON, GORDON CUBBEDGE III 010886
CARSON, JAMES MAXWELL
007168
CARSON, JOHN DAVIDSON
016321
CARSPECKEN, HAROLD HUTSON
016890
CARSTENS, NEIL THOMAS
036935
CARSWELL, CHRISTOPHER DREW 030283
CARSWELL, JAMES JOSEPH III
013733
CARSWELL, NELSONS JR
007771
CARSWELL, THOMAS WILLIAM
026238
CARTER, CLINTON ANDREW
036695
CARTER, DAVID KEY
016322
CARTER, DEBORAH LYN
020674
CARTER, EDWARD FENTON III
020414
CARTER, FRANKL., JR
031218
CARTER, JAMES ANDERSON
012885
CARTER, JAMES GARY
019245
CARTER, JAMES HENRY, JR.
024404
CARTER, JEROME HAMPTON
033548
CARTER, JOHN EDWYN
037971
CARTER, JOHN LEROY JR
019920
CARTER, LARRY WAYNE
036511
CARTER, LEON VIRGIL, JR.
007169
CARTER, LOREN JAMES, JR.
014167
CARTER, MARILYN YVONNE
037166
CARTER, MELODY CECILIA
026239
CARTER, MICHAEL PRESTON
017014
CARTER, MILLARD GARY
012434
CARTER, OTHA B JR
011848
CARTER, PAMELA ANN
019874
CARTER, RICHARD ALLAN
038439
CARTER, RICHARD FORD
025733
CARTER, ROBERT A
009106
CARTER, ROBERT GLENN
021659
CARTER, ROBERT HAROLD
008397
CARTER, ROY GEORGE
015918
CARTER, SANDY B.
004365
CARTER, SANDY BAXTER, JR.
013206
CARTER, STEPHEN LYALL, II
024659
CARTER, TIMOTHY EDWARD
037167
CARTER-STINSON, STEPHANIE DIAN 036936
CARTER-WICKER, KITTY BRIGITTA 037503
CARUANA, RALPH JOHN
019494
CARUSO, MICHELA
038705
CASAL, LOUIS ADOLPH
035579
CASALS, LEON CLIMACO, JR
037773
CASALS, MARY MONALEE CENIZA 036696
CASANOVA, EMMA
032888
CASANOVA, MANUEL FERNANDO
035834
CASANOVA, ROBERTO LUIS
038706
507 CAMBRIDGE WAY
MARTINEZ
GA
2737 C WARM SPRINGS ~uAD
COLUMBUS
GA
MEDICAL COLLEGE OF GEORGIA, SECTION OF CHILD NEUROLOG AUGUSTA
GA
771 NORTH PARKWOOD RD
DECATUR
GA
11 DUNWOODY PARK, SUITE 110
DUNWOODY
GA
4695 GUILFORD FOREST DR
ATLANTA
GA
6667 VERNON WOODS DR NE, SUITE A-30
ATLANTA
GA
110 CEDAR POINT
PEACHTREE CITY GA
104 FAIRVIEW PARK DR
DUBLIN
GA
3090 HWY 20 SOUTH SE
CONYERS
GA
1859 BEDFORDSHIRE COURT
DECATUR
GA
SIX COUNTRY CLUB DRIVE
SAVANNAH
GA
77 COLLIER RD NW, SUITE 2030
ATLANTA
GA
PO BOX 2968
THOMASVILLE GA
530 WEST THOMAS STREET
MILLEDGEVILLE GA
818 ST SEBASTIAN WAY, SUITE 403
AUGUSTA
GA
MED ARTS CTR
DUBLIN
GA
214 GREEN SPRINGS DRIVE
PALMETTO
GA
4917 TERRACE GREEN WAY
STONE MOUNTAIN GA
2307 WINCHESTER ROAD
ALBANY
GA
1092 BROOKHAVEN SQUARE NE
ATLANTA
GA
509 PINEHILL RD
GRIFFIN
GA
213 OAK LANE
WAYNESBORO GA
35 COLLIER ROAD NW
ATLANTA
GA
51 ROCKBRIDGE ROAD, S.W.
LILBURN
GA
385 MORNING SPRINGS WALK
FAIRBURN
GA
175 15TH STREET, NE, APT. 419
ATLANTA
GA
3560 TERRI LYNN CT
TUCKER
GA
5 LAVISTA PERIMETER OFFICE PK, SUITE 101
TUCKER
GA
233 ASHLEY CIRCLE
MARTINEZ
GA
465 WINN WAY, SUITE 120
DECATUR
GA
3336 FOXFORD CT
ATLANTA
GA
3525 STAFFORD STREET
HEPHZIBAH
GA
2388 STATLER DRIVE
DECATUR
GA
5223 PAULSEN ST
SAVANNAH
GA
0867 FORSYTH STREET
MACON
GA
810 13TH AVE 41
ALBANY
GA
51 ROCKBRIDGE ROAD, S.W.
LILBURN
GA
2329B BRIARCLIFF RD
ATLANTA
GA
303 MEDICAL DRIVE, SUITE 403
LA GRANGE
GA
212 HOSPITAL DR, SUITE G
WARNER ROBINS GA
303 FRASIER DRIVE
HINESVILLE GA
4920 PAULSEN STREET
SAVANNAH
GA
819 JUNIPER STREET
ATLANTA
GA
355 LONDONBERRY RD N.W.
ATLANTA
GA
755 MOUNT VERNON HWY NE, SUITE 500
ATLANTA
GA
1001 THORNTON ROAD, SUITE 314
LITHIA SPRINGS GA
380 HOSPITAL DRIVE, SUITE 320
MACON
GA
1925 PADDOCK COURT
LAWRENCEVILLE GA
1900 FAIRWPOINTE TRACE
STONE MOUNTAIN GA
3751 WESTLAKE DRIVE
MARTINEZ
GA
RADIATION CARE, INC, 1155 HAMMOND DR, BLDG A
ATLANTA
GA
3312 TOBIN STREET
AUGUSTA
GA
2318 DRUID OAKS, NE
ATLANTA
GA
1289 GINGER WOOD DRIVE
STONE MOUNTAIN GA
4525 HIGH ROCK TERRACE
MARIETTA
GA
2429 WALTON WAY
AUGUSTA
GA
2460 PEACHTREE ROAD, APT 104
ATLANTA
GA
30907
10
31904
10
30912
23
30030
15
30338-6713 15
30331
15
30328-3221 04
30269
36
31021-2599 05
30208-2737 36
30033
17
31410
08
30309-1754 47
31799
46
31061
32
30901
52
31021
32
30268
10
30088
08
31707
08
30319
32
30223
31
30830
10
30309
30
30247
33
30213
30309
17
30084
32
30084
15
30907
28
30034
10
30340
17
30815
17
30035
32
31405
36
31201
27
31701
41
30247
33
30329
17
30240
11
31088-4206 01
31313
17
31405
41
30308
33
30327-4949 17
30328-4274 17
30057
32
31213
15
30243
10
30088
25
30907
22
30308
36
30906
33
30329
17
30083
17
30066
32
30904
23
30305
11
Page No. 34
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CASARELLA, WILLIAM JOSEPH CASE, DAVID LAWRENCE CASE, MARK EDWARD CASH, TED DEWAYNE CASKIN, CLINTON R J, JR CASORIA, MARY MARTHA CASSIDY, BRUCE ALAN CASSINGHAM, ROBERT POWELL CASSITY, OSCAR THOMPSON, JR. CASTANEDA-BERROCAL, FRANCISCO CASTELLANO, PENNY ANN ZENOBIA CASTILLO, ARMANDO RAFAEL CASTILLO, GLORIA VALENTON CASTILLO, JULIO CESAR CASTILLO, KATIA CASTLE, JOHN RICHARD CASTRESANA, MANUEL RAMON CASTRO, ANA P CASTRO, JOSE R CASTRO, KENNETH GABRIEL CATALANO, PHILIP WILLIAM CATCHINGS, TIMOTHY TITUS CATER, ROBERT CARLTON CATES, CHRISTOPHER UPTON CATES, MICHAEL AUBREY CATES, ROBERT M CATES, WILLARD JR CATHCART, JOHN HARRIS, III CATHERWOOD, BAYARD DE WOLF CATO, JAMES ALVIN, III CATRETT, WILLIAM F CATTO, BRIAN ANDREW CAUBLE, GERGE C JR CAUBLE, JOHN A CAUDILL, DARRELL RODNEY CAUGHMAN, STEWART WRIGHT CAULFIELD, MARY HELEN CAULTON, CHARLES I CAUSEY, DAVID ALAN CAUTHEN, LARRY RUPERT CAVALIERE, LUDWIG VINCENT CAVROS, EVIE KALLI CAZORT, IVAN CECIL, MICHAEL PAUL CELAYA, CARLOS LLOVERA CELIS, RODOLFO CENIZA, RICHARD A. CENIZA, ROSARIO P CENIZA, SILVERIO A JR CERENKO, DANKO CERTAIN, MARSHA JONES CHACHKES, JACOB CHADDHA, JASWANT SINGH CHAHIN, MAJD CHAIKOF, ELLIOT LORNE CHAIT, DONALD CARL CHAKNIS, MANUEL JOHN CHALASANI, PRASAD V.R.K.
022727 DEPT OF RADIOLOGY, 1364 CLIFTON ROAD NE
ATLANTA
GA
025734 602 CEDAR ST
CARROLLTON GA
035222 18 HIDDEN LAKE CT
SAVANNAH
GA
011586 P.O. BOX 49
CHICKAMAUGA GA
009450 1091 FORREST HILLS DRIVE
BOGART
GA
038194 1106 LEXINGTON AVE
SAVANNAH
GA
017148 77 COLLIER RD, NW, SUITE 2050
ATLANTA
GA
034313 4104 HERITAGE RIDGE
029152 * 700 MITCHELL BR RD, APT 60
EVANS
GA
ATHENS
GA
033549 4611 MESAVIEW WAY
STONE MOUNTAIN GA
030733 1079 WOODRUFF PLANTATION PARKWAY
MARIETTA
GA
030285 P.O. BOX 183
JEFFERSONVILLE GA
024912 730 WILMINGTON ISLAND ROAD
SAVANNAH
GA
037169 PEDIATRIC EMER MED DIV, 1405 CLIFTON RD
ATLANTA
GA
035581 136 SUMMERFIELD DRIVE
MACON
GA
008254 4963 MOUNTCLAIRE RD
STONE MOUNTAIN GA
022729 840 PINE STREET, SUITE 700
MACON
GA
034557 501 SOUTH 3RD STREET
FOLKSTON
GA
021385 * 113 E. 15TH ST., P.O. BOX 560
ALMA
GA
032358 2839 SYLVAN RAMBLE RD, NE
ATLANTA
GA
021484 2100 CENTRAL AVE, SUITE 5
AUGUSTA
GA
030030 154 BENTWOOD CIR
MACON
GA
025735 1930 BUCK LANE, UNIT B
ALBANY
GA
030440 ATLANTA CARDIOLOGY GROUP, PO BOX 421369
ATLANTA
GA
038440 318 WEST PIKE STREET, SUITE 401
LAWRENCEVILLE GA
012435 330 TURNER MCCALL BLVD, SUITE 301
ROME
GA
016566 2037 DEBORAH DRIVE
ATLANTA
GA
037774 1236 WEATHERSTONE DRIVE
ATLANTA
GA
029153 MEDICAL SERVICE (III) VA MED CEN, 1670 CLAIRMONT ROAD DECATUR
GA
034520 4214 MATCH POINT DR
AUGUSTA
GA
014471 P. 0. BOX 417
BUENA VISTA GA
027039 HOSPITAL EPIDEMIOLOGIST, VAMC 11E
AUGUSTA
GA
004972 4803 S MAIN STREET
ACWORTH
GA
007170 50 MEDICAL LANE
CANTON
GA
015235 315 BOULEVARD NE, SUITE 224
ATLANTA
GA
032890 200 CAMDEN RD, NE
ATLANTA
GA
037170 2842 CRAVEY DRIVE
ATLANTA
GA
018004 2530 MELODY WAY
MILLEDGEVILLE GA
019496 4412 SUGAR MAPLE PLACE
GAINESVILLE GA
006180 91 WINDING RD SW
ROME
GA
033290 682 HEMLOCK STREET, SUITE 320
MACON
GA
038196 3833 PEACHTREE RD NE, APT 808
ATLANTA
GA
027165 3662 TREE BARK TR
DECATUR
GA
030031 710 AMSTER GREEN DR
ATLANTA
GA
010330 3969 S COBB DR, SUITE 105
SMYRNA
GA
012684 210 BATTLE STREET, PO BOX 1348
LAGRANGE
GA
026240 202 ARNOW DR
ST. MARYS
GA
020973 116 LUMPKIN ST
HAWKINSVILLE GA
020974 116 LUMPKIN ST, BOX 276
HAWKINSVILLE GA
033244 2585 WEIGELIA RD., NE
ATLANTA
GA
023032 3010 HAMPTON AVE
BRUNSWICK
GA
032709 929 ADAIR AVENUE
ATLANTA
GA
035023 ATLANTA WEST WOMEN'S CTR, 8697 HOSPITAL DR - SUITE 20 DOUGLASVILLE GA
036118 1135 EMPIRE CIRCLE
LAWRENCEVILLE GA
033943 150 WICKSFORD GLEN
ATLANTA
GA
007171 3446 COCHISE DR NW
ATLANTA
GA
038197 581 OAK BROOK DR
MARTINEZ
GA
037775 3980 ST MARKS CT
TUCKER
GA
30322
36
30117-2413 17
31419
10
30707
10
30622
52
31404-5503 10
30309
34
30809
03
30606
08
30083
26
30067
15
31044
01
31410
33
30322
32
31210
15
30087
15
31201
03
31537
17
31510
10
30345
17
30904
40
31210-4000 34
31707
17
30342
05
30246
15
30165
15
30345-3917 35
30324
28
30033
17
30909
17
31803
10
30912
54
30101
01
30114
01
30312-1200 48
30309
06
30345
17
31061
10
30506
36
30165
03
31201
17
30319-3364 32
30034
08
30350-4139 00
30080-6313 52
30241
36
31558
17
31036
32
31036
41
30345
30
31520
17
30306
08
30134
15
30244
17
30350
50
30339-4324 17
30907-4141 27
30084
05
Page No. 35
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CHALIFF, MICHAEL IRWIN
029854
CHALIK!AN, DAVID MARTIN
033048
CHALKER, DAN KENT
013020
CHALMERS, HENRY RIVES
005665
CHAMBERLAIN, BARBARA ALICE SW! 034559
CHAMBERLAIN, BRUCE H
036119
CHAMBERLAIN, CHARLES RICHARD J 019922
CHAMBERLAND, PATRICIA DIANE CO 033049
CHAMBERS, DONN ALAN
015919
CHAMBERS, ROY GERALD
009109
CHAMBERS, RUSSELL CARLYLE
016768
CHAMBLEE, MYRA LYNN
038708
CHAMBLESS, CYNTHIA GAIL BLAIR 030975
CHAMBLESS, FRED PARKER
008733
CHAMBLESS, MIRIAM CW
006292
CHAMBLISS, CLEVELAND ROBERT 036698
CHAMPION, CURTIS LEMAR
021956
CHAN, PETER KUO JUH
030286
CHANCE, CAMILLA KATHERINE
036512
CHANDAN, SUSHMA
022984
CHANDLEE, ROBERT E
017680
CHANDLER, ARTHUR BLEAKLEY JR 027513
CHANDLER, ARTHUR BLEAKLEY SR 005750
CHANDLER, GILBERT SEWELL
035224
CHANDLER, JOSEPH BRITTEN
028150
CHANDLER, NEAL W JR
009452
CHANDLER, PAUL EVERT
033944
CHANDLER, PAUL WINSTON
031893
CHANDORA, DEEN BANDHU
025954
CHANDORA, MADHUSUDAN
038143
CHANEY, RALPH HILL JR
005987
CHANG, GEORGE LEE
036939
CHANG, MYUNG YONG
014306
CHANG, SHI-CHIEH
022396
CHANG-WAI-LING, BARBARA K
019654
CHAO, YU-CHIA
017514
CHAPLIN, KAREN LINETTE
030408
CHAPMAN, DONALD C JR
019923
CHAPMAN, JACK MABRY
035393
CHAPMAN, JAMES DAVID
038443
CHAPMAN, JAMES EARL
029423
CHAPMAN, JAMES EMORY
037776
CHAPMAN, KAREN AUSTIN
029603
CHAPMAN, LOUISA ELAINE
034790
CHAPMAN, RODGER W
016769
CHAPPUIS, JAMES LLOYD
029604
CHAREN, WALTER DAVID
035225
CHARKATZ, HARRY MARVIN
034560
CHARLES, DEBORAH J.
028742
CHARLES, RONALD ALAN
036351
CHARLES, WILLIAM MICHAEL
035584
CHARMATZ, ARTHUR E
018473
CHARNVITAYAPONG, KASEM
036352
CHARUK, GEORGE EUGENE
037171
CHASE, JERRY JULIUS
032153
CHASE, JERRY STEPHENS
016037
CHASE, RICHARD KENNETT
017784
CHASTAIN, GEORGE M Ill
010122
5149 BROOKE FARM DRIVE
DUNWOODY
GA
500 EAST 66TH STREER
SAVANNAH
GA
GEORGIA DERMATOLOGY, 1157 FORSYTH STREET
MACON
GA
3500 RIDGEWOOD ROAD NW
ATLANTA
GA
1425 BARCLAY DRIVE
LAWRENCEVILLE GA
5909 WHITEHAVEN DRIVE
COLUMBUS
GA
808 CARRIAGE COURT
AUGUSTA
GA
241 EAST LAKE DRIVE
DECATUR
GA
40 VALLEY ROAD NW
ATLANTA
GA
820 ST SEBASTIAN WAY, SUITE 3-D
AUGUSTA
GA
3796 PARIAN RIDGE ROAD, N.W.
ATLANTA
GA
1512 CALIBRE WOODS DRIVE
ATLANTA
GA
RT 5, BOX 425-D
FORSYTH
GA
ROUTE 2 BOX 166
BUTLER
GA
PO BOX 345, 222 CHAMBLESS LANE
HAMILTON
GA
2679 CRAVEY DRIVE
ATLANTA
GA
425 FOREST PARKWAY, SUITE 209
FOREST PARK GA
5269-8 BUFORD HIGHWAY
DORAVILLE
GA
607 BRAE BURN DRIVE
MARTINEZ
GA
1545 BLYTH WALK
SNELLVILLE GA
1660 MULKEY ROAD, SUITED
AUSTELL
GA
742 RIVERFRONT DRIVE
AUGUSTA
GA
MEDICAL COLLEGE OF GA, DEPT OF PATHOLOGY
AUGUSTA
GA
LANIER PARK ANES GROUP, PO BOX 2979
GAINESVILLE GA
2001 PEACHTREE ROAD, SUITE 705
ATLANTA
GA
4680 RIVERVIEW ROAD NW
ATLANTA
GA
1105 BUTLRYSON ROAD
DALTON
GA
4938 WELLINGTON PLACE
MACON
GA
4117 MENLO MAY
DORAVILLE
GA
827 CASCO DR NW
LILBURN
GA
3224 HAMPTON AVENUE
BRUNSWICK
GA
3615 MEADOWGLENN VILLAGE LN, APT R
DORAVILLE
GA
3300 BUCKEYE ROAD, SUITE 178
ATLANTA
GA
3510 SHALLOWFORD ROAD, SUITE 100
CHAMBLEE
GA
3041 PARK AVENUE
AUGUSTA
GA
.625 COOK STREET
ROYSTON
GA
3781 MACLAREN DRIVE
CLARKSTON
GA
103 MCINTOSH DRIVE
SAVANNAH
GA
691 LANIER PARK DRIVE
GAINESVILLE GA
625 E. 55TH ST
SAVANNAH
GA
770 PINE STREET, SUITE 300, DOCTORS BLDG
MACON
GA
8413 CHASTAIN DR NE
ATLANTA
GA
2703 WOODLAND BROOK LANE
SMYRNA
GA
1209 PINE RIDGE ROAD
ATLANTA
GA
31 PARKSTONE CT
STONE MOUNTAIN GA
3280 HOWELL MILL, SUITE 229
ATLANTA
GA
7 SAINT ANDREWS CT
BRUNSWICK
GA
1047 NORTH HOUSTON ROAD
WARNER ROBINS GA
445 ALLISON LANE
BALL GROUND GA
3050 MARGARET MITCHELL DR, APT 34
ATLANTA
GA
409 TOUCHTON DRIVE
DOUGLAS
GA
361 COMMERICAL DR
SAVANNAH
GA
335 WINDMONT DRIVE
ATLANTA
GA
1900 WESLEYAN DRIVE, APT 1408
MACON
GA
6320 WESTCHESTER PL
CUMMING
GA
2300 MANCHESTER EXPRESSWAY, F8
COLUMBUS
GA
STAGECOACH ROAD, PO BOX 801
OGLETHORPE GA
DIRECTOR OF MED. SERVICES, PHOEBE PUTNEY MEM. HOSP BO ALBANY
GA
30338
36
31405
17
31201-1735 06
30327
33
30243
31909
17
30909
31
30030
46
30305
03
30901
33
30327
17
30329
03
31029
10
31006
08
31811
10
30345
32
30050
17
30340
15
30907
15
30278
38
30001
36
30901
41
30902
31
30503
03
30309
46
30327
36
30720
15
31210
36
30340
33
302473511 17
31520
03
303405372 05
30341
31
30341
17
30909
16
30662
10
30021
32
31406
08
30505
27
31405
10
31201
40
30342-4154 28
30080
01
30324
17
30087
08
30327
46
31520-6764 33
31093
33
30107
36
30327
08
31533
03
31499
10
30329
17
31210
38
30130
08
319047994 10
31068
10
31703
03
Page No. 36
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CHASTAIN, JOE B CHAUDHARI, RAJAN! SOPAN CHAUDHARY, BASHIR AHMED CHAUDHARY, TESNEEM KAUSER CHAUDHURY, TARUN KUMAR CHAUFFE, DIANE LEWIS CHAUVIN, EDGAR JOSEPH, Ill CHAYA, LUCKANA CHEAPE, JOHN DUDLEY CHEATHAM, ALVIN EVERETT CHEATHAM, JAMES S CHEATHAM, JOHN MCGEE, JR CHECK, WILLIAM EDWARD CHEDJD, MOKBEL K CHEEK, BENJAMIN HUGH CHEEK, JONATHAN ARTHUR CHEEK, KATHRYN KILPATRICK CHEEKS, EDDIE RAYMOND CHEEVER, BRYAN DALE CHEEVERS, SANDRA PATRICIA CHELOLIBER, VICTOR VILLANI CHELTON, ALICE G CHELTON, LOUIS GUY, III CHELTON, LOUIS GUY, JR CHEN, BESSIE B CHEN, CHING TSAI CHEN, ER-WEI CHEN, GUEY-CHING LAI CHEN, YEE CHONG CHENEY, HUDDIE L JR CHENG, ANTHONY WAJFUNG CHENG, DAVID LI-WEI CHENG, JUDY Y.Y. CHENG, RAYMOND DEE CHENG, STEPHEN Y. S. CHEONG, IN TAI CHERER, ALLEN JOHN CHERNECKY, RICHARD EDWARD CHERNER, JAY ARTHUR CHERNICK, RICHARD JAY CHERRY, STEPHEN ROSS CHESHIRE, MARSHA JOAN CHETTA, MARC ANTHONY CHEVES, HARRY L CHEVES, HARRY LANGDON, Ill CHEVES, RUBY JO GRAVES CHEVRES, FRANCISCO CHEW, WILLIAM HUBERT JR CHEWNING, RICHARD DOUGLAS CHEZMAR, JUDITH LYNN CHHOKAR, BALBIR SINGH CHHOKAR, RAJINDER CHIANG, MIKE SY-RU CHIDAMBARAM, RAGHAVAN CHIDAMBARANATHAN, LAVANYA S. CHIDIAC, TAREK ABBOUD CHILD, CLELAND GARDNER CHILDS, CYNTHIA ELIZABETH
005751 2039 WARM SPRINGS RD 023340 153 NORTH AVE, NE 018625 PULMONARY SECTION- MEDICAL, COLLEGE OF GEORGIA 021308 3685 WHEELER ROAD, SUITE 101 027517 3968 CASTLEWOOD PKWY 022731 PARKWAY ANESTHESIOLOGY GROUP, PO BOX 31 036120 249 BROAD ST 016460 3280 HOWELL MILL ROAD NW, SUITE 233 036121 820 ST. SEBASTIAN WAY, SUITE 7C 022732 4550 RIPPLEWOOD DRIVE 016323 16-A LENOX POINTE 031221 C/0 JOYCE HEATHERLY, PO BOX 88185 027516 ONE HOLEMARK LANE 033808 MEDICAL COLLEGE OF GA -NEUROSURG, 15TH ST 025332 2000 HAMILTON RD 027700 PO BOX 1269 026080 2000 - 10TH AVE, SUITE 180 021661 1903 WRJGHTSBORO RD 034120 1705 WESTCHESTER DR 036940 309 WHITNEY AVENUE 028744 3620 SCHOONER RIDGE 007939 1945 CLIFF VALLY WAYNE, SUITE 260 019924 80 RIVERSHYRE CIRCLE 007378 3203 LENOX RD NE APT 43 032154 1580 BAKERS GLEN DRIVE 018211 * 8588 NORTH SHORE DRIVE 018791 3845 HOLCOMB BRIDGE RD 018371 2185 COOPER WAY 018626 6670 MERCHANTS WAY 007173 PO BOX 1099 033052 483 UPPER RIVERDALE ROAD, SUITE A 038199 P. 0. BOX 14459 019376 PO BOX 485 319 SLEE ST 035585 5455 MERIDIAN MARK ROAD, SUITE 530 016719 5420 PAULSEN ST 023438 689 MILL HILL LANDING RD. 029155 3130 ASBURY SQUARE 021146 601-A PROFESSIONAL DRIVE, SUITE 210 023144 2500 HOSPITAL BLVD, SUITE 250 038444 917 BON AIR DRIVE 028152 2725 WARM SPRINGS ROAD 023574 607 CROWN POINT DR. 035025 ROUTE 5 BOX 5645 006879 1136 CLEVELAND AVE, SUITE 400 032891 118 SOUTH MAIN STREET 030311 118 SOUTH MAIN STREET 016894 1408 SOUTHLAKE PLAZA DRIVE 008399 738 OXFORD RD 020091 503 SOUTH 8TH STREET 028951 2853 HABERSHAM ROAD 024660 1906 WARM SPRINGS ROAD 021486 1906 WARM SPRINGS ROAD 018627 417 HUNTERS GLEN 038709 3977 RIVERLOOK PARKWAY 036122 1205 BONAIR DRIVE 038445 25 SUNSET ROAD 030589 200 JACKSON STREET 027168 203 WOODPARK PL. #A200
COLUMBUS
GA
ATLANTA
GA
AUGUSTA
GA
AUGUSTA
GA
COLUMBUS
GA
LITHIA SPRINGS GA
AUGUSTA
GA
ATLANTA
GA
AUGUSTA
GA
LITHONIA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
AUGUSTA
GA
COLUMBUS
GA
CANTON
GA
COLUMBUS
GA
AUGUSTA
GA
DALTON
GA
ALBANY
GA
ALPHARETTA GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
JONESBORO
GA
NORCROSS
GA
JONESBORO
GA
MORROW
GA
THOMASVILLE GA
RIVERDALE
GA
SAVANNAH
GA
AMERICUS
GA
ATLANTA
GA
SAVANNAH
GA
RICHMOND HILL GA
ATLANTA
GA
LAWRENCEVILLE GA
ROSWELL
GA
AUGUSTA
GA
COLUMBUS
GA
MARTINEZ
GA
CLARKESVILLE GA
EAST POINT GA
GREENSBORO GA
GREENSBORO GA
MORROW
GA
AUGUSTA
GA
GRIFFIN
GA
ATLANTA
GA
COLUMBUS
GA
COLUMBUS
GA
VALDOSTA
GA
MARIETTA
GA
AUGUSTA
GA
CANON
GA
NEWNAN
GA
WOODSTOCK
GA
31904
32
30308
17
30912
34
30909
04
31907
17
30057
03
30901
40
30327
17
30910
41
30058
10
30324
33
30356-8185 01
31411
31
30912
44
31993
15
30114
32
31901
32
30904
15
30720-5026 10
31701
32
30201
17
30329-2728 33
30243
08
30324-2651 17
30350
03
30236
15
30092
02
30236
01
30260-2353 46
31792
17
30274
17
31416
52
31709
32
30342
23
31499
15
31324
30346-2416 32
30245
17
30076
01
30907
17
31904-5244 05
30907
32
30523
10
30344
11
30642
41
30642
15
30260
28
30909-3210 11
30223
15
30305
36
31904
31904
17
31602
52
30067
17
30907
17
30520
17
30263
17
30188
25
Page No. 37
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CHILDS, DAVID LYNN
029156 330 TURNER MCCALL BLVD, SUITE 101
ROME
GA
CHIN, JEAN ELLEN
027276 100 RAVENWOOD RUN
ATHENS
GA
CHINTALAPALLY, GOPAL RAO
032892 483 UPPER RIVERDALE RD SW, SUITE C
RIVERDALE
GA
CHINTALAPALLY, SHOBHA RANI
032893 EAGLE'S LANDING OB/GYN ASSOC., 150 EAGLE SPRING CT STOCKBRIDGE GA
CHIPLEY, PAUL SIMPSON
035394 6175 DOUGLAS MANOR COURT
DOUGLASVILLE GA
CHIPMAN, CHARLES DEAN
025422 2300 MANCHESTER EXPRESSWAY, BLDG D
COLUMBUS
GA
CHISHOLM, FREDERICK FUESSEL 016039 * 216 MILLBROOK DRIVE
MARTINEZ
GA
CHISHOLM, LEWIS F
010502 305 W. PLANT AVE
HOMERVILLE GA
CHISHOLM, WILLIAM CLEMENT
033291 305 WEST PLANT AVE
HOMERVILLE GA
CHISM, NEWTON W JR
017442 HEALTH CARE ASSOCIATES, 14 ERIN OFFICE PARK
DUBLIN
GA
CHISNER, MICHAEL BRIAN
029426 6 ST JOSEPH'S MED OFFICE PARK, 11700 MERCY BLVD
SAVANNAH
GA
CHITLURI, JAISREE RANI
021363 6555 PROFESSIONAL PL, SUITE A
RIVERDALE
GA
CHITTY, AUBURN PLEMON
021958 175 CH !TTY ROAD
MOULTRIE
GA
CHIU, JOEL
037173 3259 HENLEY PARK DRIVE
ATLANTA
GA
CHIULLI, JOHN FRANCIS
035587 THE ATRIUM, SUITE 175, 675 WHITE SULPHUR ROAD
GAINESVILLE GA
CHIVERS, MIRIAN E
006880 1099 MLK DR NW
ATLANTA
GA
CHO, CORNELIA
028746 1628 RALEIGH CIRCLE
MARIETTA
GA
CHOI, DOUGLAS DONG
024914 CENTRAL STATE HOSPITAL, BOX 151
MILLEDGEVILLE GA
CHOI, JOE UNG
028953 427 KING ARNOLD ST
HAPEVILLE
GA
CHOI, SUN-IK
016041 670 LAKEWOOD DRIVE
LAGRANGE
GA
CHOI, SUNG KOO
024570 1935 WREN WAY
DALTON
GA
CHOI, USUP
018792 2610 BOYNTON LANE
ALBANY
GA
CHONG, JAMES BONGHAE
026081 * 109 MARTIN LUTHER KING DR
SOPERTON
GA
CHOPRA, HERSH
037506 MARIETTA EYE CLINIC, 653 CHEROKEE ST
MARIETTA
GA
CHORBA, TERENCE LOUIS
029857 457 CHELSEA CIRCLE NE
ATLANTA
GA
CHORCHES, MICHAEL A
013379 5669 PEACHTREE DUNWOODY RD NE, SUITE 370
ATLANTA
GA
CHOTINER, GERALD
012685 1760 THE EXCHANGE
ATLANTA
GA
CHOUDHRI, SOHAIL ASGHAR
036514 1921 ALICE STREET, SUITE 2-A
WAYCROSS
GA
CHOW, ALICE
034561 765 HOUSTON MILL RD, APT 8
ATLANTA
GA
CHOWDHURY, A.K.M. MEHDI HASAN 038201 3526 BUFORD HWY NE, APT 1
ATLANTA
GA
CHRISTENSEN, BLAIR K
026082 33 HELMSMAN CT
SAVANNAH
GA
CHRISTENSEN, LISE MARIE
034315 4205 KNOLLCREST CIRCLE
MARTINEZ
GA
CHRISTIAN, CLARENCE MARTIN 038202 110 CHAD WI CK DR
MACON
GA
CHRISTIAN, EUGENE E
015078 8097 HUNTINGTON DRIVE
JONESBORO
GA
CHRISTIAN, JOE DAVID JR
012304 1521 ANTHONY RD.
AUGUSTA
GA
CHRISTIAN, JOHNNY FRANKLIN 035026 6029 FLAT ROCK RD, APT 87
COLUMBUS
GA
CHRISTIAN, SIDNEY DWAIN
034316 840 PINE STREET, SUITE 700
MACON
GA
CHRISTIE, JENNETTA MOORE
030590 2317 BEMISS ROAD
VALDOSTA
GA
CHRISTMAS, JOSEPH T
007174 P. 0. BOX 500
VIENNA
GA
CHRISTMAS, ROBERT CALDWELL 020416 3161 BOB COX ROAD
MARIETTA
GA
CHRISTOPHER, MICHAEL CARL
033946 1201 HANCOCK DRIVE NE
ATLANTA
GA
CHRISTY, JAMES HAROLD
008401 1365 CLIFTON RD NE - 5TH FLOOR, ENDROCRINOLOGY DEPT. ATLANTA
GA
CHRZANOWSKI, ROBERT RICHARD 036123 272 LEGION DRIVE
EVANS
GA
CHU, KATHY CHILAN
034317 4451 PAULSEN STREET
SAVANNAH
GA
CHUA, SUIZA CHOA
037507 2615 DRUID OAKS DRIVE, NE
ATLANTA
GA
CHUA-TOLENTINO, ANITA G.
033551 244 NORTHBRIDGE DRIVE
STOCKBRIDGE GA
CHUDGAR, BIPINCHANDRA R
021861 PO BOX 3185
AUGUSTA
GA
CHUDGAR, DAKSHA BIPINCHANDRA 020368 2258 WRIGHTSBORO RD# 300
AUGUSTA
GA
CHUNG, CHARLES JIHUN
036941 1205 OLD WOODBINE ROAD
ATLANTA
GA
CHUNG, OK YUNG
034122 7635 TREERIDGE COURT
DUNWOODY
GA
CHUNG, SOONG PYO
015746 300 CLOVERDALE DRIVE, PO BOX 1526
DUBLIN
GA
CHURCH, CLIFFORD ELLISON Ill 029428 425 3RD AVE, SUITE 550
ALBANY
GA
CHURCH, JOHN CLAYTON
023575 P.O. BOX 1924
DALTON
GA
CHURCH, JOY ALLISON
027475 3199 MARY DRIVE
MARIETTA
GA
CHURCHWELL, KEITH BURNELL
032531 378 ANGIER COURT
ATLANTA
GA
CIBIK, GEORGE MICHAEL
021487 5669 PEACHTREE DUNWOODY RD NE, SUITE 210
ATLANTA
GA
CIECHAN, MATHEW RICHARD, Ill 024217 256 TIMBERBROOK CIRCLE, APT 4
AUGUSTA
GA
CIEJEK, PETER MICHAEL
035227 ATLANTA MEDICAL ASSOC, 100 - 10TH STREET NW
ATLANTA
GA
30165
10
30605
17
30274-2538 05
30281-6330 15
30134
03
31904-6812 17
30907
32
31634
01
31634
10
31021
15
31419
17
30274-2519
31768
01
30340
08
30505
30
30314
01
30067
32
31062
17
30354-1646 17
30240
03
30720
03
31707
28
30457
15
30060
27
30307
17
30342
05
30339
06
31501
11
30329
11
30329-1205 17
31410
01
30907
32
31210-1059 17
30236
33
30910-0799 46
31907
10
31201
03
31601
10
31092
10
30064
15
30306
08
30322
09
30809
17
31405
17
30329
15
30281
03
30914-3185 15
30904
15
30319
36
30350
03
31040-1526 31
31701
36
30720
16
30066
17
30312
17
30342-1701 11
30909
30309-3846 46
Page No. 38
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CIERNY, GEORGE, III
027519 5671 PEACHTREE DUNWOODY RD NE, BLDG 3 SUITE 900
ATLANTA
GA
CIESIELSKI, CAROL ANN
030977 1205 LANIER BLVD.
ATLANTA
GA
CIMERA, JAMES LEWIS
036124 30 RIVER COURT PARKWAY
ATLANTA
GA
CINDEA, EUGENE CLARENCE
033053 1216 SHERWOOD PARK DRIVE
GAINESVILLE GA
CIOFFI, CYRUS MICHAEL
015920 2874 CRAVEY TRAIL
ATLANTA
GA
CIRILLO, WILLIAM CHARLES
025531 110 CLARKSVILLE CT
MACON
GA
CITRON, JOSEPH
017149 2045 PEACHTREE ROAD NE, SUITE 415
ATLANTA
GA
CITRON, STEVEN JOSHUA
027784 1170 OAK TRAIL CT
DUNWOODY
GA
CIUBA, DOUGLAS FRANCIS
036699 80 BENFIELD COURT
COLUMBUS
GA
CLASBY, JAMES WILLIAM, JR
016042 1001 THORNTON ROAD, SUITE 302
LITHIA SPRINGS GA
CLAIBORNE, MAUREEN ELIZABETH O 029607 2550 HENRY STREET
AUGUSTA
GA
CLAIBORNE, THOMAS S JR
017443 35 COLLIER RD, SUITE 650
ATLANTA
GA
CLAIR, ALVIN HAROLD
012152 777 CLEVELAND AVE SW, SUITE 500
ATLANTA
GA
CLAIRMONT, ALBERT ANTHONY JR 014733 2711 IRVIN WAY, SUITE 211
DECATUR
GA
CLANTON, DOUGLAS WINFIELD
020676 155 MARIETTA HIGHWAY, SUITE A
CANTON
GA
CLARE, CHRISTOPHER EDWARD
034318 5671 PEACHTREE DUNWOODY ROAD, SUITE 340
ATLANTA
GA
CLARK, ANTHONY JOSE
035588 2943 N DEKALB DRIVE, APT 108
DORAVILLE
GA
CLARK, CAROL ANN AYLWARD
030263 4750 WATERS AVE, SUITE 500
SAVANNAH
GA
CLARK, ELIZABETH MARY
024915 295 BROADMEADOW COVE
ROSWELL
GA
CLARK, EUGENE C
017596 1200 NORTH JEFFERSON STREET
ALBANY
GA
CLARK, GERALD HENRY
026083 11685 ALPHARETTA HWY., SUITE 180
ROSWELL
GA
CLARK, JAMES ALLEN
036942 3304 ANSLEY COURT
AUGUSTA
GA
CLARK, JAMES ALLEN, JR
033809 208 VILLAGE DRIVE
LAGRANGE
GA
CLARK, JAMES EDWARD
009113 35 COLLIER RD, SUITE 215
ATLANTA
GA
CLARK, JEFFREY I
016221 5505 PEACHTREE DUNWOODY RD NE, SUITE 410
ATLANTA
GA
CLARK, JERROLD ALAN
026841 459 YORKSHIRE DRIVE
MACON
GA
CLARK, JOHN STANLEY
009785 6075 LAKE FORREST DRIVE
ATLANTA
GA
CLARK, JOSEPH HUSTON
029429 MED COL OF GA BAA-8411, 1020 - 15TH STREET
AUGUSTA
GA
CLARK, KAREN JOYCE
038446 3131 NO DRUID HILLS RD, APT 4210
DECATUR
GA
CLARK, LOWELL LONNIE
017444 MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK STREET, BOX MACON
GA
CLARK, MICHAEL DEAN
022527 315 BLVD., SUITE 412
ATLANTA
GA
CLARK, NEWTON THOMAS JR
011632 5669 PEACHTREE DUNWOODY ROAD, SUITE 290
ATLANTA
GA
CLARK, NILE RALPH
010044 1160 PRINCE AVE
ATHENS
GA
CLARK, PATRICK FRANCIS
017681 3800 CASCADE ROADS W
ATLANTA
GA
CLARK, REESE HUNTER
033768 2040 RIDGEWOOD DR, DEPT OF PEDIATRICS
ATLANTA
GA
CLARK, REMER Y JR
005988 754 CHEROKEE ST
MARIETTA
GA
CLARK, ROBERT ALAN
020976 478 PEACHTREE STREET NE, SUITE 711 A
ATLANTA
GA
CLARK, ROBERT B JR
020521 PO BOX 367, MAPLE DRIVE
VIDALIA
GA
CLARK, SARAH L
006628 2275 OVERTON ROAD
AUGUSTA
GA
CLARK, SPURGEON W JR
006385 502 ISABELLA ST, PO BOX 2009
WAYCROSS
GA
CLARK, SPURGEON WILLIAM III 024916 502 ISABELLA STREET, PO BOX 2009
WAYCROSS
GA
CLARK, TERESA ELAINE
020417 2045 PEACHTREE ROAD, NE, SUITE 400
ATLANTA
GA
CLARK, TOREY CECILE BURKE
036943 100 TENTH STREET, NW
ATLANTA
GA
CLARK, WILLIAM LITTLE
010892 820 ST SEBASTIAN WAY, SUITE 8-A
AUGUSTA
GA
CLARK, WINSTON CRAIG
035395 PO BOX 336
DALTON
GA
CLARKE, G. DONALD M.D.
012617 18 MAGNOLIA CROSSING
SAVANNAH
GA
CLARKE, HARRY ST CLAIR
035589 EMORY CLINIC UROLOGY, 1365 CLIFTON ROAD NE
ATLANTA
GA
CLARKE, SHEROL LORRAINE JACKSO 037778 1183 TRENTON CT
MABLETON
GA
CLARY, DIANE CATHERINE
027978 100 10 TH STREET, NW
ATLANTA
GA
CLARY, WARREN UPTON
004974 4 JACKSON BLVD
SAVANNAH
GA
CLARY, WILLIAM ASHMORE
024917 NEUROLOGICAL INST. OF SAVANNAH, 4 JACKSON BLVD.
SAVANNAH
GA
CLAY, HENRY TUCKER
007652 * 1640 COLEMAN AVE
MACON
GA
CLAY, JAMES REUBEN
006881 1199 PRINCE AVENUE
ATHENS
GA
CLAYTON, EDWARD C III
010126 CLAYTON ST
IRWINTON
GA
CLAYTON, HAROLD WAYNE
018575 2490 STONEY BROOK LANE
MARIETTA
GA
CLAYTON, ROBERT EUGENE
016895 9424 COMACHE ROAD
COLUMBUS
GA
CLAYTOR, JAMES EMERY
031395 136 INFANTRY WAY
MARIETTA
GA
CLEARY, KERRY LYNN MCCARTHY 036701 5061 RED BUD DRIVE
GROVETOWN
GA
30342-5000 28
30306
17
30328
23
30501
32
30345
11
31210
17
30309-1408 27
30338
31907
36
30057
17
30904
32
30309
11
30315
06
30030
30
30114
12
30342
44
30340
31
31404
17
30075-2950 03
31701
22
30076
30907
47
30240
08
30309
17
30342-1713 17
31210
30328
33
30912
32
30033
36
31201
32
30312
41
30342
46
30606
01
30331
26
30322
21
30060
10
30308
06
30474
41
30904
17
31501
27
31501
27
30309
17
30309
53
30901
46
30722-0336 44
31411
03
30322
52
30059
31
30309
36
31499
44
31405
17
31201
10
30613
31
31042
36
30062
01
31904
33
30064
33
30813
33
Page No. 39
Composite State Board of Medical Examiners._ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CLEAVELAND, LYNWOOD P
023925 1224 LAMBETH WAY
CONYERS
GA
CLELAND, GEORGE
037175 1018A WOODSEDGE DRIVE
AUGUSTA
GA
CLEMENCY, MARY VIRGINIA
030443 3431-M N. DRUID HILLS ROAD
DECATUR
GA
CLEMENS, RUTH PARTIN
032160 3400-A STATE BRIDGE ROAD, #510
ALPHARETTA GA
CLEMENT, EDMUND ROBERT
032158 2675 N DECATUR ROAD, SUITE 707
DECATUR
GA
CLEMENTE, ROSA ESTIPONA
024918 415 S 8TH ST
GRIFFIN
GA
CLEMENTS, JAMES DAVID
007775 475 GRANT ST SE
ATLANTA
GA
CLEMENTS, JAMES L JR
005556 4055 RANDALL MILL ROAD
ATLANTA
GA
CLEMENTS, LARRY V.
021489 760 KENNESAW AVE
MARIETTA
GA
CLEMENTS, MACK H
011304 PO BOX 516
PINE MOUNTAIN GA
CLEMENTS, MARTHA D
011303 P O BOX 516
PINE MOUNTAIN GA
CLEMENTS, STEPHEN DAVID JR 011305 1365 CLIFTON ROAD
ATLANTA
GA
CLEMONS, THURMAN
012245 PO BOX 821
STATESBORO GA
CLEMONS, VALERIE ANN
033552 267 COBBLESTONE TRAIL
AVONDALE EST GA
CLEPPER, ALAN SYLVESTER
010127 840 FLOYD ROAD
PINE MOUNTAIN GA
CLEVELAND, BRETT STANDARD
036702 3011 CARDINAL DRIVE
AUGUSTA
GA
CLEVELAND, WILLIAM HOWARD, 11 017375 3620 M. L. K., JR., DRIVE
ATLANTA
GA
CLIFFORD, MICHAEL WILLIAM
037508 301 COLUMBIA ROAD
BLAKELY
GA
CLIFTON, CHARLES LAMAR, JR. 029608 489 BROOKFIELD DRIVE
ATLANTA
GA
CLIFTON, JAMES DONALD
023926 PO BOX 1320
SWAINSBORO GA
CLIFTON, JOE CROSBY
036125 721 SPRINGDALE WOODS DRIVE
MACON
GA
CLIMKO, ROBERT P.
023821 104 BILTMORE TRACE
PEACHTREE CITY GA
CLINE, HENRY DANEil
025126 DEPARTMENT OF RADIATION OVCOLOGY, 5665 PEACHTREE DUNW ATLANTA
GA
CLINE, MATTHEW KELLEY
035590 800 EAST DOYLE STREET
TOCCOA
GA
CLINE, PETER JAMES
006342 3193 HOWELL MILL ROAD, N.W., SUITE 224
ATLANTA
GA
CLINE, STEVEN G
007032 2608 COSMOS COURT
ATLANTA
GA
CLINKSCALES, GRADY S JR
010406 1938 PEACHTREE RD NW, SUITE 603
ATLANTA
GA
CLOFINE, RICHARD JAY
031720 1459 MONTREAL RD, SUITE 301
TUCKER
GA
CLONTS, WILBER TILLMAN
006183 70 TOWER RD NW
MARIETTA
GA
CLOUGH, SABRINA RAYE
037434 4831 CHAPEL HILL ROAD
DOUGLASVILLE GA
COAN, MARC STEWART
033295 TOCCOA CLINIC MEDICAL ASSOCS, 800 EAST DOYLE STREET TOCCOA
GA
COAN, MARK GORDON
017150 5671 PEACHTREE DUNWOODY RD NE, SUITE 670
ATLANTA
GA
COATES, EUGENE GRAHAM
009786 1112 N MADISON AVENUE
ALBANY
GA
COBB, CLARK HOWELL, Ill
033055 980 LISMORE DRIVE
COLUMBUS
GA
COBB, JAMES MICHAEL
029609 PO BOX 339 129 MAIN ST
BOGART
GA
COBB, JOHN THURMAN
023577 5671 PEACHTREE DUNWOODY RD NE, SUITE 400
ATLANTA
GA
COBBS, BEVERLY WOODFIN JR
008609 CARDIOLOGY SECTION, 1365 CLIFTON ROAD NE
ATLANTA
GA
COBBS, MARY MELISSA LANDON 035591 635 E VICTORY DRIVE
SAVANNAH
GA
COBIELLA, ANGEL MANUEL
026842 29 DUNAIRE COURT
MABLETON
GA
COCH!, STEPHEN LEE
028516 2701 RANGEWOOD DRIVE, N.E.
ATLANTA
GA
COCHRAN, EMERSON B
008738 833 CAMPBELL HILL STREET, SUITE 240
MARIETTA
GA
COCHRAN, JAMES SYDNEY
018631 1504 E EVANS ST, PO BOX 385
BAINBRIDGE GA
COCHRAN, JAY SHELL
028517 RT. 4 BOX 496
HIAWASSEE
GA
COCHRAN, KEVIN SCOTT
033948 3623 J DEWEY GRAY CRICLE, SUITE 312
AUGUSTA
GA
COCHRAN, THOMAS ANDREW JR
014473 2200 NORTH AVENUE
COLUMBUS
GA
COCHRAN, WILLIE, JR
035229 777 CLEVELAND AVENUE'
ATLANTA
GA
COCKRELL, GAIL YVONNE CODINGTON, ARTHUR B
033296 3588 GRAY FOX CHASE
004610 * 542 CHURCH STREET, SUITE 232
LITHONIA
GA
DECATUR
GA
CODNER, MARK ALLEN
035592 PACES PLASTIC SURGERY, 3200 DOWNWOOD CIRCLE, STE. 640 ATLANTA
GA
CODY, RAYDEN CHANDLER
037509 1909 BRIAN WAY
DECATUR
GA
COE, STANLEY PAUL
035837 915 SPRING ST
WASHINGTON GA
COETZEE, ELIZABETH JANE SCHAEF 026243 3965 CARRIAGE GATE DIRVE
DULULTH
GA
COFFSKY, JAYS
009453 755 COMMERCE DRIVE #205
DECATUR
GA
COGAN, OSCAR JEROME
030980 1495 NORTHCLIFF TRACE
ROSWELL
GA
COGGESHALL, ELLEN MONTEITH 038712 DOUGLAS WOMEN'S CENTER, 880 WEST PARK DRIVE
LITHIA SPRINGS GA
COGGINS, JOHN ROBERT, JR
033949 1551 DOCTORS DRIVE
LAGRANGE
GA
COHEN, ARI-BETH
032161 220-B WEST COLLEGE STREET
GRIFFIN
GA
COHEN, CYNTHIA
027979 E UNIV HOSP ANOT PATH DEPT, 1364 CLIFTON RD NE
ATLANTA
GA
30208
17
30904
10
30033
03
30202
15
30033
06
30223
17
30312
32
30327
11
30060
32
31822
01
31822
01
30322
05
30458
01
30002
33
31822
31
30909
03
30331
22
31723
10
30342
03
30401
31210
15
30237
33
30342
36
30577
10
30327
17
30345
36
30309-1258 28
30084
15
30060
36
30135-4909 31
30577
10
30342-5000 17
31708-3401 33
31904
10
30622
17
30342-5000
30322
05
31405
15
30059
30345
32
30060
41
31717
17
30546
01
30909
41
31904
47
30315
41
30058
41
30030
17
30327
41
30033
10
30673
10
30136
08
30030
36
30076
17
30057
15
30240
11
30223
10
30322
31
Page No. 40
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
COHEN, DANIEL HARRIS COHEN, DAVID ARTHUR COHEN, DAVID JAY COHEN, DAVID LEONARD COHEN, DAVID MAX COHEN, DAVID PHILIP COHEN, GARY HERMAN COHEN, HENRY STUART COHEN, HOWARD ALAN COHEN, HOWARD JOEL COHEN, JACK HAROLD COHEN, JUDITH ANN STRULOWITZ COHEN, KENT ISSAC COHEN, LARRY A COHEN, LAWRENCE COHEN, LOUIS VICTOR COHEN, MARK LIST COHEN, MARVYN DONALD COHEN, MICHAEL JOSEPH COHEN, MITCHELL LEWIS COHEN, PAUL GARY COHEN, RICHARD WILLIAM COHEN, ROBERT ARMAND COHEN, ROBERT MARTIN COHEN, SHELDON B COHEN, STANLEY ALLEN COHEN, STEPHEN MARK COHEN, STEVEN LEONARD COHEN, STEVEN ROY COHEN-COLE, STEVEN ARNOLD COHENOUR, JEFFREY H COKE, COURTNEY COLIN COLBY, JOHN CHRISTOPHER COLDITZ, RICHARD B COLE, DAVID ANDREW COLE, DEBRA ANN COLE, FRANK EVERETT COLE, FRANK NICHOLAS COLE, GEOFFREY PHILIP COLE, HARVEY PENFIELD COLE, JAMES LAURENCE COLE, JOHN PETER COLE, KENDRA ANN COLE, LOUIS DANIEL COLE, MALCOLM H JR COLE, WILFRED QUALLS COLECRAFT, FRANCESCA THAMA COLEMAN, BLANCHE DAVIS COLEMAN, CHARLES HAMILTON JR COLEMAN, FRANCIS WYATT COLEMAN, FRED J COLEMAN, OTHA KINNEY COLEMAN, PATRICK SMITH COLEMAN, TERESA ANN COLEMAN, WILLIAM EDWIN COLETTA, CRAIG ANTHONY COLGROVE, ROBERT ALTON, JR. COLIER, HOWARD JAY
022529 5669 PEACHTREE DUNWOODY RD, SUITE 300 032534 100 - 10TH STREET NW 037176 3439-D NORTH DRUID HILLS RD 015567 4218 MCEVER 010128 993 JOHNSON FERRY RD NE, SUITE 200, BLDG C 035838 3012 RIDGECREST DRIVE 037177 3216-B POST WOODS DRIVE, NW 019149 399 WOMACK ROAD 028749 3623-J DEWEY GRAY CR, SUITE 312 020679 1295 HEMBREE RD STE 200 012440 2520 WINDY HILL RD, SUITE 305 037178 200 WATERSTONE WAY 030981 5800 LONG GROVE DRIVE 009788 1 HUNTCLIFF WAY 013116 29 SW UPPER RIVERDALE ROAD, SUITE 130 022496 1163 JOHNSON FERRY RD, SUITE 250 034565 PO BOX 421369 011213 500 - 18TH STREET, SUITE 20-8 019499 1109 MEDICAL CTR DR, SUITE 88 028519 2276 CHRYSLER COURT
012246 * PO BOX 720253
014608 1620 MULKEY ROAD 013842 4470 N SHALLOWFORD RD, SUITE 203 027520 2375 WALL STREET, SUITE 300 006387 490 PEACHTREE STREET NE, STE 251-B 020977 5455 MERIDIAN MARK ROAD, SUITE 100 038448 315 BOULEVARD, N.E., SUITE 332 028954 3910 AUSTELL ROAD, SUITE 203 036353 975 JOHNSON FERRY RD NE, STE 500 024407 WESLEY WOODS HEALTH CENTER, 1841 CLIFTON ROAD 015238 PO BOX 946 038144 4964 GATEHOUSE WAY 037510 GEORGIA BAPTIST MED CENTER, 300 BOULEVARD NE 010893 305 TANNER ST 036703 1120 RIVER NORTH BLVD 035593 144 WOODLAND ACRES SW 032362 3008 OAKTREE COURT 028520 101 YORKTOWN DRIVE 026485 293 MCWHORTER DRIVE 035594 1984 PEACHTREE RD NW, SUITE 300 036516 1356 GREENLAND DRIVE 029158 3716 CONIFER CIRCLE, N.E. 030406 3957 HOLCOMB BRIDGE ROAD, SUITE 101 027787 4520 RIVER MANSIONS TR 010505 PO BOX 1156 026486 6667 VERNON WOODS DRIVE, SUITE A-30 035595 3131 N. DRUID HILL RD, #10312 008739 2206 MORNINGSIDE DRIVE 018633 818 SAINT SEBASTIAN WAY, SUITE 403 011940 501 WOODROW WILSON DRIVE 004488 1616 BELLEVUE ROAD
005560 * 1004 EAST 20TH AVENUE
036354 1614 JOHNSON ROAD NE 037975 2921 STRATFORD DR 031577 425 THIRD AVENUE, SUITE 430 036517 240-A WOODLAWN AVE 028750 4200 PACES FERRY RD NW, SUITE 478 016045 939 THORNTON RD
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
OAKWOOD
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
COVINGTON
GA
AUGUSTA
GA
ROSWELL
GA
MARIETTA
GA
ROSWELL
GA
SANDY SPRINGS GA
ATHENS
GA
RIVERDALE
GA
MARIETTA
GA
ATLANTA
GA
COLUMBUS
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
AUSTELL
GA
ATLANTA
GA
CONYRS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUSTELL
GA
ATLANTA
GA
ATLANTA
GA
MONROE
GA
STONE MTN
GA
ATLANTA
GA
CARROLLTON GA
MACON
GA
EATONTON
GA
MARIETTA
GA
FAYETTEVILLE GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
NORCROSS
GA
DULUTH
GA
NEWNAN
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
AUGUSTA
GA
VALDOSTA
GA
DUBLIN
GA
CORDELE
GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
DECATUR
GA
ATLANTA
GA
LITHIA SPRINGS GA
30342
17
30309
23
30033
06
30566
10
30342-1645 30
30912
15
30339
38
30209
36
30909
41
30076-3895 17
30067-8664 41
30076
36
30328
08
30606
36
30274
13
30068-2718 10
30342
17
31901
32
30909
17
30345
17
30358-2253 17
30001
46
30338-6402 11
30208
04
30308
33
30342
32
30312
41
30001
17
30342-1619 41
30329
33
30655
31
30088-2745 36
30312-1239 15
30117
15
31211
36
31024-8879 10
30066
17
30214
17
30606
44
30309-1231 27
30306
17
30342
08
30092
17
30136
08
30264
32
30341
04
30033
17
30904
25
30901-2651 52
31602
17
31021
10
31015
01
30306
17
30909
17
31701
33
30030
41
30339-5703 47
30057
46
Page No. 41
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
COLLENTINE, THOMAS A COLLIER, FRANK RAPHEAL, JR COLLIER, HAL FRANKLIN COLLIER, KATHRYN WARD COLLIER, MARLIN DWAYNE COLLIER, MILLARD JAMES JR. COLLINS, CHAPPELL A JR COLLINS, DAVID RICHARD COLLINS, DOUGLAS CALDWELL COLLINS, GRETCHEN MIGNON COLLINS, HARRY SHERMAN COLLINS, JAMES EMMETT COLLINS, JAMES ERNEST JR COLLINS, JOHN T COLLINS, LEWIS RONALD COLLINS, MYRON D F COLLINS, ROBERT AARON JR COLLINS, WILLIAM COPPEDGE COLLINS, WILLIAM THOMAS, JR. COLLIPP, PLATON JACK COLMERS, RUDOLF A COLOHAN, AUSTIN ROBERT COLON-SANTINI, JUAN LUIS COLOSIMO, MARIAN MARTIN COLQUITT, ALFREDO Ill COLVARD, MERRIMAN CLARK, JR. COLVIN, RICHARD SCHIRMER COLVIN, SHARON DENISE BOLDEN COLVIN, WILLIAM SUTMAN COMBS, JAMES M COMISKEY, WALTER MICHAEL COMPTON, RALPH THEODORE, III COMSTOCK, THOMAS W CONARRO, PATRICK ALAN CONAWAY, DAVID JAMES CONCEPCION, TOMAS JORGE CONE, TERRY ARTHUR CONESCU, PAUL V CONEY, ROBERT DEKLE CONGER, ABRAHAM B CONLAN, JAMES KENNETH JR CONLIN, MICHAEL FRANCIS CONNAGHAN, DANIEL GERARD CONNELL, BERNARD PATRICK CONNELL, DON RAY CONNELL, ELIZABETH BISHOP CONNELL, JOHN ALEXANDER CONNELLY, JOHN C. CONNER, DANA M CONNER, DAVID HAL CONNER, EDWARD DARRELL CONNER, FRANKLIN GEOFFERY CONNER, GEORGE RANDOLPH. CONNER, WILLIAM CHARLES CONNER, WILLIAM HOWARD CONNOLLY, MARK WILLIAMS CONNOR, MICHAEL PERRY CONNUCK, DAVID MARTIN
016568 1841 LAKEHURST COURT
SMYRNA
GA
038713 39 SEAWATCH DRIVE
SAVANNAH
GA
012888 993-C JOHNSON FERRY ROAD, SUITE 130
ATLANTA
GA
023928 1075 BYRNWYCK TRAIL
ATLANTA
GA
020978 1825 MARTHA BERRY BLVD.
ROME
GA
028114 6976 FLAGSTONE DRIVE
AUSTELL
GA
011941 810 13TH AVE
ALBANY
GA
021387 309 HEMBREE HILL RD
CANTON
GA
020092 615 PEACHTREE ST NE, STE 413
ATLANTA
GA
032712 5660 SUMMER MEADOW PASS
STONE MOUNTAIN GA
038449 PO BOX 1656
HINESVILLE GA
006882 PO BOX 445, 614 WMAIN ST
MANCHESTER GA
029833 * 330 TURNER MCCALL BLVD, SUITE 101
ROME
GA
011942 316 W TENTH ST, SUITE A MED ARTS BLDG
ROME
GA
009454 15 CAVENDER ST, PAPP CLINIC
NEWNAN
GA
011309 P O BOX 14039
AUGUSTA
GA
005753 254 SCENIC ROUTE
CORDELE
GA
009790 993 JOHNSON FERRY RD NE, SUITE 100
ATLANTA
GA
025129 1462 MONTREAL ROAD, SUITE 312
TUCKER
GA
026487 176 MEMORIAL DRIVE
JESUP
GA
014040 102E 56 ST
SAVANNAH
GA
031225 NEUROSURGERY DEPT, 80 BUTLER STREET
ATLANTA
GA
033056 PHYSICIANS MULTI-SPECIALTY GROUP, 1220 GEORGE C. WILS AUGUSTA
GA
036944 12 7TH STREET, SUITE B
AUBURN
GA
013022 211 CHICOPEE DR
MARIETTA
GA
028388 102 GROSS CRESCENT, SUITE 300
FT OGLETHORPE GA
008408 RADIOLOGY DEPT, 1365 CLIFTON ROAD NE
ATLANTA
GA
037179 103 HELEN DRIVE
DUBLIN
GA
012618 670 SOUTH 8TH STREET
GRIFFIN
GA
021663 4625 BUCKLI NE CT
DUNWOODY
GA
036355 211 MIMS ROAD
SYLVANIA
GA
033950 5 OVERHILL DRIVE
ROME
GA
019151 3200 DOWNWOOD CIRCLE, SUITE 300
ATLANTA
GA
030737 1028 MOUNTAIN DRIVE
DAHLONEGA
GA
014147 966 KILLIAN HILL ROAD, SUITE B
LILBURN
GA
033298 671 MONTICLAIR DR
MACON
GA
023929 ST FRANCIS MEDICAL PARK, 2300 MANCHESTER EXPY STEC- COLUMBUS
GA
018372 487 WINN WAY, SUITE 101
DECATUR
GA
030738 344A SOUTH COLUMBIA DRIVE
DECATUR
GA
004612 2525 NORRIS RD., #125
COLUMBUS
GA
023035 3020 SHRINE ROAD
BRUNSWICK
GA
036054 5745 ELM TREE DRIVE
BUFORD
GA
038714 3219-B FLOWERS ROAD SOUTH
ATLANTA
GA
030739 1868 BERKELEY MEWS
ATLANTA
GA
020680 8 LESTER ROAD
STATESBORO GA
023578 3159 MARNE DRIVE,NW
ATLANTA
GA
033299 * 4949 RED OAK DRIVE
GAINESVILLE GA
024218 1539 WlLDWOOD AVE
COLUMBUS
GA
031227 429 BELLS FERRY RD
ROME
GA
006389 * P.O. BOX 639
EASTMAN
GA
035027 667 OLD CLUB SOUTH
MACON
GA
033555 1700 IRENE STREET
VIDALIA
GA
004091 2517 HILTON AVE
COLUMBUS
GA
009792 PO BOX 94
GRAYSON
GA
023440 11 JOHN MADDOX DRIVE
ROME
GA
031580 2001 PEACHTREE ROAD, SUITE 440
ATLANTA
GA
031581 715 JESSE JEWELL PARKWAY, SUITE 201
GAINESVILLE GA
031723 MEDICAL COLLEE OF GEORGIA, SECT. OF PEDIATRIC CARDIOL AUGUSTA
GA
30080
08
31416
53
30342
36
30319
30165
52
30001
31701-1330 10
30114
17
30308-2394 16
30087
10
31313
15
31816-0445 01
30165
10
30165
15
30263
17
30919
28
31015
41
30342-1645 46
30084
10
31545
31405
17
30335-3801 44
30914
32
30203
32
30060
28
30742
17
30322
36
31021
08
30223
32
30338
01
30467
17
30161
27
30327
17
30533
41
30247
29
31210
08
31904-6885
30030
46
30030
17
31907
41
31523
36
30518
17
30341
16
30329
32
30458
36
30305
15
30506
33
31906
30161
10
31023
01
31210
21
30474
17
31906
01
30221
33
31651-499
30309
41
30505
15
30912-3710 32
Page No. 42
NAME
CONOLEY, KENNETH CONRAD, CONSTANCE C CONRAD, JUSTIN LYLE CONRAD, WILLIAM CHRISTIE CONSIDINE, JOHN MURRAY CONTE, MELISSA ANN TOUNTAS COOK, ALBERT ANTHONY COOK, ARTHUR JOHN JR COOK, ERNEST LAWRENCE COOK, FRANK JEFFERSON JR COOK, GREGORY C COOK, JAMES BRUCE COOK, JOHN ROBERT COOK, JONATHA~ LAMBERT COOK, LLOYD ORVAL COOK, MARK STEVEN COOK, NANCY KIRK HICKAM COOK, ROBERT TED COOK, RONALD NEVIS COOK, TERRENCE J COOK, WILLIAM CROSBY JR COOK, WILLIAM TECUMSEH COOKE, JAMES EDWARD COOKE, JOHN EDWARD COOLEDGE, JOHN W. COOLEY, CHARLES RALPH COONER, WILLIAM HOLLIS COOPER, ALBERT FRANCIS, JR COOPER, DOUGLAS THURMAN COOPER, EUGENE ALAN COOPER, FLOYD RANDOLPH JR COOPER, GERALD RICE COOPER, HARRY ALAN COOPER, JAMES THOMAS COOPER, JEFFREY DWAIN COOPER, JERRY D COOPER, JERRY LEE COOPER, KIERAN ALEXANDER COOPER, LAWRENCE ERWIN COOPER, NEIL BRENT COOPER, RICHARD GLYNN COOPER, SCOTT DAVID COOPER, WILLIAM ARTHUR COPAS, CHERYL A. COPE, DOUGLAS 0 COPELAN, ELTON L JR COPELAND, JACK L. COPELAND, LANNY ROSS COPELAND, ROBERT BODINE COPENHAVER, JOHN MICHAEL COPHER, JAMES CLAY COPLIN, PAUL ROBERT COPPAGE, ABRAM TAYLOR, III COPPS, STEPHEN CLINTON COQUELET, JUAN GUILLERMO CORALLI, RICHARD JOHN CORBET, ANTHONY JOHN CORBIN, JOHN RANDOLPH
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
007451 831 ROSEDALE STREET
TOCCOA
GA
011163 1069 BURTON DRIVE
ATLANTA
GA
011164 1069 BURTON DRIVE NE
ATLANTA
GA
033300 216 CORDER ROAD, PO BOX 6479
WARNER ROBINS GA
037976 2 DOBELL LANE
SAVANNAH
GA
034796 1801 BALL MILL COURT
DUNWOODY
GA
036946 3481 LAKESIDE DRIVEN E, #1803
ATLANTA
GA
021664 2001 PEACHTREE RD NE, SUITE 600
ATLANTA
GA
008410 P.O. BOX 3726
AUGUSTA
GA
018125 315 BOULEVARD NE, SUITE 524
ATLANTA
GA
031398 818 ST SEBASTIAN WAY, SUITE400
AUGUSTA
GA
034797 1030 CREEK DRIVE
LINCOLNTON GA
023930 3514 GLOUCESTER COURT
MARTINEZ
GA
038451 5101 BRIARCLIFF GABLES CIRCLE
ATLANTA
GA
031399 654 MCKINNE'S COURT
EVANS
GA
025594 * 4 INDEPENDENCE DRIVE
NEWNAN
GA
028753 105 COLLIER RD NW, SUITE 1050
ATLANTA
GA
026087 P. 0. BOX 430
CHATSWORTH GA
017004 490 PEACHTREE STREET, SUITE 575-C
ATLANTA
GA
014609 2042 CENTRAL AVE
AUGUSTA
GA
008056 206 BAINBRIDGE DRIVE
ATLANTA
GA
032461 105 COLLIER ROAD, SUITE 5020
ATLANTA
GA
025596 2788 RIDGE VALLEY ROAD
ATLANTA
GA
015748 4307 BEACHVIEW DR
SMYRNA
GA
010509 1500 MOORES MILL RD
ATLANTA
GA
035839 110 WALESKA RD
CANTON
GA
035597 THE EMORY CLINIC UROLOGY, 1365 CLIFTON ROAD NE ATLANTA
GA
036707 728 DRUID OAKS NE
ATLANTA
GA
037180 1039 MCGILL PARK AVE
ATLANTA
GA
012793 HANCOCK CORRECTIONALINSTITUTE, PO BOX 339
SPARTA
GA
007179 1136 CLEVELAND AVE, SUITE 507
EAST POINT GA
006762 CENTERS FOR DISEASE CONTROL, CHAMBLEE BLDING 17 ROOM ATLANTA
GA
008411 3393 PEACHTREE RD NE, SUITE 123
ATLANTA
GA
009794 * 1234 POWERS FERRY ROAD, SUITE 104
MARIETTA
GA
032895 510 BEAVER RUIN ROAD, SUITE B
NORCROSS
GA
013262 105 COLLIER RD, NW, SUITE 2040
ATLANTA
GA
011850 2675 N DECATUR ROAD #707
DECATUR
GA
037512 1272 ZIMMER DRIVE
ATLANTA
GA
012444 1100 LAKE HEARN DRIVE, NE, SUITE 500
ATLANTA
GA
028521 1984 PEACHTREE ROAD NW, SUITE 505
ATLANTA
GA
038209 PO BOX 3499, 2704 N. OAK ST, BLDG D
VALDOSTA
GA
027696 1295 HEMBREE ROAD, SUITE 102 BLDG B
ROSWELL
GA
037977 2187 COOSAWATTEE DR, NE, APT E
ATLANTA
GA
027361 1550-B JANMAR ROAD
SNELLVILLE' GA
013736 PO BOX 1067
STATESBORO GA
008412 PO BOX 788 FALLS RD, NORTH GA WOMEN'S CLINIC PC
TOCCOA
GA
030289 #9 HOSPITAL PARK
MOULTRIE
GA
015240 #6 HOSPITAL PARK, P. 0. BOX 2307
MOULTRIE
GA
011745 1550 DOCTORS DR, SUITE 301
LAGRANGE
GA
035598 1802 SUMMERBROOK DRIVE
DUNWOODY
GA
034798 112 RIDLEY CICLE
DECATUR
GA
017022 1047 NORTH HOUSTON ROAD
WARNER ROBINS GA
015854 380 HOSPITAL DR, SUITE 320 PROF BLDG
MACON
GA
036126 2 WEST WESLEY ROAD NW, #17
ATLANTA
GA
038210 1309 BAKER AVE
AUGUSTA
GA
027042 2801 N DECATUR RD, SUITE 350
DECATUR
GA
034799 36 BROOKHAVEN DRIVE
ATLANTA
GA
034800 1406 - 3RD AVE, APT A
COLUMBUS
GA
30577
32
30329
35
30329
35
31095
27
31411
36
30338
03
30326
23
30309-14 76 05
30914-3726 01
30312
17
30901
25
30817
08
30907
30329
06
30809
31
30263
10
30309-1708 15
30705
10
30308
17
30904
04
30327
03
30309
15
30327
03
30082
08
30327
32
30114
10
30322
52
30329
36
30312
33
31087
08
30344
23
30333
31
30326
17
30067
01
30071
32
30309
17
30033
06
30306
17
30342
17
30309
36
31604-3499 36
30076
23
30319
41
30278
10
30459
11
30577
13
31768
17
31776
11
30240
05
30350
32
30030
41
31093
33
31201
15
30305
32
30904-4035 10
30033-5924 05
30319
21
31901
10
Page No. 43
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CORBITT, LARRY
020682 SUITE 3 515 EAST 63 STREET
SAVANNAH
GA
CORDARO, ANDREW JOSEPH
035599 3340 PEACHTREE ROAD NE, SUITE 1595
ATLANTA
GA
CORDEN, BRIAN JOSEPH
035231 1302 SUMMIT POINTE WAY
ATLANTA
GA
CORDERO, JOSE FERNANDO
022533 2399 SHERBROOKE DRIVE NE
ATLANTA
GA
CORKER, FRANK THOMAS
009456 2704 NORTH OAK ST.,BLDG.N
VALDOSTA
GA
CORKRAN, EDWARD ALVIN
030034 DEKALB FAM EMER PRACTICE, 5462 MEMORIAL DR STE 202 STONE MOUNTAIN GA
CORLEY, CHARLES JR
007975 11 DOWNSHIRE LANE
DECATUR
GA
CORLEY, LORI SPITZER
034251 2550 ALBERTA LN
MARIETTA
GA
CORLEY, RENEE E
033302 295 WHALEY'S LAKE DRIVE
JONESBORO
GA
CORLEY, WILLIAM SIM
008743 * 535 FOREST HILLS DRIVE, NE
ATLANTA
GA
CORMIER, RENE EDMOND
015870 3310 CRANE FERRY ROAD
AUGUSTA
GA
CORN, DENNIS P
016706 710 BROAD STREET
GAINESVILLE GA
CORN, STEPHANIE
033810 1810 MULKEY RD, SUITE 201
AUSTELL
GA
CORNELIUS, DONALD R
020306 P.O. BOX 1458
CLAYTON
GA
CORNELL, ANGELA RENAE
024408 2478 WOODRIDGE DR
DECATUR
GA
CORNELL, DAVID HENRY
031897 797 BROOKRIDGE DRIVE NE
ATLANTA
GA
CORNELL-MURPHY, DIANNA SUE 035601 4847 TOWNSHIP TRACE
MARIETTA
GA
CORNISH, JOHN DEVN
033303 5865 MILL STONE RUN
STONE MOUNTAIN GA
CORNUTT, DONALD RAY, JR
032896 1072 WOODRUFF PLANTATION COURT
MARIETTA
GA
CORNWELL, WILLIAM 0
015360 2007 OLD LAFAYETTE ROAD
FT OGLETHORPE GA
CORPE, RAYMOND F
006763 417 MT ALTO ROAD
ROME
GA
CORPE, RAYMOND SCOTT
024795 MEDICAL COLLEGE OF GA, ORTHOPEDIC DEPARTMENT
AUGUSTA
GA
CORR, JOHN PRICE, JR
023442 BOX 1686
ALBANY
GA
CORRENTI, ELIZABETH ELAINE HAT 035840 4476 PERSIMMON ST
EVANS
GA
CORRENTI, LAWRENCE MICHAEL 030035 4476 PERSIMMON STREET
EVANS
GA
CORRIGAN, VICTOR EUGENE
026489 5665 PEACHTREE DUNWOODY RD NE
ATLANTA
GA
CORSE, STEVEN KENNEDY
026088 500 EISENHOWER DRIVE
SAVANNAH
GA
CORSO, J. ARTURO
015080 1151 CLEVELAND AVE, SUITED
EAST POINT GA
CORTES, ANNABELLE PRIETO-FERNA 037182 1302 PINE HEIGHTS DRIVEN E
ATLANTA
GA
CORTES, JULIO PRIETO FERNANDEZ 038715 216 WEDGEFIELD CROSSING
SAVANNAH
GA
CORVIN, GEORGE PATRICK
037513 1911 MCDOWELL ST
AUGUSTA
GA
CORWIN, STEVEN ROBERT
031582 1790 MULKEY ROAD, SUITE 3B
AUSTELL
GA
COSCO, FREDERICK EDWARD
036356 CHATHAM RADIOLOGIST, 9 MEDICAL ARTS CTR
SAVANNAH
GA
COSSIO, CARLOS MIGUEL
036127 240 SUSSEX DRIVE, APT 3
ATHENS
GA
COSSIO, EDUARDO MIGUEL
032162 * PO BOX 879
MADISON
GA
COSSIO, MIGUEL EDUARDO
025337 P.O. BOX 148
MADISON
GA
COSSIO, ROBERTO MIGUEL
036357 313 EISENHOWER DRIVE
SAVANNAH
GA
COSTA, CONRADO V
012817 BOX 294
RINCON
GA
COSTANTINO, MARK J
015361 1010 PRINCE AVE, THE MEDICAL CENTER
ATHENS
GA
COSTARIDES, ANASTASIO$ PETER 038716 1747 TIMOTHY DRIVE, NE
ATLANTA
GA
COSTAS, BRONIER LASTRAPES
027363 980 JOHNSON FERRY RD NE, SUITE 1020
ATLANTA
GA
COSTIGAN, DONAL ANTHONY
026490 1106 LANIER BLVD NE
/ ATLANTA
GA
COSTRINI, ANTHONY M
014476 ST. JOSEPH'S MEDICAL OFFICE PARK, 11700 MERCY BLVD./# SAVANNAH
GA
COSTRINI, NICHOLAS VINCENT 022534 4849 PAULSEN STREET, SUITE 208
SAVANNAH
GA
COTLIAR, ROCHELLE
038454 4149 ASHWOODY TRAIL
ATLANTA
GA
COTTEN, BENNETT DIXON, JR.
026246 1105 PALMYRA ROAD
ALBANY
GA
COTTER, ELIZABETH WADSWORTH 036948 4 HOBSON COURT
COLUMBUS
GA
COTTON, STEPHEN CARL
036128 470 TIMBER WOLF TRAIL
MARTINEZ
GA
COTTS, LEONARD L
007778 4536 CHAMBLEE DUNWOODY RD, SITE 231
ATLANTA
GA
COUEY, REBECCA LYNN HUGHES 021665 1825 MARTHA BERRY BLVD
ROME
GA
COULE, LYNNE WEAVER
036949 693 STEEPLECHASE WAY
EVANS
GA
COUNCIL, RUTHANNE
032366 441 NORTHMINSTER DRIVE
MACON
GA
COURSEY-PRAH, DEBORA LOU
029432 508 HADDINGTON LANE
PEACHTREE CITY GA
COURSON, ELLEN CLAIRE EANES 034089 2214 NEWBERN STREET
VALDOSTA
GA
COURSON, HERMAN C
008057 119 WEST HILL STREET
THOMASVILLE GA
COUSIN, KELLEY MARTIN
033557 PO BOX 1183
GRIFFIN
GA
COUSINS, ALBERT LUCIAN
013712 304 SMITH ST.
LAGRANGE
GA
COUSINS, WILLIAM L
012102 1077 RIVERBEND CLUB
ATLANTA
GA
31405
03
30326
06
30329
32
30345
32
31602-1780 26
30083
SM
30033
17
30062-1504 32
30236
10
30342
10
30907
17
30505-3198 17
30001-1151 32
30525
01
30033
33
30306
52
30066
10
30087
21
30067
03
30707
10
30161
09
30912
17
31702
30809
33
30809
00
30342-1764
31406
08
30344-3614 05
30324
32
31405
17
30904
33
30001
27
31405
36
30606
17
30650
10
30650
17
31405
32
31326
01
30601
50
30329
27
30342-1607 46
30306
23
31419
17
31405
30319
38
31708
45
31907
36
30907-8948 03
30338-6202 17
30165-1698 17
30809
32
31204-1303 10
30269
36
31602
15
31792
17
30224-1183 32
30240
05
30339
17
Page No. 44
Composite State Board of Medical Examiner::_s Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
COUSSENS, PATRICIA DIANNE CAVI D29613 229 SOUTH JACKSON STREET
HAWKINSVILLE GA
COUTURE, LINDA SUE CANNADAY 036518 721 CARLYLE LAKE
DECATUR
GA
COVALL, DAVID JAMES
037514 7605 TREERIDGE COURT
ATLANTA
GA
COVERT, GEORGE KRUEGER
018635 495 WINN WAY, STE B 210
DECATUR
GA
COVINGTON, ANGELITA MARIA
035602 298 DEERING RD NW, APT 4103
ATLANTA
GA
COVINGTON, JOHN MARK
008655 PO BOX 690
HIRAM
GA
COVINGTON, NANCY LYNN MCMULLEN 030290 311 WEST 8TH ST
ROME
GA
COVINGTON, STEVE MICHAEL
030291 311 WEST 8TH ST
ROME
GA
COWAN, GARY FREDRICK
021961 2491 PACES FERRY ROAD, SUITE 101
SMYRNA
GA
COWAN, JOHN A
015363 CARTERSVILLE MED. ARTS CENTER, 962 JOE FRANK HARRIS P CARTERSVILLE GA
COWART, CHARLES FRANCIS
029161 309 E. WINTHROPE AVENUE
MILLEN
GA
COWEN, FREDERICK B
016571 * 3659 HERMITAGE DRIVE
DULUTH
GA
COWGILL, ROBERT
014340 5671 PEACHTREE DUNWOODY RD NE, #640
ATLANTA
GA
COWLES, ROBERT SEBASTIAN
027788 2020 PEACHTREE RD NW, THE ATLANTA CENTER FOR UROLOGY ATLANTA
GA
COWN, LESLEY JILL
036129 996 WASHINGTON AVE, APT 4
MACON
GA
COX, BRIAN GEORGE
031583 3745 ROSCOMMON NORTH
MARTINEZ
GA
COX, CLAYTON LEE
028523 1211 SHERWOOD PARK DR
GAINESVILLE GA
COX, FLORA DENISE
033059 2642 BERWICK WALK
SNELLVILLE GA
COX, FREDERICK EUGENE
018478 MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
COX, GEORGE WHEELER"
013603 5665 PEACHTREE DUNWOODY RD NE, ST JOSPEH'S HOSPITAL ATLANTA
GA
COX, GREGORY JAMES
026089 806 E MORNINGSIDE DR NE
ATLANTA
GA
COX, JACKIE JACKSON
012446 * 2150 PEACHFORD RD BLDG 2, SUITES
ATLANTA
GA
COX, JAMES STEDMAN
034323 1901 CENTURY BLVD NE #20
ATLANTA
GA
COX, JOANNE MACALLASTER
032538 3338 VALLEY VISTA ROAD
SMYRNA
GA
COX, JOEL EUGENE
006186 503 SO EIGHTH ST
GRIFFIN
GA
COX, JON PAUL
024221 2739 OLD NORCROSS RD
TUCKER
GA
COX, ROBERT DALE
034566 MEDICAL COLLEGE OF GEORGI, BOX 8158
AUGUSTA
GA
COX, ROBERT JOSEPH
038718 1112 RENAISSANCE WAY
ATLANTA
GA
COX, ROSS J
008059 6363 ROSWELL ROAD
ATLANTA
GA
COX, WILLIAM H
014117 5836 BUFORD HWY
NORCROSS
GA
COXWELL, WAYNE LEIGH
016572 1700 HOSPTAL SOUTH DRIVE, SUITE 502
AUSTELL
GA
COYLE, KELLIE ANNE
033060 2621 DRUID OAKS DRIVE, NE
ATLANTA
GA
CRABBE, CHARLES HOMER JR
022132 641 CHURCH STREET
MARIETTA
GA
CRADDOCK, GARNET ROY, JR
033061 15 CAVENDER STREET
NEWNAN
GA
CRAFT, THOMAS EARL, JR
038456 MEDICAL CENTER, INC., 309 BELLVUE AVENUE
DUBLIN
GA
CRAFTS, BRYAN C
016328 1440 DUNWOODY CLUB DRIVE
DUNWOODY
GA
CRAGAN, JANET DARDEN
026090 5898 ROTONDO PLACE
NORCROSS
GA
CRAIG, DANIEL BAXTER
025133 2930 FOXHALL CIR.
AUGUSTA
GA
CRAIG, HERBERT WARNER
035841 HARBIN CLINC, 1825 MARTHA BERRY BLVD
ROME
GA
CRAIG, WILLIAM DAVID
037516 368 CANDLESTSICK WAY
AUGUSTA
GA
CRAMER, MARGARET ANN
032715 ATHENS WOMEN'S CLINIC, 1270 PRINCE AVE
ATHENS
GA
CRANE, JAMES MONTGOMERY
036519 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
ROME
GA
CRANFORD, CLIFFORD ANDREW JR 022738 15 CAVENDER ST
NEWNAN
GA
CRANFORD, MATTHEW SHEPARD
034801 1440 ANTHONY ROAD
AUGUSTA
GA
CRANK, RAWSER PAUL, JR
011216 2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
CRANMAN, JERARD S
010897 1275 MCCONNELL DR
DECATUR
GA
CRAPANZANO, MARY KATHLEEN ATKI 035232 221 GARDNDERS MILL ROAD
AUGUSTA
GA
CRAPANZANO, MICHAEL SANDERS 033811 221 GARDNERS MILL RD
AUGUSTA
GA
CRAVEN, WILLIAM MOTEN
033304 3805 IVY ROAD NE
ATLANTA
GA
CRAVER, JOSEPH MALCOLM
016329 1365 CLIFTON RD NE, THORACIC SURGERY DEPT.
ATLANTA
GA
CRAWFORD, CARL LEROY
010898 109 DEERWOOD CIRCLE
WARNER ROBINS GA
CRAWFORD, EDWARD COLEMAN
038719 277 PONDEROSA DR
SWAINSBORO GA
CRAWFORD, GLENN DALE
009120 * ATLANTA FAMILY HEALTHCARE, 155 NORTH AVENUE, N.E.
ATLANTA
GA
CRAWFORD, JAMES M
014477 3855 RAINBOW DRIVE
DECATUR
GA
CRAWFORD, MARVIN LUTHER
032856 5695 HUNTERS CHASE COURT
LITHONIA
GA
CRAWLEY, INA SYLVIA
011635 2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
CRAWLEY, WILLIAM DUKES, JR CRAY, MARC IMHOTEP
008943 102 GROSS CRESCENT CIRCLE, SUITE 204
036070 * 1917 TAFFFETA TRAIL
FT OGLETHORPE GA
LITHONIA
GA
31036
15
30033
17
30350
46
30030
10
30309
32
30141
01
30165
31
30165
31
30080
01
30120
17
30442
01
30136
08
30342-5000 41
30309-1465 52
31201
17
30907
17
30501
15
30278
33
30912
32
30342
36
30324-5223 06
30338
33
30345
32
30080
15
30223
15
30084
30912-1001 08
30308
08
30328
33
30071
01
30001
15
30329
50
30060
17
30263-1073 41
31021
10
30350
03
30093
32
30907
30165
46
30907
17
30606
15
30165
52
30264
41
30904
17
30033
05
30033
17
30907
33
30907
32
30342
28
30307-1013 48
31088-4328 10
30401
32
30308
36
30034
11
30038
17
30033
17
30742
15
30038
53
Page No. 45
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CREASY, JAMES KENT CREECH, EARL LEO CRENSHAW, JOHN T CRENSHAW, MARTHA HOUSE CREWS, EUGENE LYNDON, III CREWS, JACK LAMAR CREWS, THOMAS L CREWS, THOMAS MATTHEW CRIDER, HARRY J JR. CRIMMINS, LAURENCE TARNER CRIMMINS, LAWRENCE EUGENE CRISPIN, ROY HAYNES CRIST, DAVID WAYNE CRITZ, FRANCES ANN DAVIDSON CRITZ, FRANK A IV CROCKER, IAN RICHARD CROFT, BARBARA N CROFT, SHANNON STOREY CROFT, THOMAS J CROLL, STEPHANIE DANIELLE CRONCE, PAUL C CRONIC, RANDY BYRON CROOM, CHRISTOPHER SCOTT CROOMS, CLARENCE LYN CROSBY, ALEXANDER EMERAL CROSBY, JOHN HARRY CROSBY, NANCY KAY ROWLAND CROSBY, RAYMOND DERRY CROSBY, VICTOR ANDERSON CROSLAND, EDWARD MICHAEL CROSLAND, WILLIAM ALEXANDER CROSS, GEORGE LEE, III CROSS, GERALD MARION CROSS, JAMES LEE CROSS, ROBERT N JR CROSSE, JAMES ERNEST WINSTON CROSSING, RUFUS NORMAN CROUCH, MICKEY M CROW, ROBERT WILLIAM CROWDER, DAVID LEE CROWDER, JACKSON G CROWDER, MILES K CROWDIS, JAMES H JR CROWE, MICHAEL EUGENE CROWE, NORMAN JEWEL CROWGEY, SCOTT ROLLINS CROWLEY, BRUCE PATTERSON CROYLE, TERRENCE ALAN CRUISE, JOSEPHS CRUM, STEVEN WAYNE CRUMP, CAROLYN FAYDENE CRUMP, HOYT W I I CRUMP, MARK ANTHONY CRUMP, SHERRY ROLANDA CRUMRINE, ROBERT STEIN CRUSER, DANIEL LAWRENCE CRUTCHER, JAMES C CRUZ, BENJAMIN GLOVER
016048 481 FT MCALLISTER RD
RICHMOND HILL GA
013118 *P.O. BOX 3117
VALDOSTA
GA
010513 P OBOX 219 MEMORIAL DR
JEFFERSON
GA
023580 6267 MEMORIAL DRIVE, SUITE B
STONE MOUNTAIN GA
023581 2550 WINDY HILL ROAD, SUITE 321
MARIETTA
GA
010514 100 PROFESSIONAL PARK, SUITE 204
CARROLLTON GA
008060 4140-C TATE STREET
COVINGTON
GA
024663 7 CHURCH STREET
STATESBORO GA
006390 303 PILGRIM MILL RD.
CUMMING
GA
010131 500 THIRD AVE
ALBANY
GA
033062 3929 ARMOUR AVE, APT C-19
COLUMBUS
GA
010752 1851 BEDFORDSHIRE CT
DECATUR
GA
035396 2729 HENRY STREET
AUGUSTA
GA
022535 20 LINDEN AVE, SUITE 6705
ATLANTA
GA
018007 RADIOTHERAPY CLINICS OF GA, 2349 LAWRENCEVILLE HIGHWA DECATUR
GA
028391 THE EMORY CLINIC, 25 PRESCOTT STREET
ATLANTA
GA
021667 105 COLLIER ROAD, SUITE 2030
ATLANTA
GA
038720 316 FERGUSON ST
ATLANTA
GA
012891 1136 CLEVELAND AVE, SUITE 507
EAST POINT GA
026247 PO BOX 13707
SAVANNAH
GA
011537 3316 PIEDMONT RD NE, SUITE 450
ATLANTA
GA
038721 1349 WANSLEY LANE
BUFORD
GA
029433 * 1106 RIVERSHYRE DR
EVANS
GA
011312 960 JOHNSON FERRY RD NE, SUITE 200
ATLANTA
GA
033812 1445 HARBIN ROAD, SW
ATLANTA
GA
017601 LABORATORY SERVICE (113), V.A. MEDICAL CENTER
AUGUSTA
GA
030593 PAPP CLINIC, P.O. BOX 609
NEWNAN
GA
029316 2310 N. PATTERSON STREET, BLDG D
VALDOSTA
GA
025134 125 MIDDLETON PLACE
ATHENS
GA
028156 1521 ANTHONY ROAD
AUGUSTA
GA
028258 315 BOULEVARD NE, SUITE 555
ATLANTA
GA
016223 285 BOULEVARD NE, SUITE 310
ATLANTA
GA
024222 404 YEAGER AVE
FORT BENNING GA
007454 211 HOSPITAL RD
CANTON
GA
016573 255 CLUB RIDGE DR
MARIETTA
GA
026248 700 CENTER STREET, SUTIE 402, PROFESSIONAL TOWER
COLUMBUS
GA
034568 1085 NEW BRITIAN DRIVE
ATLANTA
GA
011313 3405 SANTA MARIA COURT
AUGUSTA
GA
013843 105 COLLIER ROAD NW #3010
ATLANTA
GA
035397 440 CHARTER BLVD, SUITE 1105
MACON
GA
009458 710 CENTER STREET, DEPT OF INTERNAL MEDICINE
COLUMBUS
GA
012078 EMORY UNIVERSITY, 1701 UPPERGATE DRIVE
ATLANTA
GA
005938 P.O. BOX 547
BLAKLEY
GA
026249 3473 SATELLITE BLVD, #108
DULUTH
GA
005991 124 E. KELLY ST., P. 0. BOX 365
SYLVESTER
GA
023038 34 LAKESHORE DRIVE
AVONDALE ESTAT GA
031228 130 VANN ST, SUITE# 230
MARIETTA
GA
034324 # 7 HOSPITAL PARK
MOULTRIE
GA
004731 1900 VILLAGE MILL ROAD
ATLANTA
GA
037184 30 FRANCES PLACE
ROME
GA
023722 2038 CLIFF CREEK COURT
SMYRNA
GA
014899 350 CHURCH ST
ROYSTON
GA
028957 708 S 8TH STREET
GRIFFIN
GA
037185 2014 WINTERS PARK DRIVE
ATLANTA
GA
027982 MCG ANES DEPT
AUGUSTA
GA
038723 4340 OWENS ROAD
EVANS
GA
007033 1011 RIVERBEND CLUB DR
ATLANTA
GA
023348 700 BREEDLOVE DRIVE, P.O.BOX 630
MONROE
GA
31324
50
31604
46
30549
11
30083
30067
30117
10
30209
05
30458
30130
13
31701
10
31904
36
30033-1400 48
30909
41
30308
21
30033
36
30365
36
30309
15
30307
33
30344
44
31416
27
30305
06
30518
10
30809-8938 15
30342-1695 46
30311
01
30910
31
30263
17
31602
46
30606-4446 01
30910-0000 17
30312
34
30312-4205 46
31905
30114-2472 15
30068
36
31901
52
30331
15
30906
33
30309
47
31210
17
31994
17
30322
33
31723
01
30136
25
31791
01
30002
32
30060-7250 27
31768
27
30338
17
30165-1080 10
30080
17
30662
10
30223
17
30360
35
30912
30809
10
30339
17
30655
52
Page No. 46
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
CRYMES, BRENT MICHAEL
032539
CRYMES, JOHN M
015752
CSELEY, MARGOT BETH
020523
CUA, MILLICENT CHEN
038458
CUADRA, ORLANDO ANTONIO
037517
CUADRADO, ANGEL RAUL
027280
CUARTAS, FRANCISCO I.
035606
CUBA, FEDERICO
016575
CUCCIA, JOSEPH ROSARIO
033952
CUCHER, BOBB G
018479
CUDDY, STEPHEN RICHARD
028392
CUE, JORGE IGNACIO
033307
CUFF, JOHN V
020684
CULBERTSON, JOHN HARRISON JR 020685
CULLINS, SUZANNE ELLEN
033308
CULLISON, DAVID ARTHUR
020982
CULP, RICHARD LARRY, JR
034804
CULPEPPER, JEFFREY LEE
038212
CULVERHOUSE, EDWARD DOUGLAS, J 026250
CULVERN, ROBERT SAMUEL
013737
CUMMINGS, CHARLES RICHARD
026493
CUMMINGS, TERRI ANGIE WOOD 038724
CUNANAN, LINDA CORPUZ
020861
CUNDEY, PAUL EDWARD JR
011314
CUNDEY, PAUL EDWARD, III
035399
CUNNINGHAM, JAMES MCGUIRE
035842
CUNNINGHAM, ROBERT P
006633
CUNNINGHAM, VERNESSA SMALLS 028250
CUPERTINO, MARIA JOSE A.R.
036055
CURCIC, DESANKA V
016784
CURRAN, JAMES W
020984
CURRIE, MARK STUART
035843
CURRY, LEONE
009796
CURRY, ROBERT H
016576
CURRY, SIDNEY SMITH
021235
CURTIS, EARNEST MARKELL
009379
CURTIS, JEFFREY VAN
035607
CURTIS, JOHN R
012154
CURTIS, THOMAS H
009014
CURTIS, WILLIAM DAVID
030038
CUSHMAN, JAMES GORDON
037186
CUTLER, DAVID ALAN
032367
CUTTING, PAUL JEROME
032540
CUTTINO, JUDSON PRINGLE
025136
CUTTONE, JAMES MICHAEL
020985
CUTTS, WILLIAM G JR
010901
CZANDER, ERIC WALTER
036130
CZARKOWSKI, ALAN G.
029317
450 UNIVERSITY DRIVE
ATHENS
GA
108 VALLEYWOOD DRIVE
ATHENS
GA
1121 JOHNSON FERRY ROAD, SUITE 300
MARIETTA
GA
3137-H FLOWERS RD SOUTH
ATLANTA
GA
40 CLARK TERRACE
SAVANNAH
GA
856 BYRNWYCK ROAD
ATLANTA
GA
2529 WALTON WAY
AUGUSTA
GA
340 BOULEVARD NE, SUITE 523
ATLANTA
GA
592 MEDICAL PARK DRIVE
GAINESVILLE GA
5555 PEACHTREE DUNWOODY RD NE, SUITE 281
ATLANTA
GA
291 SARAH LN
LAWRENCEVILLE GA
324 HACKAMORE TRAIL
MARTINEZ
GA
1143 PRINCE AVENUE
ATHENS
GA
25 PRESCOTT STREET, SUITE 5421
ATLANTA
GA
1501 CLAIRMONT RD, APT 2017
DECATUR
GA
903 SOUTH BROAD ST
THOMASVILLE GA
PO BOX 447
SUMMERVILLE GA
11900 WHITE BLUFF RD, APT 901
SAVANNAH
GA
204 FAIRWAYS DRIVE
WARNER ROBINS GA
1111 LAKE WASHINGTON DRIVE
LAWRENCEVILLE GA
993 JOHNSON FERRY ROAD, SUITE 200-F
ATLANTA
GA
7416 VISTA POINT TRAIL
STONE MOUNTAIN GA
109 BULLSBORO DRIVE, PO BOX 1035
NEWNAN
GA
818 ST SEBASTIAN WAY, SUITE 312
AUGUSTA
GA
3213 LAKE FOREST DRIVE
AUGUSTA
GA
2522 WARM SPRINGS ROAD
COLUMBUS
GA
1155 PEACHTREE STREET, N.E., ROOM 7J01
ATLANTA
GA
4201 SANDY LAKE DRIVE
LITHONIA
GA
789 HOUSTON MILL RD, NE, # 5
ATLANTA
GA
58 COLONY PARK DR
SAVANNAH
GA
4430 CRESTWICK PTE
ATLANTA
GA
116 MIMOSA DRIVE
THOMASVILLE GA
BOX 538
METTER
GA
EMORY-COMMUNITY-PREVENTIVE MED, 80 BUTLER STREETS E ATLANTA
GA
3060 HOLCOMBE BRIDGE RD., SUITE C
NORCROSS
GA
340 BOULEVARD AVE SUITE 200
ATLANTA
GA
19 E. BROOK BEND, SUITE 200
PEACHTREE CITY GA
650 OGLETHORPE AVE, SUITE 6
ATHENS
GA
150 GROSS CRESCENT RD
FT OGLETHORPE GA
612 MCKINNES BR
EVANS
GA
659 PEACHTREE ST APT 707
ATLANTA
GA
1072 WOODBRIDGE HOLLOW
ATLANTA
GA
202 BUCKHEAD CT
AUGUSTA
GA
8 STEPHENSON AVE.
SAVANNAH
GA
1309 MILSTEAD RD.
CONYERS
GA
100 MEDICAL LANE, SUITE 2
CANTON
GA
2317-C BRIARCLIFF ROAD
ATLANTA
GA
PO BOX 459
REX
GA
30605
27
30606
03
30068
10
30341
22
31404
17
30319-1675 32
30904-4561 07
30312-1273 32
30501
23
30342-1710 17
30245- 7456 05
30907
41
30606
23
30308
41
30033
10
31792
06
30747
10
31419-1537 10
31088
03
30243
15
30342
41
30087
32
30264
17
30910
05
30909
05
31904
40
30367
17
30038
32
30329
16
31406
32
30319
35
31792
17
30439
10
30303-3219 32
30071
06
30312
13
30269
10
30606
33
30742
15
30809
17
30308
41
30306
05
30907
10
31405
03
30207
27
30114
41
30329
23
30273
10
-D-
D'ADAMO, ANN PETRA CHRISTIAN D'ALMEIDA, ANTHONY AYAYI D'AMATO, PAUL HARTMAN D'ANJOU, THOMAS ALEXANDER D'AURIA, RALPH D'CRUZ, IVAN ANTHONY
037518 019658 029435 020094 028525 028395
6812-H GLENRIDGE DRIVE 5294 ADAMS STREET, N.E. P O BOX 6113 P.O. BOX 371975 ONE DOWNSHIRE CIRCLE CARDIOLOGY SECTION, VA MEDICAL CENTER
Page No. 47
ATLANTA
GA 30328
08
COVINGTON
GA 30209
01
MACON
GA 31208
05
DECATUR
GA 30030
41
DECATUR
GA 30033
53
AUGUSTA
GA 30910
05
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
D'HEURLE, DAVID D'HUE, GLORIA CAMPBELL D'ORIO, BARBARA MARIE DACUNHA, ANTONIO T. DAFTARI, TAPAN K DAG!, LINDA RABINOWITZ DAG!, TEODORO FORCHT DAHER, AMIRAH HASAN DAILEY, MICHAEL PARKER DAILEY, WILLIAM JONATHAN DAILY, FRANCIS WILLSON DAINER, PAUL MACLYN DAITCH, RONALD, DALAL, SURINDER PAL SINGH DALBEY, DONALD ROY DALE, ROBERT EDWARD DALEY, ALEXANDER F JR DALLAS, WILLIAM MCKENZIE, JR DALRYMPLE, DAVID EDWARD DALTON, BOOKER HUGHES DALTON, GAIL PAVLOCK DALTON, LONNIE COLEMAN DALTON, MARTIN LESTER, JR DALTON, MARY JANE SCHMIDT DALY, DALE PATRICK DALY, FRANK T JR DALY, JAMES ANTHONY, III DALY, JOHN PATRICK DALY, SUSAN JENNIFER BACHTEL DAMARIO, MARK ANTHONY DAMBACH, ROBERT THOMAS, JR DAMPOG, ALFONSO T DAMPOG, BARBARA ANN DAMRICH, DAVID BROWN DANCER, JIMMIE DOMINIC DANCLAR, WAYNE GERALD DANEKER, GEORGE WILLIAM, JR DANELLO, THOMAS FRANCIS DANEMAN, REBECCA DANESHVARALAVI, BAHMAN DANG, SON MANH DANIEL, DAVID FITZHUGH DANIEL, ERNEST F JR DANIEL, FRED LESTER DANIEL, JAMES SLOAN DANIEL, LINDA DANIEL, MARK LASSITER DANIEL, MARY ANN SCHLOSSER DANIEL, SCOTT RODGERS DANIEL, WILLIAM WRIGHT DANIELL, DUREN JR DANIELS, ANTHONY E DANIELS, DEBORAH ANN DANIELS, EDNA MYRTLE SLJMMON DANIELS, GARY MARK DANITS, HARVEY J DANLEY, WILFRED MILES, III DANNAWI, HASSAN
026096 024412 033956 037435 032541 032542 032543 038460 031726 026495 010325 035233 012214 023934 015753 037187 015660 008413 013604 035608 038214 013368 033814 038725 036953 009460 036358 037519 037983 036359 030039 018008 018136 036711 030743 039024 035844 020093 008779 015754 035845 027793 004849 026496 019503 030744 028759 032651 033007 006394 010902 032166 034125 036360 024923 015242 034091 018794
2045 PEACHTREE RD NE, TERRACE LEVEL
ATLANTA
GA
2950 STONE HOGAN CENTER, BUILDING 4
ATLANTA
GA
1375 METROPOLITAN AVE
ATLANTA
GA
1043 CHERRY HILLS COURT
ATHENS
GA
2895 LIVSEY WALK
TUCKER
GA
2711 IRWIN WAY, SUITE 203
DECATUR
GA
993F JOHNSON FERRY RD, NE, SUITE 100
ATLANTA
GA
6205 BRIXWORTH PLACE
ATLANTA
GA
1295 HEMBREE RD# B, SUITE 200
ROSWELL
GA
CLARK-HOLDER CLINIC, 303 SMITH STREET
LAGRANGE
GA
3 COUNTRY CLUB DRIVE
SAVANNAH
GA
HEMATOLOGY/ONCOLOGY BAA 519, MEDICAL COLLEGE OF GEO AUGUSTA
GA
9 BENT TREE COURT
AUGUSTA
GA
829 FIRST STREET
MACON
GA
757 SOUTHLAND COURT
STONE MOUNTAIN GA
712 EAST 18TH STREET
TIFTON
GA
723 MICHAELS CREEK
EVANS
GA
405 WMAIN STREET
THOMASTON
GA
755 MT VERNON HWY, SUITE 400
ATLANTA
GA
2001 PEACHTREE ROAD, NE, SUITE 545
ATLANTA
GA
25305 PLANTATION DR NE
ATLANTA
GA
2157 IDLEWOOD ROAD
TUCKER
GA
MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK ST PO BOX MACON
GA
13340 NEW PROVDENCE RD
ALPHARETTA GA
7 BERKELEY ROAD
AVONDALE ESTAT GA
755 COMMERCE DRIVE #205
DECATUR
GA
5354 REYNOLDS STREET, SUITE 401
SAVANNAH
GA
980 JOHNSON FERRY RD,# 430
ATLANTA
GA
7 BERKLEY RD
AVONDALE EST GA
EMORY SCH OF MED - OB/GYN DEPT, 69 BUTLER STREETS E ATLANTA
GA
4740 HIGHWAY 20
SUGAR HILL GA
2161 SCENIC HIGHWAY, P.O. BOX 525
SNELLVILLE GA
6179 WINDSONG WAY
STONE MOUNTAIN GA
1637 CLIFTON TERRACE, NE
ATLANTA
GA
1720 PHOENIX BLVD
COLLEGE PARK GA
1514 GARDENWOOD DRIVE
COLLEGE PARK GA
1327 CLIFTON ROAD NE
ATLANTA
GA
104 MAJESTIC OAK DRIVE
SAVANNAH
GA
CENTRAL STATE HOSPITAL, BOX 11
MILLEDGEVILLE GA
PO BOX 1807
MILLEDGEVLLE GA
106 CARLYLE LAKE
DECATUR
GA
436 SOUTH HANSELL STREET
THOMASVILLE GA
3410 SASANQUA DRIVE
AUGUSTA
GA
5201 FREDERICK STREET
SAVANNAH
GA
54 TOWER ROAD
MARIETTA
GA
575 WEST PIKE STREET, SUITE 24
LAWRENCEVILLE GA
1705 CREEKVIEW DRIVE
ELBERTON
GA
772 ROCKY BRANCH LANE
EVANS
GA
962 J F HARRIS PARKWAY, SUITE 202
CARTERSVILLE GA
ROCHELLE PROF BLDG
ROCHELLE
GA
PO BOX 21865
ST SIMONS IS GA
3400-A STATE BRIDGE ROAD, SUITE 510
ALPHARETTA GA
6552 MALLARD DRIVE
MIDLAND
GA
6141 BROOKSTONE BLVD
COLUMBUS
GA
3807 CASTEEL RD
POWDER SPGS GA
8115 GROGAN'S FERRY ROAD
DUNWOODY
GA
4120 GRADY SMITH ROAD
LOGANVILLE GA
191 RIVOLI LANDING
MACON
GA
30309-1405 27
30331
30316
33
30606
23
30084
28
30030
27
30342
44
30319
32
30076-3814 17
30240
31410
03
30912-3125 16
30909
15
31201
30087
08
31794
11
30809
36
30286
41
30328
17
30309
11
30324-2946 28
30084
01
31208
48
30201
32
30002
17
30030
36
31405
35
30342
41
30002
32
30303
15
30518
00
30278
03
30087
31
30307
15
30349
17
30349
15
30322
41
31406
08
31062
33
31061
17
30033
03
31792
15
30909
23
31405
30
30060
34
30245
32
30635
10
30809-8919 33
30120
41
31010
15
31522
46
30202
15
31820
10
31904
08
30073-1169 08
30350
32
30249
10
31210
32
Page No. 48
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DANNEHL, KARL NIELS
023582 77 COLLIER ROAD, N.W., SUITE 2060
ATLANTA
GA 30309
DANT, MICHAEL EDWARD
023936 900 ROBIN ROAD
RINGGOLD
GA 30736
01
DANZIG, LAMONT EARL
007364 12510 WHITE BLUFF ROAD, SUITE 902
SAVANNAH
GA 31419
17
DAO, HUONG THUY
036712 675 RAIN WILLOW LN
DULUTH
GA 30136 7148 04
DARDEN, JOHN W
014479 1075-B JESSE JEWELL PKWY, NE
GAINESVILLE GA 30501
41
DARDEN, THOMAS MALCOLM
035846 1105 PALMYRA RD
ALBANY
GA 317011933 46
DARDEN, TRUDDIE EDWARDS
031231 MOREHOUSE SCHOOL OF MEDICINE, 720 WESTVIEW DRIVE, S.W ATLANTA
GA 30310
32
DARDEN, WILLIAM ABNER
023937 505 EISENHOWER DRIVE
SAVANNAH
GA 31499
DARNELL, DENVILLE T
008065 BOX 156
TATE
GA 30177
01
DARUGAR, BAHRAM
011834 132 SPARTA HWY, PO BOX 3760
EATONTON
GA 31024
41
DARVILLE, WAYNE NATHANIEL
029271 PO BOX 491145
COLLEGE PARK GA 30349-1145 32
DAS, GIRIJA SANKAR
035609 427 BLUERIDGE DRIVE,# H-115
MARTINEZ
GA 30907
17
DASCOMBE, WILLIAM HUGUS
038726 505 MALL BLVD. APT 611
SAVANNAH
GA 31406
47
DASGUPTA, GAUTAM
014237 2047 PRINCE AVE
ATHENS
GA 30606
22
DASHER, BYRON GRADY
027795 PO BOX 2825
AUGUSTA
GA 30914
DASHER, MARION NESBIT JR
015366 820 ST SEBASTIAN WAY, SUITE 5B
AUGUSTA
GA 30901
11
DASHER, WILLIAM B JR
012770 SUITE 210 310 HOSPITAL DRIVE
MACON
GA 31201
46
DASHIELL, WAVERLY BERKLEY
005939 2703 NANCY STREET
COLUMBUS
GA 31906
11
DASPIT, LINDA SHARON GOODWIN 027796 UNIVERSITY HOSPITAL, 1350 WALTON WAT
AUGUSTA
GA 30910
DASS, MANOJ K
022536 822 MERIWETHER DRIVE
SAVANNAH
GA 31406
33
DAUGHERTY, DWAYNE TIMOTHY
030040 4652 OUTER BANK DRIVE
NORCROSS
GA 30092
00
DAUGHERTY, STEVE DENNIS
028259 C/0 RINGGOLD MEDICAL CENTER, 209 LAFAYETTE ROAD
RINGGOLD
GA 30736
17
DAUGHERTY, TIMOTHY
037781 4451 PAULSEN STREET
SAVANNAH
GA 31405
17
DAUS, KEVIN MICHAEL
028394 2675 N DECATUR RD,# 303
DECATUR
GA 30033
15
DAVE, AMITA N.
023724 1680 MULKEY ROAD, SUITE G
AUSTELL
GA 30001
17
DAVE, MAHENDRA
037782 PO BOX 1194
SNELLVILLE GA 30278-1194 33
DAVE, NIRANJAN J
031232 1680 MULKEY RD, SUITE C
AUSTELL
GA 30001-1182 05
DAVENPORT, JAMES ALEXANDER 016331 3626 OLD OAKWOOD RD, PO BOX 1480
OAKWOOD
GA 30566
17
DAVENPORT, JOSEPH PETREE
034806 2916 WINDFIELD CIRCLE
TUCKER
GA 30084
32
DAVID, ANDREW KALEEL
034807 2003 1/2 HAMPTON AVE
AUGUSTA
GA 30904
36
DAVID, MARC FREDRIQUE
026091 6520 ROSWELL ROAD NE, APT 7
ATLANTA
GA 30328-3184 10
DAVIDSON, AARON HERSHEL
032717 108 NORTHSIDE DRIVE EAST
STATESBORO GA 30458
27
DAVIDSON, ALTON GEORGE
025503 3487 HUNTERS PACE DR
LI THON IA
GA 30038-2896
DAVIDSON, BRADLEY KENNETH
035236 588 OAK STREET
ROBINS AFB GA 31098
10
DAVIDSON, CHARLES W
006634 450 N CANDLER ST
DECATUR
GA 30030-2671 11
DAVIDSON, EUGENE DAVID
015755 5667 PEACHTREE DUNWOODY RD NE, SUITE 320
ATLANTA
GA 30342-1725 41
DAVIDSON, GENE GRANT
016051 7 JOHN MADDOX DR
ROME
GA 30165-1413 17
DAVIDSON, JOHN ANDREW
012155 3280 HOWELL MILL RD NW, SUITE 319
ATLANTA
GA 30327
53
DAVIDSON, JOHN K III
005123 1075 LULLWATER RD NE
ATLANTA
GA 30307-1243 17
DAVIDSON, LAURA ELIZABETH
028960 2809 LIVSEY COURT
TUCKER
GA 30084- 2544 17
DAVIDSON, LUCY ELLEN
024924 1355 PEACHTREE ST, SUITE 1450
ATLANTA
GA 30309
33
DAVIDSON, PASCAL CARL
029861 DAVIDSON EYE CLINIC, 1013 NORTH 5TH AVE
ROME
GA 30165
27
DAVIDSON, PAUL COLWELL
019505 3193 HOWELL MILL RD NW, SUITE 230
ATLANTA
GA 30327-2118 12
DAVIES, BARBARA LEA
034126 4750 WATERS AVE, SUITE 500
SAVANNAH
GA 31404
47
DAVIES, BERNARD FRANKLIN
014480 155 MEDICAL WAY
RIVERDALE
GA 30274
06
DAVIES, ROBERT L
013607 755 COMMERCE DRIVE #205
DECATUR
GA 30030
36
DAVIES, SEABURY LANDON
028961 7940 JETT FERRY ROAD
DUNWOODY
GA 30350
03
DAVIN, WILLIAM THOMAS
027178 8 MONASTERY ROAD
SAVANNAH
GA 31411
10
DAVIS, ALAN DALE
030745 ORTHOPAEDIC SOUTH, P.C., 570 WEST LANIER AVE, SUITE 2 FAYETTEVILLE GA 30214
46
DAVIS, ALBERT M
005516 75 PIEDMONT AVE NE, SUITE 500
ATLANTA
GA 30303
53
DAVIS, ALFRED L JR
007182 1406 TEBEAU STREET, PO BOX 1398
WAYCROSS
GA 31501
32
DAVIS, BILLY JOE
009798 * PO BOX 190
HEPHZIBAH
GA 30815
10
DAVIS, BYRON SCOTT
005994 500 LAKE SHORE TRACE
ST SIMONS IS GA 31522-3748 31
DAVIS, CHARLES MAURICE
014796 100 WHEATLEY DRIVE, SUMTER REGIONAL HOSPITAL
AMERICUS
GA 31709
36
DAVIS, CHARLES WAYNE
036954 203 REESE STREET
AMERICUS
GA 31709
46
DAVIS, CHRISTOPHER KENYON
018889 104 ASHFORD WAY
GRIFFIN
GA 30223
41
DAVIS, DAVE MCALISTER
012i56 1938 PEACHTREE RD NW, SUITE 505
ATLANTA
GA 30309-1253 33
DAVIS, DAVID ALAN
037188 4301 CHASTAIN DRIVE
ATLANTA
GA 30342
36
Page No. 49
NAME
DAVIS, DENNIS ALLAN DAVIS, DIANE W. DAVIS, DONALD CRAWFORD DAVIS, DONALD MCENRY DAVIS, DONALD W DAVIS, FLOYD LAWRENCE 0 DAVIS, FRANK ETHERIDGE III DAVIS, FRANK MORRIS DAVIS, GLENDA ANN HAWKINS DAVIS, GUY CLARK DAVIS, GUY CLAUDE JR DAVIS, GWEN KERNAHAN DAVIS, HARRY N DAVIS, HENRY GORDON, JR. DAVIS, HENRY JACKSON, JR DAVIS, JAMES BARRY DAVIS, JAMES EDWARD DAVIS, JAMES WILSON, JR DAVIS, JOHN BUCKLEY JR DAVIS, JOHN LORRAINE III DAVIS, JONG KWON DAVIS, KENNETH FRANKLIN DAVIS, LARRY PAUL DAVIS, LAWRENCE WILLIAM DAVIS, LAWTON CATER DAVIS, LEE SWEARINGEN DAVIS, LEO JAMES, JR. DAVIS, LEWIS M JR DAVIS, LORETTA SMRTNIK DAVIS, MARION BEDFORD, JR. DAVIS, MARK STEPHEN DAVIS, MARVIN LEROY DAVIS, MATTHEW EDWIN DAVIS, PARMA CHARLTON, JR. DAVIS, PATRICIA CLARK DAVIS, PAUL LAWSON, JR. DAVIS, PAUL MCMILLIAN DAVIS, RAY CHARLES DAVIS, REGINALD MAURICE, JR DAVIS, RICHARD LEE DAVIS, ROBERT CARTER JR DAVIS, ROBERT SHELDAN DAVIS, SHELLEY CARTER JR DAVIS, TERRELL L DAVIS, THOMAS ALBERT DAVIS, THOMAS JAMES DAVIS, THOMAS WILLIAM DAVIS, TIMOTHY EVERETT DAVIS, WALTER DONALD DAVIS, WARREN WENDELL DAVIS, WILKES HENRY JR DAVIS, WILLIAM ALONZO Ill DAVIS, WILLIAM BRUCE DAVIS, WILLIAM EDWARD DAVIS, WILLIAM GRANT DAVIS, WILLIAM HENRY DAVIS, WILLIAM SHALA DAVIS, WILLIAM SIMMONS
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
028963 024798 019506 023938 034808 008747 021965 008415 025741 007034 015457 030042 014901 005124 037783 017159 021668 031901 026497 015756 033503 023939 012448 034809 021669 028964 012310 015925 035848 004616 015084 004981 016052 026498 019928 018375 026093 035238 027720 023725 010521 008416 010522 010132 012079 035611 026251 027528 036362 012794 012895 009799 035849 022741 021670 029320 012311 010409
P.O. BOX 1355 #8 ERIN OFFICE PARK, ~406 BELLEVUE ROAD 1365 CLIFTON ROAD NE, GENERAL INTERNAL MEDICINE PO BOX 52602 4209 ALLENHURST DRIVE 1151 CLEVELAND AVE STEC 4700 WATERS AVENUE, PO BOX 23089 820 TI FT AVE PO BOX 516 3217 MOUNT OLIVE RD 3045 BAY VIEW DRIVE 4209 ALLENHURST DRIVE 110 WALESKA RD 108 LIBERTY AVE, P. 0. BOX 405 3463 AUSTIN AVE 1125 TROUPE STREET, PO BOX 3845 28 HEMINGWAY CIRCLE 993 JOHNSON FERRY RD NE STE D, SUITE 470 S. GA SURGIAL ASSOC, PO BOX 520 2575 PEACHTREE ROAD NE, SUITE 7-F 2 NORMANDY COURT 1825 MARTHA BERRY BLVD 3710 EBAY ST 1365 CLIFTON RD, NE 104 FAIRVIEW PARK DRIVE 3935 CLUB DRIVE 425 WTHIRD AVE, SUITE 500 1010 PEACHTREE BATTLE CIRCLE 2813 HILLCREST AVE 875 W PEACHTREE NE 315 WINN WAY 1150 HAMMOND DRIVE, BLDG A, SUITE 1170 33 UPPER RIVERDALE RD SW, SUITE 117 6 TALL PINE CT. 926 LULLWATER ROAD 103 POST OAK TRAIL 3280 HOWELL MILL RD, NW, SUITE 309 7680 BLANDFORD PLACE PO BOX 1399, 4 CHERRY OAK PLAZA 220 THOMAS CIRCLE, #19 20 LINDEN AVE NE, SUITE 500 2444 PARKWOOD DRIVE 2801 N DECATUR ROAD, SUITE 300 PO BOX 305 3914 E BROOKHAVEN DRIVE, NE 777 HEMLOCK ST, BOX 140 120 CARTER AVE 1867 ACUBA LANE 115 OIB PLANTATION WAY EMORY CLINIC, 875 JOHNSON FERRY ROAD 130 VANN ST SUITE 230 350 ARGONNE DRIVE, NW AF 2024 PULMONARY SECTION, MCG DIV OF EMERGENCY MEDICINE, 69 BUTLER ST 709 WATERWOOD BEND 1007 GREENFIELD DRIVE, PO BOX 929 1700 HOSPITAL SOUTH DRIVE, SUITE 502 308 SHORTER AVE
JESUP
GA
DUBLIN
GA
ATLANTA
GA
ATLANTA
GA
NORCROSS
GA
EAST POINT GA
SAVANNAH
GA
TIFTON
GA
NASHVILLE
GA
EAST POINT GA
JONESBORO
GA
NORCROSS
GA
CANTON
GA
SYLVESTER
GA
MACON
GA
AUGUSTA
GA
SAVANNAH
GA
ATLANTA
GA
THOMASVILLE GA
ATLANTA
GA
ATLANTA
GA
ROME
GA
DULUTH
GA
ATLANTA
GA
DUBLIN
GA'
ATLANTA
GA
ALBANY
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
RIVERDALE
GA
AUGUSTA
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
RINCON
GA
COMMERCE
GA
ATLANTA
GA
BRUNSWICK
GA
DECATUR
GA
TIGER
GA
ATLANTA
GA
MACON
GA
BLACKSHEAR GA
ATLANTA
GA
FAYETTEVILLE GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
PEACHTREE CITY GA
TIFTON
GA
AUSTELL
GA
ROME
GA
31545
41
31021
30322
17
30355
17
30092
03
30344
27
31403-3089 41
31794
10
31639
10
30344-5611 41
30236
03
30092
03
30114
10
31791
10
31204
15
30914-3845 36
31411
41
30342-1638 47
31799
41
30325
27
30324
17
30161
30136
38
30322
36
31021
17
30319
03
31701
30
30327
08
30909
06
30309
48
30030
15
30328
32
30274-2617 30
30909
32
30307
36
30606
36
30327
30350
33
31326
10
30529
01
30365
11
31520
15
30033
17
30576
32
30319
33
30201
41
31516
10
30345
08
30214-4774 53
30342
17
30060
27
30305
36
30912-3135 34
30303
17
30269
08
31793
41
30001
15
30165-4268 33
Page No. 50
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DAVIS, WILLIAM VAUGHN
036071 * 102 VICTORY DR# C
SWAINSBORO GA
DAVIS-WILLIAMS, E. CAMILLE 025137 730 PEACHTREE STREET, N.E., SUITE 1135
ATLANTA
GA
DAWKINS, STEPHEN A
033066 735 PIEDMONT AVENUE NE
ATLANTA
GA
DAWS, ANTHONY W
015369 160 CADE STREET
HARTWELL
GA
DAWSON, FELECIA L.
030292 2575 JOLLY ROAD
COLLEGE PARK GA
DAWSON, HARRY EUGENE JR
013024 1825 MARTHA BERRY BLVD
ROME
GA
DAWSON, JACK EDWIN JR
011945 100 10TH ST NW
ATLANTA
GA
DAWSON, JAMES CUMMING
027985 105 LAKEWOOD DR
PERRY
GA
DAWSON, LAWRENCE JAMES
018376 4972 LAKELAND DR NE
MARIETTA
GA
DAWSON, ROBERT C
034326 EMORY UNIV - RADIOLOGY, 1364 CLIFTON RD ROOM B-117 ATLANTA
GA
DAY, DOUGLAS GREGORY
031234 1034 ST JAMES CROSSING
ATLANTA
GA
DAY, JAMES ORIEN III
017160 231 GRAEFE STREET
GRIFFIN
GA
DAY, JOHN
038464 572 STILLWATER DRIVE
MARIETTA
GA
DAY, STEPHEN DEFREEST
037784 175 15TH ST, NE, APT 404
ATLANTA
GA
DAYA, SHASHIKANT AMTHALAL
037520 100 BENTBROOK COURT
FAYETTEVILLE GA
DE ALBUQUERQUE, LEONIDAS JOHN 012868 372 BIG CANOE
JASPER
GA
DE ANDRADE, JOHN ROBIN DE ARMAS, FRANCISCO M
013263 1365 CLIFTON ROAD NE, DEPT OF ORTHOPEDIC SURGERY
010048 * 214 KENAN DRIVE NW
ATLANTA
GA
MILLEDGEVILLE GA
DE FERIA, WILLIAM MILEHAM
022537 C/0 CENTRAL STATE HOSPITAL, BOX 18
MILLEDGEVILLE GA
DE GAETANO, HILDA MARION ROTHS 037785 1411 BON AIR DRIVE
AUGUSTA
GA
DE GAETANO, JOSEPH SALVATORE 037786 1411 BON AIR DRIVE
AUGUSTA
GA
DE GIVE, ELIZABETH DYKES
025139 1301 WELLBROOK CIRCLE
CONYERS
GA
DE GIVE, JAMES RANSFORD
025140 1301 WELLBROOK CIRCLE
CONYERS
GA
DE GOURVILLE, ROBERT EVERETT 034572 6560 VALLEY HILL DR
MABLETON
GA
DE GUZMAN, NORBERTO GARCIA 023584 4028 HOLCOMBE BRIDGE ROAD, SUITE 200
NORCROSS
GA
DEJARNETTE, ROBERT HENRY JR 010905 1702 MEADOWS LANE
VIDALIA
GA
DE JUNCO, JOSEPH EUGENE
029163 ATLANTA HEART INSTITUTE, 1368 SOUTHLAKE PLAZA DR
MORROW
GA
DE LA LUZ, ANTONIO MANUEL
028967 5741 RIVOLI DRIVE
MACON
GA
DE LAPERRIERE, ARMAND ANGE 010135 5555 PEACHTREE DUNWOODY RD NE, SUITE 156
ATLANTA
GA
DE LEMOS, GASTON
013264 1950 NORTH PARK PLACE, SUITE 202
ATLANTA
GA
DE RUYTER, DAVID NOBLE
035239 3250 HOWELL MILL ROAD NW, SUITE 208
ATLANTA
GA
DE SANTIS, JAMES MICHAEL
030595 3901 REGAS DRIVE
MARIETTA
GA
DE STEFANO, KIMBERLY ANN
036521 116 BRANDYWINE PLACE
AUGUSTA
GA
DE URIOSTE, PATRICIA LYNN BATE 024799 11050 CRABAPPLE ROAD, SUITE 120
ROSWELL
GA
DEAL, DAVEY RONALD
012995 310 HOSPITAL DRIVE SUITE 305
MACON
GA
DEAL, ERIC ALLAN
024226 2221 SPENCERS WAY
STONE MOUNTAIN GA
DEAL, MICHAEL CARL
029623 150 HENRY BURSON DR, SUITE 110
CARROLLTON GA
DEAM, ALLEN GREGORY
033311 414 SHEPPARD CROSSING CT
STONE MOUNTAIN GA
DEAN, ANDREW GRISWOLD
028965 2877 MCCLAVE DR
DORAVILLE
GA
DEAN, CHARLIE WILSON
016707 * 615 HARPER ROAD
PERRY
GA
DEAN, DARRELL LEE
014118 PO BOX 139, 97 CHURCH STREET
TAYLORSVILLE GA
DEAN, DAVID ATUSHI
037521 1206 CHAMPION PINES LANE
AUGUSTA
GA
DEAN, GWENDOLYN
028526 630 WHITEHALL WAY
ROSWELL
GA
DEAN, KENNETH ROBERT
033067 3203 POST WOODS DRIVE, APT E
ATLANTA
GA
DEAN, LESLIE P
034327 1938 PEACHTREE ROAD, SUITE 603
ATLANTA
GA
DEAN, ROBERT COULSON
031727 2601 FLEMINGTON ROAD
ATLANTA
GA
DEAN, ROBERT DURLEY
009015 2 DOLPHIN COURT
COLUMBUS
GA
DEAN, ROBERT JONATHAN
031403 330 HOSPITAL DR., BLDG C-STE 220
MACON
GA
DEANE, DANIEL ANTHONY DEAS, RALPH HALEY JR
034570 2640 QUINN COURT
008418 * 3405 TREERIDGE PARKWAY
AUGUSTA
GA
ALPHARETTA GA
DEATON, KATHERINE HUNTER
026094 25 VERNON GLEN COURT
ATLANTA
GA
DEATON, KENNETH DUNCAN, JR 031585 682 HEMLOCK STREET, SUITE 100
MACON
GA
DEBARGE, LAWRENCE RAYMOND
035850 TRI-COUNTY PROFESSIONAL BLDG, 102 GROSS CRESCENT, SUI FT OGLETHORPOE GA
DEBRA, DON WILLIAM JR
015243 2801 N DECATUR RD, SUITE 350
DECATUR
GA
DECKER, FRANCES LOUISE
033953 PO BOX 1330
SPRINGFIELD GA
DECKER, THOMAS FRANCIS
035851 CHATHAM RADIOLOGIST, PA, 9 MEDICAL ARTS CENTER
SAVANNAH
GA
DECLUE, JOHN ANTHONY
037522 2704 WELLINGTON DRIVE
AUGUSTA
GA
DEDE, J. ANTHONY
034571 928 S FIRST ST
JESUP
GA
30401-2350 15
30308
15
30308
26
30643
41
30349
15
30165
47
30309-3846 17
31069
30068
08
30222
36
30319
27
30223
17
30064
46
30309
10
30214
36
30143-5106 41
30322
46
31061
03
31062
01
30907
32
30907
10
30207
17
30207
17
30059
32
30092
30474
41
30260-1756 05
31210
08
30342-1710 15
30339
33
30327
17
30066
08
30909
10
30075
32
31201
17
30087
30117
32
30083
10
30340-1941 54
31069
01
30178
10
30909
07
30076-1361 32
30339
03
30309
28
30345
44
31904
15
31201-3816 17
30909
32
30202
27
30338
31201
19
30742
27
30033
09
31329
17
31405
36
30909
10
31545
Page No. 51
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DEDO, WILLIAM CHARLES
019661 5354 HWY 29
LILBURN
GA
DEDONIS, JAMES LOUIS
019508 GA DIAGNOSTIC CLINIC, 710 BROAD STREETS E
GAINESVILLE GA
DEE, SUPRANEE VAMVANIJ
034813_ 1002 CHARLESTON PLACE
VALDOSTA
GA
DEEN, JOHNNY TRICE
010904 232 CHEROKEE RD
THOMASTON
GA
DEEN, ROY WENDELL
027799 800 WEST THOMAS ST
MILLEDGEVILLE GA
DEERING, THOMAS FRANCIS
032170 285 BOULEVARD NE, SUITE 435
ATLANTA
GA
DEES, HOYT COLLINS
011217 4553 N SHALLOWFORD RD, SUITE 50-B
ATLANTA
GA
DEESE, JACK MELVIN, JR
024534 1109 FOUNTAIN LAKE DRIVE
BRUNSWICK
GA
DEGANIAN, JAVAD
016053 2121 FOUNTAIN DRIVE, SUITE A
SNELLVILLE GA
DEGENHART, WILLIAM JOSEPH
022538 5205 FREDERICK STREET
SAVANNAH
GA
DEG!, KEITH JOSEPH
026848 1745 NORTH PELHAM ROAD NE
ATLANTA
GA
DEGOMEZ, VICTORIA MARCIAL
022743 1961 NORTH DRUID HILLS ROAD NE, SUITE 203-B
ATLANTA
GA
DEGRAND!, TERESE MARIE
025141 13 WESTFAIR COURT
ATLANTA
GA
DEGRAZIA, JOSEPH ANTHONY
022222 436 FOREST HILLS DRIVE
AUGUSTA
GA
DEGROSS, JOSEPH MICHAEL
030046 1317A SOUTH MAIN ST.
MOULTRIE
GA
DEHAVEN, JOSEPH WILLIAM
020687 7001 HODGSON MEMORIAL DRIVE
SAVANNAH
GA
DEIMLER, ROBERT EUGENE
038728 1411 PROVIDENCE ROAD
LAWRENCEVILLE GA
DEITCH, MILTON JOSEPH
010410 960 JOHNSON FERRY RD NE, SUITE 335
ATLANTA
GA
DEIULIO, DAVID MARK
035852 3400 OLD DAWSON RD
ALBANY
GA
DEJAK, THOMAS ROBERT
037190 10395 OXFORD MILL CIR
ALPHARETTA GA
DEJARME, ELMERA VILLANUEVA 028966 3781 SINCLAIR DAM ROAD NE
MILLEDGEVILLE GA
DEJARNETTE, CHARLES PHILLIP 024925 353 PARKWAY DRIVE NE, SUITE 101
ATLANTA
GA
DEJARNETTE, HUGH MALCOLM, JR. 027365 1550-B JANMAR ROAD
SNELLVILLE GA
DEKLE, ANDREW ALLISON
019509 *PO BOX 480
CAIRO
GA
DEKLE, JOHN LOREN, JR
010907 5354 REYNOLDS STREET, SUITE 318
SAVANNAH
GA
DEL CUETO, JOSE R
010516 2739 FELTON DRIVE, SUITE 105
EAST POINT GA
DEL MAZO, JACINTO
014238 478 PEACHTREE ST NE, SUITE 107-A
ATLANTA
GA
DEL PORTILLO, MADELEINE
021672 2247 SALIENT ROAD
MARIETTA
GA
DEL POZO, ROBERT JESS
035853 3235 MISTY CREEK DR
DECATUR
GA
DEL VALLE, EMILIO
035612 ST JOSEPH'S MED OFFICE BLDG, 11702 MERCY BLVD, SUITE SAVANNAH
GA
DELAFONTAINE, PATRICE
031586 EMORY U - DIV OF CARDIOLOGY, P.O. BOX LL
ATLANTA
GA
DELAPERRIERE, PRESTON CHANDLER 036365 758 MCCLURE DR
AUGUSTA
GA
DELAY, BRADLEY D
030748 P.O. BOX 2706
DALTON
GA
DELCHER, HARRY KENT
017683 315 BOULEVARD, SUITE 528
ATLANTA
GA
DELEVETT, ALLEN FITZHUGH
018214 306 BROCKINGTON DRIVE
ST SIMONS IS GA
DELGADO, ABELARDO R
018796 BOX 42 CLODFELTER #4, CENTRAL STATE HOSP
MILLEDGEVILLE GA
DELGADO, EMILIO
021494 * 112 EAST LEE STREET
DAWSON
GA
DELGADO, JOSE ARTURO
013381 107 GARRETT WAY, P.O. BOX 1225
MILLEDGEVILLE GA
DELGADO, MERCEDES LOUISA
021966 2649 PEACHTREE BATTLE PLACE
ATLANTA
GA
DELGADO, NESTOR F.
029164 107 UPPER RIVERDALE RD SW
RIVERDALE
GA
DELGADO, RICARDO JORGE
036956 24 BRITTANY WAY
ATLANTA
GA
DELGADO-LEON, RENE P
027722 1837 HWY 138, SW
RIVERDALE
GA
DELIMA, CESAR MEDALLA
028396 333 ALCOVA ST - SUITE 10, P.O. BOX 925
MONROE
GA
DELIMA, JUDITH ABLANIA DEMECIL 028528 333 ALCOVA STREET - SUITE 10, P.O. BOX 925
MONROE
GA
DELK, MARCIA LEE
025142 172 TOWNE LAKE PKWY
WOODSTOCK
GA
DELL, MARY LYNN
031729 103 FOWLER COURT
DECATUR
GA
DELLACONA, SALVATORE JOHN
034329 122 WOLF CREEK DRIVE
MACON
GA
DELLI-GATTI, KEVIN LEE
027529 403 W GORDON STREET
THOMASTON
GA
DELNOSTRO, DAVID JAMES
021671 7373 HODGSON MEMORIAL DRIVE
SAVANNAH
GA
DELOACH, ERVIN DANIEL
016708 4750 WATERS AVE, SUITE 500
SAVANNAH
GA
DELOACH, SHERRY LEA
025742 3870 CHEROKEE FORD
GAINESVILLE GA
DELONG, JAMES MARK JR
017663 * 2021 HOG MOUNTAIN ROAD
WATKINSVILLE GA
DELONG, MAHLON ROBERT
033564 995 IVY FALLS DR, NW
ATLANTA
GA
DELONG, THOMAS GREGORY
024927 715 JESSE JEWELL PKWY, SUITE 301
GAINESVILLE GA
DELP, WILLIAM ALFORD JR
017791 4027 BRENTERESA COURT
SNELLVILLE GA
DELZER, DONALD J
035032 438-H WARNELL DRIVE
RICHMOND HILL GA
DEMARCO, BRYAN JOSEPH
030987 582 CONCORD ROAD, SUITE A
SMYRNA
GA
DEMARCO, THOMAS JOHN
032718 2491 PACES FERRY ROAD, SUITE 201
SMYRNA
GA
30247
10
30505-3198 17
31602-1287 31
30286
27
31061
10
30312
05
30338-6408 15
31525
46
30278
32
31405
27
30324
33
30329
01
30328
36
30909
24
31768
22
31406
17
30244
10
30342-1695 52
31707
21
30202-6317 30
31061-9379 08
30312
03
30278
17
31728
17
31405
15
30344
11
30308-3103 01
30064
21
30033
33
31419
32
30322
05
30909
03
30722
10
30312
17
31522-1601 17
31062
01
31742
41
31061
01
30327
01
30274-2599 17
30324
31
30296
30655
41
30655
32
30188
17
30030
53
31210
17
30286
32
31406
08
31404
47
30506
32
30677
10
30328
23
30505
41
30278
01
31324
36
30082
15
30080
10
Page No. 52
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DEMARINI, THOMAS PATRICK
032171 2801 N DECATUR ROAD, SUITE 180
DECATUR
GA
DEMARINO, FRANK WILLIAM
029863 1289 BRANDI DRIVE
MARIETTA
GA
DEMARS, MICHAEL LYNN DEMAURO, MICHAEL DANIEL DEMETRY, NICHOLAS CHARLES
D35613 DEKALB MEDICAL CENTER, 5019 LAVISTA ROAD
032546 * 4600 WATERS AVE, SUITE 100 030047 * 4675 NORTH SHALLOWFORD ROAD, SUITE 100
TUCKER
GA
SAVANNAH
GA
DUNWOODY
GA
DEMICCO, JOHN MICHAEL
016855 501 EISENHOWER MED PARK, PO BOX 14359-EISENHOWER DR SAVANNAH
GA
DEMOSTHENES, CHARLES STRATTON 023585 SOUTHEASTERN HEALTH SERVICES, 1915 VAUGH ROAD
KENNESAW
GA
DEMPEWOLF, SCOTT ALLEN
036366 2343 REDWOOD DR
AUGUSTA
GA
DEMPSEY, JAMES EDWARD
010908 1010 PRINCE AVENUE
ATHENS
GA
DENITTO, PAULA COLLETTE
027180 4750 WATERS AVE, SUITE 112
SAVANNAH
GA
DENMARK, LEILA D
003118 385 MULLINAX ROAD
ALPHARETTA GA
DENNARD, DAVID TAYLOR
026252 1007 PROFESSIONAL PARK, BOX 1572
DALTON
GA
DENNARD, JAMES E
012388 2910 N PATTERSON ST
VALDOSTA
GA
DENNIS, ALLEN~ JR
010373 NEPHROLOGY SECT - BAA 910, MEDICAL COLLEGE OF GEORGIA AUGUSTA
GA
DENNIS, BROWN W
008419 35 COLLIER ROAD, SUITE 200
ATLANTA
GA
DENNIS, DON PATRICK
017006 3193 HOWELL MILL ROAD, SUITE 215
ATLANTA
GA
DENNIS, JUDITH J
033068 2349-F DUNWOODY CROSSING
ATLANTA
GA
DENNIS-SMITH, RACHELLE L
027531 110 LOUISE TERRACE S.W.
ATLANTA
GA
DENNISON, DAVID RM
020688 1938 PEACHTREE RD NW
ATLANTA
GA
DENNISON, ROBERT LEE
026253 DEPT. ANESTHESIOLOGY, MED. COL. GA
AUGUSTA
GA
DENSLER, JAMES FRANKLIN
009461 505 FAIRBURN ROAD, SUITE 205
ATLANTA
GA
DENTON, CHARLES GORDON, III 032172 6043 PRESTLEY MILL RD, SUITED
DOUGLASVILLE GA
DENTON, LORA CLAIRE
033818 305 WYNGATE CIRCLE
FAYETTVILLE GA
DEPEW, BRUCE CRAIG
036132 3 PROFESSIONAL COURT
ROME
GA
DEREBAIL, GOPALAKRISHANA
014307 .2819 SOMERSET DRIVE
ALBANY
GA
DERISO, HENRY CLARK
013026 44 MEDICAL ARTS CENTER
SAVANNAH
GA
DEROSA, MICHAEL A
033954 2347 LENORA CHURCH RD
SNELLVILLE GA
DEROSSETT, SARAH ELIZABETH 034814 2345 TRISTAN CIRCLE NE
ATLANTA
GA
DERRICK, BOBBY LEE
019510 5669 PEACHTREE DUNWOODY RD NE
ATLANTA
GA
DERRICK, HOWARD C JR
004985 HAYS C.I., BOX 668
TRION
GA
DERRO, ROBERT ARTHUR
024928 5775 GLENRIDGE DRIVE, BUILDING C
ATLANTA
GA
DESAI, ANIL J
035033 STEMMER BUILDINGIO, 2712 LAWRENCEVILLE HWY
DECATUR
GA
DESAI, JAYAPRAKASH R
019511 601 OLD NORCROSS ROAD, SUITE A
LAWRENCEVILLE GA
DESAI, KISHORCHANDRA DAHYABHAI 026707 7232 STILLWATER DRIVE
COLUMBUS
GA
DESAI, PRAKASH V
018482 1664 MULKEY RD
AUSTELL
GA
DESAI, RAJENDRA CHHAGANIAL 019253 1001 THORNTON ROAD, SUITE 301
LITHIA SPRINGS GA
DESAI, RAJIV DINKAR
029626 810-A HAWTHORNE AVE
ATHENS
GA
DESAI, REKHA JAYAPRAKASH
019665 601 OLD NORCROS, SUITE A
LAWRENCEVILLE GA
DESAI, ROH IT M
030594 1183-A SOUTH HAIRSTON RD
STONE MTN
GA
DESAI, ~OOPAL ANIL GANDHI
035034 30 DOUBLES DRIVE
COVINGTON
GA
DESAI, SAURABH D
027530 8954 HOSPITAL DR, SUITE 100-B
DOUGLASVILLE GA
DESAI, USHA PRAKASH
018483 1664 MULKEY RD
AUSTELL
GA
DESAI, VIREN DINKERRAI
037524 222 VALLEY BROOK CROSSING
DECATUR
GA
DESAI, YASHASVINI H
017162 153 GLEN EAGLE WAY
MCDONOUGH GA
DESHAZER, CHARLES
034575 4210 THE VALLEY
ATLANTA
GA
DESIMONE, JOHN WILLIAM
019930 800 E DOYLE STREET
TOCCOA
GA
DESIRE, KATHLEEN MARIE
028760 4698 BALLY SHANNON DRIVE
MABLETON
GA
DESOUTTER, LORI ANN GERMANO 037985 2019 WESTMINISTER WAY
ATLANTA
GA
DETLEFS, RICHARD LYLE
029438 DOCTORS BUILDING, 478 PEACHTREE ST, SUITE 818-A
ATLANTA
GA
DEUTSCH, ANTHONY JOHN
023444 HAWTHORNE PROFESSIONAL PARK, 330 HAWTHORNE LANE
ATHENS
GA
DEUTSCH, JASON HOWARD
035402 1364 MARKAN COURT, APT 3
ATLANTA
GA
DEUTSCH, SAMUEL
036133 318 WEST PIKE STREET
LAWRENCEVILLE GA
DEVINE, JOHN WILLIAM
027048 P.O. BOX 3606
VALDOSTA
GA
DEVINE, STEVEN MICHAEL
035854 1448 N CROSSINGS DRIVE
ATLANTA
GA
DEVITO, DENNIS PETER
034576 5455 MERIDIAN MARK RD, SUITE 440
ATLANTA
GA
DEVOE, LAWRENCE DANIEL
024929 DEPT OF OB/GYN, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
DEW, JAMES HARRIS, JR
012450 1459 MONTREAL ROAD, SUITE 501
TUCKER
GA
DEWBERRY, JAMES W
015371 11909-A MCAULEY DRIVE
SAVANNAH
GA
30033
34
30060
03
30084
53
31499-3001 32
30338
00
31416-1359 00
30144
17
30904
30
30606
30
31404
41
30201
32
30720-3085 22
31602
30
30912-3140 22
30309
17
30327
30
30338
08
30331
32
30309-1258 17
30912
03
30331
32
30134-2278 10
30214
17
30161
10
31707
08
31499
46
30278
27
30345
23
30342-1701 41
30753
10
30328
17
30033
16
30245
17
31904
30001
32
30057
05
30606
15
30245
17
30088
17
30209
17
30134-2282 17
30001
15
30033
03
30253
01
30328
17
30577
10
30059
08
30307
32
30308
06
30606
04
30306
36
30245
12
31604
36
30329
17
30342
28
30912
25
30084
27
31419-1709 28
Page No. 53
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DEWEESE, FREDERICK THANE
036134 428 MEDLOCK ROAD, APT 2
DEWITT, HENRY LAND
027533 113 ATHENS STREET
DEY, JANET ANNE
024411 1830-C PIEDMONT RD
DEZOORT, EDITH JUNE
009128 1462 MONTREAL ROAD, SUITE 109
DHALIWAL, RANJIT SINGH
038466 619 SAW GRASS DR
DHAR, PRADIP KUMAR
038729 613 RIMINGTON LANE
OHARA, V. RAMANA
037787 3200 HAMPTON RIDDGE WAY
OHARAMSI, MOHAMED NURDIN
020526 1495 OLD MCDONOUGH ROAD, SUITE A
DI CRISTINA, MICHAEL ANGEL 022223 1368 SOUTHLAKE PLAZA DR
DI FULCO, THOMAS JOHN
018215 2029 CHESTERFIELD DRIVE
DI GIROLAMO, MARIO
014239 764 LULLWATER ROAD
DI IORIO, RALPH CARL
021675 5505 PEACHTREE DUNWOODY RD, SUITE 300
DI NELLA, KENNETH EDWARD
036716 808 ELMO STREET
DI SANTIS, DENNIS ERNEST
018138 2675 N DECATUR RD, SUITE 506
DIAL, WILLIAM BERRY
014903 501 WEST ONE IDA STREET, P 0 BOX 2267
DIAMANT, MICHAEL JEFFREY WILDS 034815 315 GLYNN STREET
DIAMANT, ROBERT STUART
028262 * 315 GLYNN STREET
DIAMOND, ANDREW JAY
036368 2870 PHARR COURT SOUTH NW, APT 2405
DIAMOND, ARTHUR ELIAS
020527 * 471 SALEM WOODS DRIVE, N.E.
DIAMOND, IVAN DAVID
023040 5 LAVISTA PERIMETER OFFICE PARK, SUITE 101
DIAMOND, LEE ALAN
020689 6285 DON HASTINGS DRIVE, SUITE A
DIAMOND, STEVEN CHARLES
036135 3175 POND RIDGE TRAIL
DIAZ, ALFONSO, JR
034816 1825 MARTHA BERRY BLVD
DIAZ, EMMA EDELMIRA
037789 3450 N. DRUID HILLS R, APT L
DIAZ, EVELIO F
012312 1717 ELMWOOD ROAD
DIAZ, FAUSTO
021390 143 WOODLAWN TERRACE, BOX 1607
DIAZ, FRANKLIN DANIEL
032374 601 PROFESSIONAL DR# A, SUITE 225
DIAZ, JOSE MANUEL
038467 NEURO-DJAGNOSTIC CENTER, 3200 DOWNWOOD CIR# 520
DIAZ, THERESA
035035 838 ARLINGTON DR.
DIAZ-ALONSO, PETER
032500 35 COLLIER ROAD NW, SUITE 200
DIBENEDETTO, ROBERT J
012822 DEPT OF INTERNAL MEDICINE, PO BOX 23089
DICK, ANDREW EDWARD
026254 3614-A J DEWEY GRAY CIRCLE
DICKENS, ANDREW FORSTER
038218 1649 ANITA PL NE
DICKENS, CATHERINE MAE KNIGHT 035240 PO BOX 1907
DICKENS, VICTOR FRANCIS
022540 456 WINDTREE PLACE
DICKER, RICHARD CHARLES
026503 2480 CADILLAC DRIVE
DICKERSON, BYRON CURTIS
036714 321 RIVER CHASE TRAIL
DICKERSON, ELIZABETH ANNE
036136 555 TANACREST DRIVE
DICKINSON, DANIEL LAURENCE 028115 1065 CHAFEE AVE
DICKINSON, JOHN INGRAM
007780 310 WSIXTH ST
DICKINSON, PAUL JOSEPH
038219 1429 N AMANDA CIR NE
DICKMAN, SHERYL SAM!
026255 7960 LANDOWNE DRIVE
DICKS, ROBERT ERWIN
018576 1143 PRINCE AVENUE
DICKSON, CHRISTOPHER SCOTT 036958 108 ESSEX AVENUE
DICKSON, JOHN ERVIN
034504 124 LAFAYETTE DRIVE, APT 1
DICKSON, PAUL LESLIE
025963 PO BOX 848
DICTER, RICHARD MARTIN
019513 * 4024 CUMBERLAND GLEN LANE
DJDOCHA, DANIEL WALTER
035037 3121 PIEDMONT ROAD, NE
DIEHL, MARK WILLIAM
023350 652 CHURCH STREET
DIEHL, SANDRA ANN
031237 1078 POLO CLUB DRIVE
DIESENHOUSE, MICHAEL CRAIG 033071 4060 PEACHTREE ROAD, SUITE D-312
DIETRICH, HERBERT J JR
005306 PO BOX 20606
DIETZ, VANCE JEFFREY
037525 2591 CRAVEY DRIVE
DIGAMON-BELTRAN, MARILYN
027031 PO BOX 907, 333 ALCOVA STREET
DIJAMCO, ALICE L
018289 760 WOOD DUCK CT NW
DIJAMCO, ARMANDO CINCO
017684 5669 PEACHTREE DUNWOODY RD NE, SUITE 155
DILL, LAWRENCE CLYDE
024800 811 CRYSTAL MOUNTAIN DRIVE
DILLARD, GAYLA JANINE REDMAN 035241 2127 HAMPTON TRL SE
DECATUR
GA
HARTWELL
GA
ATLANTA
GA
TUCKER
GA
MARINTEZ
GA
DECATUR
GA
SNELLVILLE GA
CONYERS
GA
MORROW
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AMERICUS
GA
DECATUR
GA
WAYCROSS
GA
JESUP
GA
JESUP
GA
ATLANTA
GA
MARIETTA
GA
TUCKER
GA
RIVERDALE
GA
SNELLVILLE GA
ROME
GA
DECATUR
GA
MILLEDGEVILLE GA
REIDSVILLE GA
LAWRENCEVILLE GA
ATLANTA
GA
TUCKER
GA
ATLANTA
GA
SAVANNAH
GA
AUGUSTA
GA
ATLANTA
GA
CLAYTON
GA
MARTINEZ
GA
ATLANTA
GA
DULUTH
GA
ATLANTA
GA
AUGUSTA
GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
BALDWIN
GA
SMYRNA
GA
ATLANTA
GA
MARIETTA
GA
MARIETTA
GA
ATLANTA
GA
ST SIMONS ISL GA
ATLANTA
GA
MONROE
GA
ATLANTA
GA
ATLANTA
GA
AUSTIN
GA
CONYERS
GA
30030
46
30643
10
30324
30084
32
30909-9137 27
30030
05
30278
35
30208
15
30260-1756 17
30345
17
30307
17
30342
27
31709
33
30033
11
31502-2267 46
31545
03
31545
03
30305
30
30067
36
30084
15
30274
17
30278
15
30165
05
30033
31
31061
33
30453
10
30245-7698 17
30327
23
30084
30309
17
31403
34
30909
17
30306-2261 03
30525
10
30907
10
30345
54
30136
15
30328
17
30904-5855 10
30165
10
30329-3317 27
30350
03
30606
17
30339
50
30309
17
30511
41
30080
08
30305
10
30060
46
30064
06
30319
27
31522-0206 30
30345
10
30655
17
30327-4760 03
30342-1701 22
78733-6120 03
30208-2349 41
Page No. 54
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DILLARD, KARIN DIPIETRO
038468 3033 CHATTAHOOCHEE TRACE
DILLARD, ZACHARIAH BARNARD 038730 3033 CHATTACHOOCHEETRACE
DILLE, MICHAEL BRICE
019378 480 ELDEN DRIVEN. E.
DILLINGHAM, BRUCE LEE
026098 845 DEAN WAY
DILLON, ROBERT GWYN
021676 2536 LAWRENCEVILLE HWY
DIMINO-EMME, LYNN CHRISTEN 038469 3111 GLENRIDGE-STRATFORD DRIVE
DIMON, JOSEPH HOMER, III.
008420 2001 PEACHTREE ROAD, SUITE 705
DIMOND, FRANCIS CHRISTOPHER, J 014346 3140 RAMSGATE ROAD
DIMOND, KEITH A
013180 PO BOX 15238
DIMOU, THEOFANIS GEORGE
016464 4-B CROSSCREEK DRIVE
DINGLE, ARDEN DALLAS
034577 135 RIDLEY CIRCLE
DIRKSEN, JOHN STUART
033771 2100 CENTRAL AVENUE, SUITE 4
DISCH, STEVEN P
030989 80 LACY ST
DISMUKES, WILLIAM PAUL, JR 035242 110 BRISTOL LANE
DITARANTO, ANTHONY VINCENT 029865 2 BRIDGECREEK CT
DITTER, SUSAN MARIE
024803 2500 HOSPITAL BLVD, #280
DIVER, KERRY CHESTER
023041 820 ST. SEBASTIAN WAY APT.7-B
DIVINE, RICHARD DOUGLAS
023042 2045 PEACHTREE RD NE, TERRACE LEVEL
DIWADKAR, VARADA VILAS
022747 5455 MERIDIAN MARK ROAD, SUITE 240
DIX, BARRY ROBERT
025964 29 UPPER RIVERDALE RD SW, SUITE 230
DIX, WILLIAM ALEXANDER
035243 835 EAST AVENUE
DIXIT, BHUSHIT SHARADCHANDRA 028532 700 CENTER STREET, SUITE 202
DIXON, ALBERT VERNON, JR.
017570 514 FOURTH AVE
DIXON, ANDREW ALEXANDER
028761 728 PEPPERWOOD TRL
DIXON, ELLIS HOWARD, III
032549 C/0 JEANNIE JOHNSON, 2570 DORAL DRIVE
DIXON, HAMILTON SMITH
011702 3268 MARTHA BERRY HWY, N.E.
DIXON, JIMMY LENON
013027 3215 SHRINE RD, SUITE 8
DIXON, JOHN MATTHEWS
015926 1909 ABERDEEN ROAD
DIXON, MARTIN A.
028531 140 SHADOW CREEK CHASAE
DIXON, PIERCE KENDAL
005406 669 LANIER PK DR
DIXON, PIERCE KENDAL III
018484 669 LANIER PARK DRIVEN E
DIXON, ROBERT HUBERT
037986 4455 HAVERSTRAW DR
DIXON, SAMMIE DANIELS
013028 6104 EAST FOREST LAKE DRIVE
DIXON, TIMOTHY KEVIN
038731 MIDDLE GA UROLOGY, ASSOC, PO BOX 1240
DIZON, CAYETANO TIZON
019514 1150 ST. ANDREWS DRIVE
DO, ANN NGA
038732 516 PONCE DE LEON PLACE, APT B
DO, NAM KY
036717 675 RAIN WILLOW LN, SUITE E
DOAN, TERRENCE BABBITT
019668 980 JOHNSON FERRY RD NE, SUITE 920
DOBBS, NELSON BARRETT, JR
012453 * 325 W9TH ST
DOBBS, OLIN CARL JR
008071 479 GROVE STREET
DOBES, WILLIAM LAMAR JR
013029 478 PEACHTREE ST, SUITE 818A
DOBSON, FRANKLIN MONCRIEF
029628 980 JOHNSON FERRY ROAD, SUITE 860
DOCKERY, JEFFERY JOE
037987 1107 EAST 66TH STREET, FAM PRACT RESIDENCY PROG
DOCKERY, KEITH MYRON
033567 850 AGAN PLACE
DODANI, HEMAN B.
027368 71 BRIARCLIFF ROAD
DODD, KATHLEEN MURRAY
032550 3252 PINESTREAM ROAD
DODD, RICHARD FOWLKES
038471 8 STEPHENSON AVE
DODD, WILLIAM ASA
005565 2192 INGLESIDE AVE
DODENDORF, JANICE RAE
032375 572 AUGUSTINE PLACE
DODGEN, CHARLES WAYNE
017100 212 CHEROKEE ROAD
DODGEN, DIANE
035403 323 JOHNSTON DRIVE
DODSON, THOMAS FOSTER
029629 SECTION OF VASCULAR SURG., EMORY CLINIC/1365 CLIFTON
DOERING, MARY CATHERINE
023586 880 CRESTMARK DRIVE, SUITE 200
DOERR, CHRISTOPHER ERWIN
034578 1791 MCREE MILL ROAD
DOERR, JAMES LOUIS
011542 303 SMITH ST
DOHERTY, DENNIS CHRISTOPHER 031731 1382 MT PHARAN ROAD NW
DOHERTY, MAUREEN ANN
032551 1081 VININGS FALLS DRIVE
DOHERTY, MICHAEL FRANCIS
028158 767 HOUSTON MILL ROAD, APT 5
GAINESVILLE GA
GAINESVILLE GA
ATLANTA
GA
LAWRENCEVILLE GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
ROME
GA
DECATUR
GA
AUGUSTA
GA
MARIETTA
GA
ALPHARETTA GA
COLUMBUS
GA
ROSWELL
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
RIVERDALE
GA
SCOTTDALE
GA
COLUMBUS
GA
ALBANY
GA
STONE MTN
GA
DULUTH
GA
ROME
GA
BRUNSWICK
GA
ALBANY
GA
ALPHARETTA GA
GAINESVILLE GA
GAINESVILLE GA
DUNWOODY
GA
TIFTON
GA
DUBLIN
GA
MACON
GA
DECATUR
GA
DULUTH
GA
ATLANTA
GA
ROME
GA
BARNESVILLE GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
LAVONIA
GA
ATLANTA
GA
SAVANNAH
GA
MACON
GA
ROCKY FACE GA
THOMASTON
GA
THOMASTON
GA
ATLANTA
GA
LITHIA SPRINGS GA
WATKINSVILLE GA
LAGRANGE
GA
ATLANTA
GA
SMYRNA
GA
ATLANTA
GA
30506
15
30506
15
30342
36
30245
30D33
17
30342
06
30309
28
30909
48
31416
22
30161
10
30030
33
30904
33
30060-1112 44
30202
17
31904
01
30076
30901
17
30309-1405 27
30342
34
30274-2616 17
30079
08
31901
33
31701
33
30087-5786 53
30136
32
30165
30
31520
11
31701
27
30202
09
30505
41
30505
41
30338
32
31794
15
31040-1240 52
31210
03
30030
32
30136-7148 36
30342-1607 41
30165-2725 27
30204
08
30308
06
30342
21
31404
10
30342
30
30553
17
30327
08
31405
03
31204
10
30740
03
30286
10
30286
17
30322
41
30057
01
30677
08
30240
41
30327
03
30080
03
30329
03
Page No. 55
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DOHN, CARL WEISS JR
019669 3226 HAMPTON AVENUE
BRUNSWICK
GA
DOHRMANN, DAVID MICHAEL
016582 1600 MARTHA BERRY BLVD
ROME
GA
DOLAK, JAMES ALEXANDER
036072 1309 SUMMIT POINT WAY, NE
ATLANTA
GA
DOLAN, CYNTHIA ANN
035615 1827 MAGNOLIA BLUFF WAY
DULUTH
GA
DOLAN, MARY SEGARS
035137 9180 TUCKERBROOK LN
ALPHARETTA GA
DOLEN, WILLIAM KENNEDY
036137 914 MILLEDGE ROAD
AUGUSTA
GA
DOLLAR, ALLEN LEE
035244 44 FORREST DRIVE
CARROLLTON GA
DOMAN, ALEXANDER NICHOLAS
033313 6507 PROFESSIONAL PL, SUITE E
RIVERDALE
GA
DOMBROSKI, RICHARD. TODD
036139 4635 THOROUGHBRED LANE
.COLUMBUS
GA
DOMESCIK, GERALD
012247 5725 RIVERSIDE DRIVE
ATLANTA
GA
DOMIN, WILLIAM STANLEY
035855 2899 THORNRIDGE DRIVE
DORAVILLE
GA
DOMINGO, MELANIA B
017919 510 MAPLE DRIVE
VIDALIA
GA
DOMINGUEZ, JOSE LUIS
036140 4517 LAVISTA ROAD
TUCKER
GA
DOMINY, DALE EDWIN
011691 3988 ASHENTREE DR
CHAMBLEE
GA
DOMM, ALBERT CHRISTOPHER
022136 1208 RAVENWOOD CIRCLE
VALDOSTA
GA
DON DIEGO, FRANK RICHARD JR 026505 1000 CORPORATE CENTER DRIVE, SUITE 200
MORROW
GA
DONAHUE, JAMES GERARD
036718 2903 NORGATE DRIVE
AUGUSTA
GA
DONAHUE, PARNELL MELVIN
030753 5775 GLENRIDGE DR NE# C
ATLANTA
GA
DONALDSON, JOANN
032720 PO BOX 11163
ATLANTA
GA
DONDERO, TIMOTHY JOSEPH JR 030049 879 CLIFTON ROAD NE
ATLANTA
GA
DONLAN, PAMELA MARY CAWLEY 038733 7785 CLUB DRIVE
ATLANTA
GA
DONLEY, PATRICIA JANE
034128 8304 CHASTAIN DRIVE
ATLANTA
GA
DONNAN, PETER ARTHUR
032173 1643 HIGHWAY 257
CORDELE
GA
DONNELLAN, ELAINE K
010331 * 2483 WILLIAMSWOOD COURT
DECATUR
GA
DONNELLY, EDWIN H
019156 3193 HOWELL MILL ROAD, SUITE 115
ATLANTA
GA
DOllNRLY, ELWIN WILLIAM
009655 834 LULLWATER ROAD NE
ATLANTA
GA
DONNELLY-; JOHN W.!_LLIAM
028398 1121 JOHNSON FERRY RD, SUITE 150
MARIETTA
GA
DONNER, ROBERTS
008424 5631 KENTUCKY DOWNS DRIVE
MACON
GA
DONTHAMSETTY, A. RAO
033955 304 BRIARCLIFF RD
WEST POINT GA
DOOLEY, KENNETH J
016901 2297 OXBOW CIRCLE
STONE MOUNTAIN GA
DOOLEY, SAMUEL WEITH, JR.,
027534 401 ROCKBOROUGH TERRACE
STONE MOUNTAIN GA
DOOLITTLE, THOMAS PATRICK
034818 2076 HILDA BURNS DRIVE
LITHONIA
GA
DOPSON, JAMES ENOCH
031587 1918 NORTHLAKE PARKWAY, SUITE 101
TUCKER
GA
DOPSON, KELLEY SUE BETHEL
025144 975 JOHNSON FERRY ROAD NE, SUITE 400
ATLANTA
GA
DOPSON, THOMAS LANIER
025145 285 BOULEVARD, N.E., SUITE 610
ATLANTA
GA
DORMINEY, HENRY CLAYTON
023352 820 LOVE AVE, SUITE A
TIFTON
GA
DORMINY, JOHN HENRY Ill
018639 P.O. BOX 1647, 1806 LEE STREET
TIFTON
GA
DORRIS, HUGH DUNCAN, JR
036142 246 E VINELAND
AUGUSTA
GA
DORSEY, DEANNA LYNN
036719 4013 DOWLING DR
MARTINEZ
GA
DORSEY, HARRY NEIL
016225 425 THIRD AVE, SUITE 300
ALBANY
GA
DORSEY, SANDRA ROSE
023941 2894 JIM OWENS ROAD
KENNESAW
GA
DOSHI, DINESH MANSUKHLAL
037740 * 1211 COLONY PLACE DR
AUGUSTA
GA
DOSS, MELVIN CLINTON
010142 C/0 TOCCOA CLINIC MED ASSOC, PO BOX 908
TOCCOA
GA
DOSS, RICHARD HALLOCK
025966 11 SOUTH MILLWARD ROAD
SAVANNAH
GA
DOSUNMUOGUNBI, ADEDOYIN BODUN 036720 26608 WINDSOR WOODS LANE
NORCROSS
GA
DOSUNMUOGUNBI, SES! OLUFUNMIL 037192 2660 WINDSOR WOODS LANE, APT. B
NORCROSS
GA
DOTSON, SYBIL DENISE
035856 3796 ALLSBOROUGH DRIVE
ATLANTA
GA
DOTT, ANDREW BERWICK
033314 100 10TH STREET, N.W.
ATLANTA
GA
DOUD, FORREST JOHN
024931 1307 MILSTEAD AVE
CONYERS
GA
DOUGHERTY, ANTHONY CHRISTOPHER 030452 8051 CHAPEL LAKE DRIVE
MIDLAND
GA
DOUGLAS, BEVERLY GOODE
018012 ATLANTA WOMEN'S OBGYN, 2001 PEACHTREE RD NE# 640 ATLANTA
GA
DOUGLAS, JAMES THOMAS
033569 ROYSTON MEDICAL ASSOC, 819 CHURCH STREET
ROYSTON
GA
DOUGLAS, JOHN SIMONTON JR
014045 916 LULLWATER RD
ATLANTA
GA
DOUGLAS, KELLEY PATRICK
033957 C/0 TIFTON RADIOLOGY PC, PO BOX 388
Tl FTON
GA
DOUGLAS-CHURCHWELL, LESLIE 032553 378 ANGIER COURT
ATLANTA
GA
DOUGLASS, ADRIAN CEDRIC
036522 *PO BOX 68
DECATUR
GA
DOUGLASS, PAUL LAWRENCE
019205 FIRST UNION PLAZA, SUITE 850, 999 PEACHTREE STREET N ATLANTA
GA
DOUGLASS, THOMAS GARRETT
009803 PO BOX 1026
SEA ISLAND GA
31520
15
30165-1646 32
30329
03
30136
06
30202-6169 15
30904
04
30117
05
30274-2519 46
31909
08
30327
36
30340
09
30474
10
30084
17
30341-1403 41
31602
01
30260
10
30909
09
30328-5390 21
30310-0163 10
30307
10
30319
36
30342
33
31015
10
30033
33
30327
00
30307
36
30068-5425 15
31210
31
31833
31
30087
32
30083
17
30058
03
30084
25
30342
25
30312
28
31794
5
31794-1647 15
30904
06
30907-1491 03
31701
17
30144
10
30907-4708 33
30577
03
31410
33
30071
34
30071
32
30341
17
30309
15
30207
32
31820
17
30309-1476 15
30662
10
30307
05
31793
36
30312
10
30031
17
30309-3604 05
31561
17
Page No. 56
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DOURRON, MARIA LUISA
014308 2675 NORTH DECATUR ROAD, SUITE 301
DECATUR
GA
DOURRON, NESTOR WASHINGTON 014240 2675 NORTH DECATUR ROAD, SUITE 301
DECATUR
GA
DOURRON, RODNEY MICHAEL
036143 2240 FOREST GLADE DR
STONE MOUNTAIN GA
DOUTHARD, ROSS S JR
004935 1500 BOULEVARD DR NE
ATLANTA
GA
DOVE, DONALD VEAL
008074 BOX 310
GRAYSON
GA
DOVGAN, DANIEL JAKOB
038472 202 N. DECATUR LANE
DECATUR
GA
DOWDA, FREDERICK WILLIAM
005998 490 PEACHTREE ST NE, SUITE 129-B
ATLANTA
GA
DOWDELL, WILLIAM THOMAS
027535 610 CROSSFIRE RIDGE
MARIETTA
GA
DOWNEY, JOHN MARTIN
031411 1355 INDEPENDENCE DRIVE
AUGUSTA
GA
DOWNING, DAVID LEE
027536 7 JOHN MADDOX DRIVE
ROME
GA
DOWNING, EDWARD FARMER
013845 4 JACKSON BLVD
SAVANNAH
GA
DOXEY, CLEM MELTON JR
013181 900 CAMPBELL HILL STREET
MARIETTA
GA
DOYLE, JOYCE PATRICIA
038735 1355 N. CROSSING DRIVE
ATLANTA
GA
DOZIER, DOUGLAS PERSONS
015372 4000 VINEVILLE AVENUE
MACON
GA
DOZIER, FRED AUGUSTUS
017446 340 BOULEVARD, SUITE 101
ATLANTA
GA
DRACK, ARLENE VAUNE
036370 1130 PIEDMONT AVE - #1201
ATLANTA
GA
DRAGSTEDT, CATHERINE CECILE 032376 KAISER/GWINNETT MEDICAL OFFICES, 3700 SATELLITE BLVD DULUTH
GA
DRAKE, ALISON BROOKS
038736 KENNESTONE HOSPT- REHAB DEPT, 677 CHURCH ST
MARIETTA
GA
DRAKE, CHARLES EDWARD
021678 5354 REYNOLDS STREET, SUITE 222
SAVANNAH
GA
DRAYTON, JOYCE RENEE
038737 7124 SOUTHLAKE PARKWAY, APT N-8
MORROW
GA
DRENNING, DAVID HUMPHREY
036721 951 BRAMWELL CT
STONE MTN
GA
DRETLER, ROBIN HENRY
022748 2801 N. DECATUR ROAD, SUITE 350
DECATUR
GA
DREW, GEORGE STEPHENSON
029166 3405 WHEELER ROAD
AUGUSTA
GA
DREXINGER, BE~NARD RICHARD, JR 032555 2500 HOSPITAL BLVD, #280
ROSWELL
GA
DREYER, RUSSELL HARWELL
026101 2010 RIVER NORTH PARKWAY
ATLANTA
GA
DREYER, SUSAN JEAN
035617 6678 BRANDON MILL RD NW
ATLANTA
GA
DREYFUS, JOHN
028159 4140 CREEK STONE COURT
STONE MOUNTAIN GA
DRONAVALLI, RAMANJANEYULU V 018641 672 GRAYMONT DR
GRAYSON
GA
DRUMMOND, JOHN ANDREW
016333 2001 PEACHTREE ROAD NE, SUITE 435, PIEDMONT PROF BLD ATLANTA
GA
DRURY, CARL MORRIS JR
010912 3011 KEMBLE AVE
BRUNSWICK
GA
DRURY, WILEY LADON
012455 VALDOSTA ANESTHESIA, PO BOX 1727
VALDOSTA
GA
DRWIEGA, PAUL JAMES
024228 ST JOSEPH'S HOSPITAL LABORATORY, 11705 MERCY BLVD SAVANNAH
GA
DU BOSE, BOLLING STOVAL JR 007092 740 PRINCE AVE, BLDG 7
ATHENS
GA
DU BOSE, DAVID MC LEAN
016175 755 MT VERNON HWY, SUITE 400
ATLANTA
GA
DU PUJS, ELIZABETH JANE ANDERS 025968 81 BLACKLAND RD NW
ATLANTA
GA
DUPUIS, MARK HOWARD
026258 81 BLACKLAND ROAD NW
ATLANTA
GA
DUANE, LAWRENCE J JR DUBE, ALLICK MSEBE
011946 * RADIOLOGY ASSOC OF WAYCROSS, PO BOX 938 027723 * 662 LAKEVIEW TRAIL
WAYCROSS
GA
MARIETTA
GA
DUBE, VOLKER ERNST
030293 1533 WRIGHTSBORO ROAD
AUGUSTA
GA
DUBIN, STEVIN ADLEY
028535 3468 STALLINGS ISLAND ROAD
MARTINEZ
GA
DUBINER, HARVEY BRUCE
030755 3990 GLEN HURST DRIVE
SMYRNA
GA
DUBOIS, RICHARD EUGENE
012621 100 10TH ST NW
ATLANTA
GA
DUBOSE, PATRICIA A
016334 993 JOHNSON FERRY RD NE# C, SUITE 240
ATLANTA
GA
DUBOVSKY, DANIEL WILLIAM
029866 1100 LAKE HEARN DRIVE, NE, SUITE 500
ATLANTA
GA
DUCHIN, JEFFREY SCOTT
036144 1029 AMSTERDAM AVE
ATLANTA
GA
DUDDLESTON, LELAND SAGE
033073 412 BATTLELINE DRIVE
ROCKY FACE GA
DUDLEY, AINSWORTH GATEWOOD 014046 PO BOX 567
AMERICUS
GA
DUDLEY, AUGUSTUS B JR
007186 105 PROFESSIONAL CENTER
COLUMBUS
GA
DUDLEY, CAROLYN GAIL
028762 7 STONEWOOD COURT
COLUMBUS
GA
DUDLEY, JAMES CRAWFORD
007460 800 EAST DOYLE STREET
TOCCOA
GA
DUDLEY, LAURA SHANNON
038473 105 WEST FURLOW STREET
AMERICUS
GA
DUDNEY, WILLIAM CROSS Ill
022402 700 CENTER STREET, SUITE 303
COLUMBUS
GA
DUELGE, JOHN THOMAS
037193 425 3RD AVENUE, SUITE 100
ALBANY
GA
DUENO, FRANCISCO A
031238 SOUTHSIDE OB/GYN, P.C., P.O. BOX 1117
RICHMOND HILL GA
DUFFELL, GORDON M
009466 1365 CLIFTON RD NE, PULMONARY DISEASE
ATLANTA
GA
DUFFEY, FRANKLIN JEFFERSON, JR 016856 117 KENAN DRIVE, NW
MILLEDGEVILLE GA
DUFFIELD, MARKS
038740 870 CRESTMARK DRIVE, W. PARK PROF. CTR., SUITE 102 LITHIA SPRINGS GA
DUGAL, JAMES JOSEPH
025341 3455 PEACHTREE INDUSTRIAL BLVD, SUITE 110
DULUTH
GA
30033
15
30033
10
30087
10
30317
01
30221-0310 01
30033
33
30308
17
30064
17
30901
38
30165-1413 17
31499
44
30060
06
30329
17
31210
11
30312
41
30309
27
30136
32
30060
38
31405
17
30260
17
30083-2426 05
30033
17
30909
47
30076-4907 23
30328
08
30328-2050 35
30083
30
30221-1653 17
30309
17
31520-4210 01
31603
03
31419
17
30606
17
30328
17
30342-4407 31
30342
31
31502
36
30068
17
30904
31
30907
03
30080
27
30309-3846 17
30342-1645 17
30342
17
30306
17
30740
08
31709-0567 15
31901
17
31904
36
30577
41
31709
32
31901
33
31703
53
31324
25
30322
34
31061
33
30057
28
30136-6501 08
Page No. 57
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DUGGAN, ASA DANIEL DUGGAN, ASA DANIEL, JR DUGGAN, CHARLES ANDERSON JR DUGGAN, JANE DUHON, FRED JOSEPH DUKE, GRADY FORD DUKE, HAROLD WELSEY, III DUKE, JOHN F III DUKE, PEGGY GARRETT DUKES, DENNIS GAYLE DULAMAL, HARRESH BHAGWANDAS DULL, HAROLD BRUCE DULL, MARTHA KATHERINE DULOCK, MALCOM PAUL DUNAGAN, DONALD DUNAGAN, HELEN JOSEPHINE ROSE DUNAWAY, JAMES BOYD DUNAWAY, JAMES BOYD, JR DUNAWAY, MARSHALL CAMPBELL DUNBAR, ERNEST ALBERT JR DUNBAR, MARK ROBERT DUNBAR, RONALD WARD DUNBAR, WALTERS DUNCAN, ALEXANDER DUNCAN, GLENN ARTHUR DUNCAN, J HARRY DUNCAN, JAMES GREGORY DUNCAN, JAMES WENDELL DUNCAN, JEWELL BRENT DUNCAN, KAREN SCOTT DUNCAN, ROBERT AULDON DUNCAN, ROY GORDON DUNCAN, SCOTT DAVIS DUNCAN, TITUS DEWAYNE DUNFEE, JAMES HENRY DUNIVANT, JANICE MARIE JORDAN DUNLAP, DICKSON BROWN DUNN, BYRON HARRISON DUNN, CHARLES WARREN DUNN. JOEL SANFORD DUNN, MAURICE DUNN, TERENCE SEAN DUNN, WILLIAM ROBERT DUNN, YVONNE PAMELA DUNSON, SHELLEY MONIQUE DUNSTON, DIANE ELIZABETH DUNTON, STEVEN FRANK DUPLANTIER, BRADLEY M. DUPLECHAN, LESTER SHERMAN DUPONT, LOUIS DUPONT, RUTH ANNE REYNOLDS DUPRAT, ENRIQUE DUPRE, CONNIE TEMPLET DUPRE, JOHN ROBERTS DUPREE, THOMAS EARL DUQUE-DIZON, GRACE T DURALDE, FERNANDO AMPUERO DURALDE, FERNANDO U
004374 913 SPRING ST
WASHINGTON GA
020691 818 SAINT SEBASTIAN WAY STE 408
AUGUSTA
GA
008425 5710 SWEETBRIAR TRAIL
MACON
GA
031467 210 POWERS COVE
013610 * 1110 N MAIN
ATLANTA
GA
LAFAYETTE
GA
007382 205 GRAEFE ST
GRIFFIN
GA
034820 2682 SHARONDALE DRIVE
ATLANTA
GA
011947 PO BOX 1088
FT VALLEY
GA
020097 DEPT OF ANESTHESIOLOGY/CLH, 550 PEACHTREE ST
ATLANTA
GA
027538 ROUTE 2 BOX 2088
CLARKESVILLE GA
038474 12 FOX SQUIRREL DRIVE
SAVANNAH
GA
023588 2118 CASTLEWAY DRIVE, NE
ATLANTA
GA
008075 2183 NORTHSIDE PARKWAY, SUITE 102
013265 * 6920 JIMMY CARTER BLVD
TUCKER
GA
NORCROSS
GA
009467 1331 MONTEGO PLACE
AUGUSTA
GA
015553 SNELLVILLE PEDIATRICS, 2121 FOUNTAIN DRIVE SUITE A SNELLVILLE GA
007461 670 S. 8TH STREET
GR! FFIN
GA
031588 503 SOUTH 8TH STREET
GRIFFIN
GA
010526 119 WEST HILL STREET
THOMASVILLE GA
006151 2253 CARRIAGE DRIVE
MORROW
GA
022750 2500 HOSPITAL BLVD, SUITE 115
ROSWELL
GA
014047 1993 GRAND PRIX DRIVE NE
ATLANTA
GA
OC5842 2062 IMPERIAL DRIVE NE
ATLANTA
GA
027049 EMORY UNIVERSITY HOSPITAL, 1364 CLIFTON ROAD NE
ATLANTA
GA
025744 3014 CUSSETA ROAD
COLUMBUS
GA
004496 PO BOX 14620
SAVANNAH
GA
025148 726 TUCKER ROAD
MACON
GA
030756 AUGUSTA ORTHOPEDIC SPECIALISTS, PO BOX 14039
AUGUSTA
GA
034331 MEDICAL COLLEGE OF GA, ORTHOPEDIC DEPARTMENT
AUGUSTA
GA
027539 7916 NORRIS LAKE ROAD
LITHONIA
GA
037528 317 N DECATUR LN
DECATUR
GA
006891 509 HEYWARD CIRCLE
MARIETTA
GA
035405 4750 WATERS AVE, SUITE 206
SAVANNAH
GA
020692 615 PEACHTREE STREET NE, SUITE 1210
ATLANTA
GA
016227 539 HARDEE STREET
DALLAS
GA
034332 ROUTE 4 BOX 824, DUFFY GRIZZLE RD
DAHLONEGA
GA
010711 2628 HENRY STREET
AUGUSTA
GA
007462 1667 ALCOVY STATION ROAD
COVINGTON
GA
028537 PO BOX 4508
MACON
GA
037529 6203 SLOAN PLACE
ATLANTA
GA
009714 3012 PARK AVENUE:
AUGUSTA
GA
032722 1910 TYLER ROG
SMYRNA
GA
005569 P. 0. BOX 669
CUMMING
GA
037989 3427-T NORTH DRUID HILLS RD
DECATUR
GA
033316 4017 CROSSINGS WAY
STONE MOUNTAIN GA
029631 1120 VICTORIA CROSSING
WATKINSVILLE GA
027540 FULTON COUNTY MEDICAL EXAMINER~, 50 COCA COLA PLACE ATLANTA
GA
031589 PO BOX 2257
MARIETTA
GA
035038 324 WINDMONT DRIVE
ATLANTA
GA
013383 4100 ROSEMONT DR
COLUMBUS
GA
038223 3791 RIVER MANSION DR
DULUTH
GA
037990 611 NORTH AVE
VILLA RICA GA
031675 201 THREAD NEEDLE ROAD EAST
AUGUSTA
GA
031590 201 THREAD NEEDLE ROAD EAST
AUGUSTA
GA
006198 PO BOX 745
SWAINSBORO GA
019935 840 PINE STREET, SDUITE 700
MACON
GA
027370 S FULTON MED ARTS CTR, SUITE 221, 1136 CLEVELAND AVE EAST POINT GA
010050 SOUTH FULTON MED ARTS CENTER, 1136 CLEVELAND AVE SUIT EAST POINT GA
30673
10
30901-4698 41
31210
36
30327
03
30728
17
30223
41
30305
08
31030
10
30365
03
30523
17
31406
10
30345
30084-4165 15
30071-1205 17
30909
32
30278
32
30223
32
30223
15
31792
17
30260
32
30076-4907 27
30345
03
30345-3436 17
30322
31
31903
01
31416-1620 27
31210
41
30919
28
30912
28
30058
32
30033-5951 03
30064
32
31404
44
30308
41
30132
17
30533
10
30904
17
30209
15
31208
30
30329
03
30909
~3
30080-3102 10
30130
32
30033
17
30083
15
30677
32
30303
03
30061
03
30329
53
31904
41
30136-6146 10
30180
41
30907
17
30907
17
30401-0745 10
31201
03
30344
49
30344
41
Page No. 58
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
DURALDE, XAVIER AMPUERO DURANO, FILIPINAS C DURDEN, CHARLES HENRY DURDEN, MARK DANIEL III DURHAM, JOHN CRADDOCK DURISCH, LAWRENCE L JR DURKIN, JAMES PATRICK II DURNO, AMY GEARHART DURRANI, FAUZIA K DURRENCE, LEONARD C JR DURRETT, DONALD MILTON DURRY, ELIAS DUTT, CYRIL P DUTTENHAVER, JOHN RAYMOND DUTTERA, MAURICE JULIAN JR DUTTON, EDWARD WAYNE DUVALL, DAVID WALLACE DUVALL, DIANE E VOELPEL DUVERNEY, MARGARET YVETTE DYAL, MARY WILKINSON DYCKMAN, EDWARD DYE, JAMES WADE DYER, WALLACE KNAPP, II DYKES, FRANCINE DUDA DYSART, JOHN MARK DYSART, MARCELLA ANN THOMPSON DYSART, STANLEY HARRISON DYSINGER, WAYNE STEPHEN
036722 P'TREE ORTHOPAEDIC CLINIC,P.A., 2001 P'TREE ST, STE. 035039 1001-A N 3RD ST 011322 *PO DRAWER 480, NORMAN DORMINY DRIVE 009806 1095 GRAY HIGHWAY 023044 4621 PEELER MILL CT 013267 1075 C JESSE JEWELL PARKWAY NE 035407 4231 GLADNEY DRIVE 036371 1912 GREYSTONE RD 018800 107 WOODROW WILSON DR 007187 PO BOX 231 011219 1800 TROTTERS LANE 036723 3500 EMPEROR WAY 021150 6555 PROFESSIONAL PL 024934 MEMORIAL MED CTR DEPT OF RAD ONC, PO BOX 23089 012456 303 SMITH STREET 038658 BLECKLEY MEMORIAL HOSPITAL, 408 PEACOCK ST 021498 416 B 4TH AVE E 033739 3212 TETON DRIVE 038742 1118 PINE HEIGHTS DRIVE 018891 PO BOX 320, 233 GEORGIA AVENUE 012248 5669 PEACHTREE DUNWOODY RD NE, SUITE 305 034129 WAYCROSS UROLOGY CLINIC, PO BOX 2007 024229 1218 W. PACES FERRY ROAD, SUITE 108 019670 893 BARTON WOODS ROAD NE 034579 2634 RAYMOND AVE 030992 1067 POLO CLUB DRIVE 031591 652 CHURCH STREET 036145 1000 CORPORATE CENTER DR, SUITE 200
ATLANTA
GA
FOLKSTON
GA
FITZGERALD GA
MACON
GA
DUNWOODY
GA
GAINESVILLE GA
DORAVILLE
GA
ATLANTA
GA
VALDOSTA
GA
BLACKSHEAR GA
STONE MOUNTAIN GA
TUCKER
GA
RIVERDALE
GA
SAVANNAH
GA
LAGRANGE
GA
COCHRAN
GA
CORDELE
GA
ATLANTA
GA
ATLANTA
GA
WINTERVILLE GA
ATLANTA
GA
WAYCROSS
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
MARIETTA
GA
MARIETTA
GA
MORROW
GA
30309
46
31537
10
31750
10
31211
10
30338
17
30501-3814 30
30340-4705 33
30318
05
31602-2589 32
31516-0231 01
30087
36
30084
17
30274-2519 41
31403
36
30240
17
31014
08
31015
17
30339
06
30324
15
30683
01
30342
17
31502
52
30327
30
30307
32
30904
32
30064
10
30060
46
30260-4127 10
EAKER, JAMES RONALD EANES, MARK JOSEPH EARLE, JOHN CUNYUS EARLE, REGINA MARGARET EARLEY, PAUL HENRY EARLEY, WILLIAM HUGH EARLY, ANN GRAGG EARLY, MICHAEL WAYNE EARLY, WILLIAM LEE EASLEY, CONRAD H EASLEY, PAUL EDMUNDS EASON, HARMER ORAN JR EAST, JOHN H JR EASTERLING, M. KATHY EATON, FAYE YVONNE EATON, JAMES MILLARD JR EATON, MOLLY ELLEN EATON, STANLEY BOYD JR EAVES, FELMONT FARRELL, III EAVES, ROBERT F JR EBANKS, CARLEY SANTINA EBBA, EBBA KADIR EBERHARDT, MICHAEL RAY EBERHARDT, MYRON 0 EBERSBACHER, DONALD JAMES ECHEMENDIA, MICHAEL DANIEL
-E-
028538 2258 WRIGHTSBORO ROAD, SUITE 400 025970 P.O. BOX 2316 032723 251 CROFT ST. 030757 805 AMSTERDAM AVENUE NE 030454 * 4015 SOUTH COBB DR #120 014904 1935 CLIFF VALLEY WAY, SUITE 110 030051 348 GLENN CIRCLE 027806 105 AVERA DRIVE 020694 120 WALESKA ROAD, SUITE 1A 011323 1501 BROADRICK DRIVE, SUITE 3 024670 PO BOX 2979 010143 * 1009 CORDELE ROAD 020988 2480 GLENBONNIE DRIVE 027807 2460 PEACHTREE ROAD N.W., APT 307 016176 800 1ST ST, SUITE 200 009469 15 CAVENDER ST, P.O. BOX 609 023944 241 FORKNER DRIVE 011703 2887 HOWELL MILL RD NW 035858 1397 WOOD POND COVE 005843 5394 LEATHER STOCKINGS DR 035619 411 NORTH COBB STREET 036724 3552 BUFORD HWY - #3 021452 PO BOX 895 011589 * PO BOX 730 027006 100 PROFESSIONAL PARK, SUITE 207 019880 4553 N SHALLOWFORD RD STE 50-B
Page No. 59
AUGUSTA
GA
VALDOSTA
GA
CARROLLTON GA
ATLANTA
GA
SMYRNA
GA
ATLANTA
GA
DECATUR
GA
FORT VALLEY GA
CANTON
GA
DALTON
GA
GAINESVILLE GA
SYLVESTER
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
NEWNAN
GA
DECATUR
GA
ATLANTA
GA
ST MOUNTAIN GA
STONE MTN
GA
MILLEDGEVILLE GA
ATLANTA
GA
CLEVELAND
GA
CLEVELAND
GA
CARROLLTON GA
ATLANTA
GA
30910
15
31604-2316
30117
01
30306
08
30080
53
30329
33
30030
00
31030
10
30114
17
30720
46
30503
31791
10
30360
03
30305
31201-6804 32
30264
52
30030
30327
36
30083
47
30087
01
31061
30329
32
30528
01
30528
10
30117
17
30338-6452 15
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ECHOLS, GEORGE L JR ECHOLS, JOSEPH MARTIN ECHOLS, KYLE YOUNG ECKERT, JEANNE ECKERT, RICHARD EVERETT ECKMAN, JAMES R EDDLEMAN, HENRY C III EDELSON, DEBRA ERIN EDELSON, JOSEPH GORDON EDELSON, STEPHEN BRUCE EDELSON, STEPHEN IRWIN EDEN, SAMUEL WILLIAM EDENFIELD, CHARLES SCOTT EDGAR, JOHN RALPH EDGENS, JACK RONALD EDIGER, SCOTT LYNN EDISON, ALETHA LAKAY EDLIN, BRIAN ROY EDMOND, JAMES ALEXANDER EDMONDSON, MICHAEL LEE EDMONDSON, STEPHEN WILLIAM EDMUNDSON, ANN WEISLER EDWARDS, ALBERT MARTIN II EDWARDS, ANDREW J JR EDWARDS, ANDREW JOSEPH, III EDWARDS, BUFORD OTTO, JR EDWARDS, CHRISTOPHER REDDING EDWARDS, CLYDE RANDALL EDWARDS, DAVID LEE EDWARDS, ERNEST GOODALL JR EDWARDS, FRANCES KATHRYN EDWARDS, GEORGE KEITH EDWARDS, HERBERT GEORGE EDWARDS, KIMBERLY ANN EDWARDS, MAURICE DELMAR EDWARDS, PHILIP DAVID EDWARDS, TERRI ANDREA EDWARDS, THOMAS ELLIOT, JR EDWARDS, WALTER COMMODORE EFIRD, STEVEN NEAL EGAN, ROBERT FRANCIS EGAN, ROBERT LEE EGBE, PATRICK A. EGBEWATT, AGBOR NDIPARREY EGGERT, ANN ELIZABETH EHLE, DAVID WALTER EHLERS, JAMES EHRENFELD, HOWARD DONALD EHRLICH, JONATHAN STEVEN EHSANIPOOR, KAVEH EICHLER, MARTIN HAROLD EIDEX, MARSHALL FINLEY EIDEX, MAXWELL A EIDSON, RODGER H SR EILEN, STEVEN DENNIS EILERS, GREGORY A EILERS, KATHRYN BURNETT EISELE, PAUL EMANUEL
008754 005760 035859 035041 025149 020207 015459 033962 030993 013268 032556 024230 030052 023946 010917 031240 033317 032902 036725 022542 010145 034580 030053 010530 035042 028160 034581 030054 026511 006347 006199 036726 035246 031414 010415 015579 037991 038743 013030 035408 024671 010790 033571 038744 028972 036728 012392 036524 015580 020309 033820 009807 009808 012695 026104 017796 019516 014735
3614 HURST DRIVEN E 1430 HARPER STREET, BLDG. A 2302 ASHFORD 310 RIDLEY HOWARD COURT 8112 SIR GALAHAD DR 1464 DIAMOND HEAD CIRCLE 3 PRESCOTT WALK NE 594 WIMBLEDON ROAD, APT 6130 1459 MONTREAL RD, S 204 3833 ROSWELL ROAD, SUITE 110 619 VININGS PARKWAY 4500 N. SHALLOWFORD ROAD, #500 312 EMPIRE TRAIL CANDLER GENERAL HOSPITAL, P. 0. BOX 9787 1104 MARTHA BERRY BLVD 3810 PLEASANTDALE RD 160 BRAMBLE BUSH LANE 1176 BRIARCLIFF PLACE 7120 CHERRY BLUFF DRIVE PO BOX 1444 PO BOX 9621 3193 HOWELL MILL ROAD, SUITE 230 4039 ATLANTA STREET PO BOX 23498 1202 WINSTON AVENUE PO BOX 110 4553 KERZ COURT 2375 MILLER ACADEMY ROAD 1251 MARIETTA HIGHWAY, SUITE E 16 MEDICAL ARTS CENTER 1470 WINSTON PLACE 2965 PHARR COURT S, #408 2614 BROADMOOR DRIVE 3845 BROOKVIEW POINT 804 4TH AVE 2121 FOUNTAIN DRIVE, SUITED 3099 COLONIAL WAY# C 1280 WPEACHTREE STREET, SUITE 3107 2876 WYNGATE ST NW 339 APPALACHIAN AVE 2500 HOSPITAL BLVD, SUITE 250 1325 LANIER PLACE 483 UPPER RIVERDALE RD SW, SUITE C 609 TREE CORNERS PARKWAY 12 EASTBROOK BEND 310 W6TH STREET 3142 ARGONNE DRIVE NW 285 BLVD NE, SUITE 535 5455 MERIDIAN MARKS RD NE, SUITE 460 4750 WATERS AVE, SUITE 511 PO BOX 712 487 WINN WAY, SUITE 202 487 WINN WAY, SUITE 202 1105 BURLEYSON RD 1151 CLEVELAND AVE, SUITED RT. #1, BOX 1640 DAVIS RD. 4281 OLD CLUB ROAD EAST 1511 LONGLEAF DRIVE
MILLEDGEVILLE GA
AUGUSTA
GA
ALBANY
GA
DECATUR
GA
EVANS
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
TUCKER
GA
ATLANTA
GA
SMYRNA
GA
ATLANTA
GA
WARNER ROBINS GA
SAVANNAH
GA
ROME
GA
ATLANTA
GA
FAIRBURN
GA
ATLANTA
GA
ATLANTA
GA
TIFTON
GA
COLUMBUS
GA
ATLANTA
GA
POWDER SPRINGS GA
SAVANNAH
GA
SAVANNAH
GA
WATKINSVILLE GA
COLUMBUS
GA
BREMEN
GA
CANTON
GA
SAVANNAH
GA
DECATUR
GA
ATLANTA
GA
COLUMBUS
GA
DECATUR
GA
COLUMBUS
GA
SNELLVILLE GA
CHAMBLEE
GA
ATLANTA
GA
ATLANTA
GA
BLAIRSVILLE GA
ROSWELL
GA
CUMMING
GA
RIVERDALE
GA
NORCROSS
GA
PEACHTREE CITY GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ELLIJAY
GA
DECATUR
GA
DECATUR
GA
DALTON
GA
EAST POINT GA
GRAY
GA
MACON
GA
THOMASVILLE GA
31061-9380 32
30910-3699 15
31707
33
30030
15
30809
30033
17
30307
33
30324
33
30084
17
30342
10
30080
38
30338
31088
00
31412
30161
36
30340
17
30213
08
30306
17
30350
47
31793
15
31908-9621 33
30321
09
30073
00
31499
15
31404
15
30677-9667 32
31907
28
30110
00
30114
30
31405
46
30033
36
30305
24
31903
08
30034
17
31901
41
30278
52
30341-5328 23
30309
27
30305-2834 28
30512
41
30076-4907 01
30130
36
30274-2538 05
30092
17
30269
32
30165
41
30305
27
30312
23
30342-1613 15
31404
17
30540
40
30030
17
30030
17
30720
15
30344
05
31032
10
31210
32
31792
31
Page No. 60
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
EISENBAND, ROBERT MICHAEL
017169 5671 PEACHTREE DUNWOODY RD NE, SUITE 630
ATLANTA
GA
EISENBERG, ROBERT ALAN
027183 215 RIVERBIRCH PLACE
DULUTH
GA
EISENBERG, STEVEN JAY
036146 4509 N HILL PARKWAY
ATLANTA
GA
EISNER, DAVID SAMUEL
021972 2936 OLD PEACHTREE ROAD
DACULA
GA
EITH, RONALD EEDWARD
013612 4546 E KINGSPOINT CIRCLE
DUNWOODY
GA
EKELEDO, BROWN NNAMDI
025151 770 PINE #550
MACON
GA
EKWENCHI, ANTHONY
038745 2107 WOODLAKE DRIVE# A
MARIETTA
GA
ELKEBBI, !MAD MOHAMAD
032176 2999 CRAVEY COVE
ATLANTA
GA
ELAM, MARK PHILIP
036147 CROSS PLAINS INTERNAL MEDICINE, 1109 BURLEYSON RD - S DALTON
GA
ELAM, WARREN DIBRELL
027989 3623 J DEWEY GRAY CIR., SUITE 112, PO BOX 15058
AUGUSTA
GA
ELAM-QUARLES, SUZHANNA MARIE 035248 170 BEAVERWOOD LANE
LAWRENCEVILLE GA
ELAZAR, DON JACOB
035620 710 CENTER STREET, PO BOX 951
COLUMBUS
GA
ELDER, JEFF ODELL
033572 2979 EVANS WOODS DRIVE
ATLANTA
GA
ELDER, JOHN FREDERICK
020098 700 SUNSET DRIVE, SUITE 601
ATHENS
GA
ELDESOUKY, ABDELLATIF MOHAMED 035409 3603 EVANS TO LOCKS ROAD
MARTINEZ
GA
ELDRIDGE, EHRMAN HOWARD, JR 023947 6961 WETHERSFIELD RD
COLUMBUS
GA
ELDRIDGE, FRANKLIN G
003682 2307 RIVERHILL DR
VALDOSTA
GA
ELDRIDGE, JOHN CHARLES
033318 THE EMORY CLINIC, 1365 CLIFTON ROAD NE
ATLANTA
GA
ELEY, JOHN WILLIAM
027050 122 LAMONT DR
DECATUR
GA
ELIA, HANY WADIE
030055 1244 AUGUSTA WEST PKWY
AUGUSTA
GA
ELKON, DAVID
026105 770 PINE ST. SUITE L-20
MACON
GA
ELLARD, GEORGE WASHINGTON, JR. 027808 3611 STATLER DR.
COLUMBUS
GA
ELLENBERG, JOHN F
021451 17 FAIRWAY DR.
ST. SIMOMS GA
ELLERBROCK, TEDD VINCENT
028973 1731 NORTH MILFORD CREEK LANE
MARIETTA
GA
ELLIN, RICHARD SCOTT
025604 5950 MAGNOLIA MILL COURT
NORCROSS
GA
ELLIOTT, BALAAM T JR
013613 PO BOX 669935
MARIETTA
GA
ELLIOTT, JAMES TODD
038746 205 KATHRYN AVENUE
DECATUR
GA
ELLIOTT, JOHN ERVIN
032501 140 VANN STREET, SUITE 410
MARIETTA
GA
ELLIOTT, LESTER FRANKLYN
023948 975 JOHNSON FERRY RD NE, SUITE 500
ATLANTA
GA
ELLIOTT, MARY CATHERINE
037793 5665 SUGAR CREEK CT
NORCROSS
GA
ELLIOTT, NORMAN LYNN
021679 20 LINDEN AVE NE, BOX 27
ATLANTA
GA
ELLIOTT, PAUL M
016789 P O BOX 937
JESUP
GA
ELLIOTT, RAYMOND OLIVERE
038225 343 STAGECOACH WAY
MARTINEZ
GA
ELLIOTT, RICHARD LAURENCE
029634 DEPT OF PSYCHIATRY, 1550 COLLEGE AVE
MACON
GA
ELLIOTT, RONALD ERNEST
027372 116 WOODHAVEN CIRCLE
ATHENS
GA
ELLIOTT, SANDRA JUANITA HEADLE 035043 150 HENRY BYRSON DRIVE, SUITE 110
CARROLLTON GA
ELLIOTT, WARREN DUNLAP
006572 11550 ABERCORN EXT
SAVANNAH
GA
ELLIS, DARYL ARTHUR
038747 6534 CLEARWATER DRIVE
COLUMBUS
GA
ELLIS, DAVID JOSEPH
020865 * 2270 OAK ROAD
SNELLVILLE GA
ELLIS, FRANK DEARLE
034333 2810 SHELTER COVE
DULUTH
GA
ELLIS, GEORGE HORTON
031905 2001 WESTSIDE PARKWAY, SUITE 130
ALPHARETTA GA
ELLIS, JAMES MADISON, JR
030759 1590 ADAMSON PARKWAY, SUITE 260
MORROW
GA
ELLIS, JAMES STEPHEN
034131 EYE PHYSICIAN'S PROF. ASSOC, PO BOX 956, 626 FIRSTS MACON
GA
ELLIS, JEFFREY WARREN
034582 320 RICHFIELD COURT
ROSWELL
GA
ELLIS, JOHN OLIVER
004989 3531 PACES VALLEY ROAD NE
ATLANTA
GA
ELLIS, KEITH ERRETT
026106 MEMORIAL MEDICAL CENTER, 1107 E 66TH STREET
SAVANNAH
GA
ELLIS, MARK A
036525 PO BOX 275
WINDER
GA
ELLIS, SCOTT JOSEPH
036731 335 WYNGATE ROAD
AUBURN
GA
ELLIS, WILLIAM WEST
015666 119 WEST HILL STREET
THOMASVILLE GA
ELLISON, GREGORY TAYLOR
024806 820 ST SEBASTIAN WAY, SUITE 2C
AUGUSTA
GA
ELLISON, HOWARD STEVEN
020695 1010 EAST FREEWAY DRIVE
CONYERS
GA
ELLISON, JAMES BERTRAM
007328 75 PIEDMONT AVE NE, SUITE 514
ATLANTA
GA
ELLISON, LOIS TAYLOR
006200 MEDICAL COLLEGE OF GA HOSPITAL
AUGUSTA
GA
ELLISON, MARK FREDERICK
026107 GEORGIA UROLOGY CLINIC, 120 TRINITY PLACE
ATHENS
GA
ELLISON, RICHARD WESLEY
038226 535 BLUE RIDGE XING
EVANS
GA
ELLISON, ROBERT G
004734 606 WELLESLEY RD
AUGUSTA
GA
ELLISON, STEVEN BOBBY
030455 1313 MILSTEAD AVE
CONYERS
GA
ELLISON, THOMAS WESLEY
027544 2000 - 10TH AVE, SUITE 180
COLUMBUS
GA
30342-5000 17
30136
08
30341
05
30211
03
30338
04
31201
41
30060
33
30345
10
30720
17
30919
30244
23
31904
15
30340
32
30606
15
30907
33
31904
31602
36
30322
28
30030-2337 19
30909
00
31208
31907
10
31522
15
30060
15
30092
17
30066-0116 12
30030
17
30060
03
30342-1619 47
30093
53
30365
11
31545
10
30907-3329 10
31207
33
30606
17
30117
32
31419
15
31909
10
30278
10
30136
28
30201
15
30260
08
31298
27
30075
15
30327
36
31403
10
30680
03
30203
46
31792
05
30910
30207
17
30303
17
30912
34
30607
52
30809-9206 41
30909-3446 40
30207
17
31901
32
Page No. 61
NAME
ELLNER, JAMES DAVID ELLNER, KENNETH MARK ELLORENCO, CONCHITA R ELLS, SANDRA MELISSA ELLWOOD, HILARY KATE ELLZEY, BENJAMIN FRANKLIN ELLZEY, MILDRED JANEL. ELMORE, JAMES ANSEL, JR ELROD, BRUCE A ELROD, DAN BERLIN ELSAHY, NABIL IBRAHIM ELSAS, LOUIS J II ELSBACH, JAN KEES ELSBREE, JAMES MICHAEL ELSEA, WILLIAM ROBERT ELSEY, JAMES KEVIN ELSNER, CARLENE WILLISON ELSNER, WILLIAM ELSON, EILEEN FRIEDA ELSON, SHIA HYAM ELTING, JEFFREY A ELWOOD, ERIC THOMAS EMAS, MARK KEVIN EMERSON, LORI DAWN EMERSON, THOMAS EDWARD EMGE, FREDERICK KONRAD EMPTING, LARRY DUANE ENGEL, JOEL SCHOENHOLZ ENGEL, MARVIN F ENGEL, MICHAEL CHARLES ENGLAND, BRIAN KENT ENGLEHARDT, SAMUEL M III ENGLER, HAROLD S ENGLISH, DEBRA CRAWLEY ENGLISH, INMAN C ENNIS, GREGORY GORDON ENSLEN, PHILLIP JUDKINS ENUMAH, FESTUS BEGBUNA EPPLE, WALTER DAVID EPSTEIN, BENJAMIN HARRIS EPSTEIN, CHARLES MARTIN EPSTEIN, DAVID ALLAN EPSTEIN, DAVID CARLIN EPSTEIN, DAVID HENRY EPSTEIN, JACOB ERB, BETTY JOYCE ERCAN, MEHMET ERHAN ERCEG, GRAHAM WALTER ERCHAK, DAVID NEAL ERDELYAN, GREGORY LOUIS ERDMAN, JAY ALAN ERDMAN, JOHN PAUL ERDMAN, PAMELA KILPATRICK ERFE, ANTONIO M ERHARDT, WALTER LOUIS, JR. ERICKSON, DOUGLAS JOSEPH ERICKSON, WILLIAM G ERICSSON, JUDITH A
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
035861 903 CALIBRE VININGS WAY
SMYRNA
GA
032377 2660 PEACHTREE ROAD, #8-B
ATLANTA
GA
017797 1830 OAKLAND AVENUE
COLUMBUS
GA
037194 375 DE VILLA TRACE
FAYETTEVILLE GA
034822 116 WOLF CREEK DR NORTH
MACON
GA
010714 1462 MONTREAL RD, APT 107
TUCKER
GA
011111 SNAPFINGER WOODS MED BLDG #201, 5040 SNAPFINGER WOODS DECATUR
GA
027545 2090-A PRINCE AVE
ATHENS
GA
011112 P. 0. BOX 2068
FT OGLETHORPE GA
008755 PO BOX 1329
HAZLEHURST GA
018378 6524 PROFESSIONAL PL, SUITE A
RIVERDALE
GA
013270 2040 RIDGEWOOD DRIVE BLDG RM 130, EMORY UNIVERSITY ATLANTA
GA
037195 1150 RANKIN ST, APT K-2
STONE MOUNTAIN GA
034334 3825 CHEROKEE STREET
KENNESAW
GA
016791 965 WINDING CREEK TRAIL NW
ATLANTA
GA
021680 405 WEST MAIN STREET
THOMASTON
GA
013809 5505 PEACHTREE DUNWOODY RD NE, SUITE 400
ATLANTA
GA
020991 3895 FAIRFAX COURT
ATLANTA
GA
011543 12 HOWELL MILL PLANTATION, NW
ATLANTA
GA
010416 3450 RILMAN ROAD NW
ATLANTA
GA
032557 84 FRANKLIN CREEK ROADS
SAVANNAH
GA
036148 1858 GREYSTONE ROAD, NW
ATLANTA
GA
038748 2524 DRUID OAKS DRIVE, NE
ATLANTA
GA
029635 202 OBERON TRAIL
LOOKOUT MTN GA
026772 833 CAMPBELL HILL STREET, SUITE 300
MARIETTA
GA
036963 THE CHILDREN'S HEART CENTER, 2040 RIDGEWOOD DRIVE, NE ATLANTA
GA
035249 NEURODIAGNOSTIC CENTER, 3200 DOWNWOOD CIRCLE, STE 520 ATLANTA
GA
012900 755 MOUNT VERNON HWY NE, SUITE 420
ATLANTA
GA
007093 RR 9 BOX 289 A
ST. SIMONS ISL GA
037196 1116 COBB ROAD
SAVANNAH
GA
028162 416 NELSON FERRY RD
DECATUR
GA
012315 975 JOHNSON FERRY RD NE, SUITE 400
ATLANTA
GA
006201 1503 WINTER ST
AUGUSTA
GA
033573 2117 TURTLE COURT
AUGUSTA
GA
009472 116 S HOUSTON RD
WARNER ROBINS GA
035863 521 WILDWOOD DRIVE
THOMASVILLE GA
008310 333 ALCOVA ST
MONROE
GA
027809 1629 - 10TH AVE
COLUMBUS
GA
018893 708 SOMERSET WAY
AUGUSTA
GA
035044 2520 WINDY HILL ROAD, SUITE 301
MARIETTA
GA
016228 1365 CLIFTON RD NE, DEPT OF NEUROLOGY
ATLANTA
GA
030056 427 MORELAND AVE, SUITE 100
ATLANTA
GA
023151 975 IVY FALLS DRIVE
ATLANTA
GA
035250 85 CARRIAGE OAKS DRIVE
MARIETTA
GA
007943 1175 PEACHTREE ST NE, SUITE 1208, COLONY SQUARE 100 ATLANTA
GA
021239 2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
019255 CHEROKEE REGIONAL CANCER CENTER, 1200 OAKSIDE DRIVE CANTON
GA
018894 777 HEMLOCK STREET
MACON
GA
037994 CLARK HOLDER CLINIC, 303 SMITH ST
LAGRANGE
GA
035864 1790 MULKEY RD, #9-B
AUSTELL
GA
032177 * 1219 VIRGINIA AVE NE# 12
ATLANTA
GA
035251 102 GROSS CRESCENT, SUITE 205
FT OGLETHORPE GA
023949 5364 OXBOW RD.
STONE MTN
GA
015000 170 BEAVERDAM DR
WINTERVILLE GA
020533 506 FOURTH AVENUE
ALBANY
GA
023950 4629 RIVOLI DRIVE
MACON
GA
019159 1745 OLD SPRINGHOUSE LN 407, SUITE 407
DUNWOODY
GA
016336 4328 ORCHARD VALLEY DRIVE, N. W.
ATLANTA
GA
30080
03
30305
06
31903
17
30214
08
31210
10
30084
13
30035
32
30606
23
30742
31
31539
10
30274-2520 47
30322
14
30083
17
30144
10
30328
35
30286
41
30342-1713 13
30339
23
30327
10
30327
17
31411
10
30318
41
30329
23
30750
31
30090
52
30322
05
30327
23
30328-4274 15
31522
06
31410
32
30033
22
30342-1619 15
30904-4885 41
30907
10
31088
32
31792
35
30655
01
31901
41
30909
44
30067
10
30322
23
30307
01
30328
30064
10
30361-5901 15
30033
05
30114
36
31208
03
30240
17
30001-1116 40
30306-4808 08
30742
30
30087
30683
08
31701
47
31210
31
30338
01
30339
03
Page No. 62
Composite State Board of Medical Examiners Roster of Active Physician Lice~sees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ERINNE, SAMUEL CHUKWUEMEKA 035622 2275 LEXINGTON WAY
ERKAN, NIZAMI VILDAN
016467 315 BOULEVARD, SUITE 520
ERMER, SUSAN ARLENE
035412 1109 BURLEYSON ROAD, SUITE 201
ERMUTLU, ILHAN MEHMET
010417 7011 SOMERSET CIRCLE
ERNE, JEREL JAMES
030600 2013 BOWDOIN DRIVE
ERPELDING, JOSEPH MICHAEL ERTAVYBARATH, KATALIN
038749 235 KESTWICK DRIVE WEST
013129 * 820 CHURCH STREET
ERVIN, RONDIE LEE
022405 5072 CLUB VISTA POINT
ERWIN, BARBARA CAROL
024935 11 RIVERLY PLACE NW
ERWIN, DALE REYNOLDS
028974 1075 A JESSE JEWELL PARKWAY
ERWIN, GOOOLOE Y
004853 354 MILLEDGE CIRCLE
ERWIN, KERMIT RAY
032726 107 FOUR OAKS DRIVE
ERWIN, WILLIAM ALAN
033822 3124 BRANSFORD ROAD
ESCALERA-CASTRILLO, GUSTAVO A 017798 6584 PROFESSIONAL PL STE D, PO DRAWER 359
ESCALONA, PATRICIO RODRIGO 036964 3052-A CLAIRMONT RD.
ESCHEDOR, KAREN SUE PATTERSON 034824 4831 GUMLOG ROAD
ESCONDO, GERSON Z
018643 2000 10TH AVE SUITE 390
ESENER, ISMAIL
012316 PO BOX 1238
ESMAIL, NURALLAH GULAMHUSSEIN 035623 A-1 MEDICAL CENTER, 2141 B-2 ROSWELL ROAD
ESNAASHARI, KHOSROW
032558 5360 NORTHWATER WAY
ESNARD, JUAN MANUEL
037197 330 HOSPITAL DRIVE, SUITE 215
ESPINOLA, ALBERTO
023152 1607 EDGEFIELD DRIVE
ESPINOZA, FRANCISCO T
011750 3065 AUSTELL RD
ESPOSITO, DOMENIC PAUL
024419 2402 NORTH VALDOSTA ROAD
ESPY, GOODMAN BASIL III
011544 72 PLAZA WAY
ESPY, PAUL DACY
015249 900 CAMPBELL HILL STREET
ESQUIVEL, CARLOS ROBERTO
037530 95 RED FOX DRIVE
ESSIEN, !WOK SAMPSON
014309 505 FAIRBURN ROAD, SUITE 201
ESSIEN, JOYCE DIAN
015250 1600 NISKEY LAKE TRAIL SW
ESSOM-SHERRIER, CAROL RUTH 035865 790 DENARDS MILL
ESTARIS, JOVITO BUADA
022544 224 ARROWHEAD BLVD
ESTEP, DENNIS PAUL
025429 1145 BATTLEFIELD PKWY
ESTES, BENN
019380 820 ST SEBASTIAN WAY, SUITE 4-C
ESTES, EDWARD E JR
010333 715 JESSE JEWELL PARKWAY SE, SUITE 104
ESTES, JAMES WILLIAM
010147 993 JOHNSON FERRY RD NE STE D, SUITE 200
ESTES, RICHARD C
009473 35 COLLIER ROAD NW, SUITE 700
ESTES, THOMAS L
020697 3004 2ND STREET, SE
ESTLE, DAVID THEODORE, JR
037198 9 MEDICAL ARTS CENTER
ESTRADA, MARCELLO A
016060 PO BOX 1000 RWSIR
ESTRADER, PETER L
016061 516 DRAYTON STREET, PO BOX 23407
ESTROFF, TODD WILK
036149 627 OLD IVY RD NE
ETCHASON, GREGORY JOSEPH
022753 682 HEMLOCK STREET, SUITE 200
ETHERIDGE, JOHN G
008429 777 HEMLOCK STREET
ETKIND, JENNIFER EUGENIA PIRKL 037995 2146 GREENSWARD DR
ETTINGER, MARTIN CRAIG
023951 1144 VERDON DRIVE
ETZEL, RUTH ANN
027810 3848 GREENHILL DRIVE
EUBANKS, ALFRED B JR
015460 SUITE 112A, 1970 CLIFF VALLEY WAY NE
EUBANKS, OMER L
008430 1260 UPPER HEMBREE RD, SUITE A
EUGENE, KENNETH MILTON
035866 740 BEECHWOOD DRIVE
EUGENIO, HENRY ALMAZAN
032379 211 CARDINAL RIDGE
EUSTACE, JOANNE OLIVIA
018895 2408 CROOKED TREE CT
EVANS, CASSANDRA BROWN
018860 2301 WALESKA ROAD
EVANS, DAVID LESLIE
030057 2001A BARNESDALE WAY
EVANS, DAWNETTA JANENE HOLLADA 037199 5260 REDAN ROAD
EVANS, DENISE RAE OWENS
028265 2007 HIRAM ROAD
EVANS, DONALD CLARENCE
009810 112 MCEVER ST, PO BOX 2016
EVANS, DONALD DURRELL
028266 2007 HIRAM ROAD
EVANS, DONNA MARGARET L.
038227 601 EAST 54TH STREET
KENNESAW
GA
ATLANTA
GA
DALTON
GA
ALPHARETTA GA
AUGUSTA
GA
MARTINEZ
GA
DECATUR
GA
STONE MOUNTAIN GA
ATLANTA
GA
GAINESVILLE GA
ATHENS
GA
GRIFFIN
GA
AUGUSTA
GA
RIVERDALE
GA
ATLANTA
GA
MARTIN
GA
COLUMBUS
GA
CALHOUN
GA
MARIETTA
GA
DULUTH
GA
MACON
GA
TIFTON
GA
MARIETTA
GA
VALDOSTA
GA
MARIETTA
GA
MARIETTA
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
JONESBORO
GA
FT OGLETHORPE GA
AUGUSTA
GA
GAINESVILLE GA
ATLANTA
GA
ATLANTA
GA
MOULTRIE
GA
SAVANNAH
GA
WARM SPRINGS GA
SAVANNAH
GA
ATLANTA
GA
MACON
GA
MACON
GA
ATLANTA
GA
DUNWOODY
GA
CHAMBLEE
GA
ATLANTA
GA
ROSWELL
GA
SAVANNAH
GA
THOMASVILLE GA
MARIETTA
GA
CANTON
GA
ALBANY
GA
STONE MOUNTAIN GA
AUGUSTA
GA
CARTERSVILLE GA
AUGUSTA
GA
SAVANNAH
GA
30144
17
30312
12
30720
32
30201
33
30909
33
30907
46
30030
33
30088
32
30327
36
30505
36
30606
17
30223
15
30909
17
30274-4920 41
30329
33
30557
10
31901
33
30703-1238 15
30062
10
30136
17
31201
05
31794
01
30060
41
31602
30060
15
30060
06
31419
10
30331
15
30331
31
30067
33
30236-1100 41
30742
17
30901-2399 44
30505.
52
30342-1638 50
30309
52
31768
41
31405
36
31830
23
31403
33
30342-4319 33
31201
17
31201
31
30345
03
30338
30341
30329
33
30076-1144 10
31419
10
31792
33
30062
01
30114
08
31707-3257 33
30088
03
30904
33
30120
10
30904
33
31405-5515 32
Page No. 63
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
EVANS, EDWIN CURTIS EVANS, ELLIS WAYNE EVANS, FRANK OWEN JR EVANS, GEORGE HOLDEN EVANS, JAMES ARMOUR EVANS, JAMES PATRICK EVANS, JEFFREY ALLEN EVANS, PAUL ERIC EVANS, RAYMOND CHARLES EVANS, THOMAS EDWIN EVANS, WILLIAM ROCKWELL EVATT, BRUCE LEE EVATT, MARIAN LESLIE EVERETT, THEODORE EVERHARD, MARTIN EDWARD EVERIDGE, GEORGE JERYL EVETT, JOHN KIRBY EWALD, FRANK WHALEY, JR EWING, DOUGLAS EDWIN EYZAGUIRRE, WILLIAM ARTURO EZEKWUECHE, CHRISTIAN MBAMALU EZENWA, BASIL EBELE EZZARD, GEORGE P
005899 013745 012249 009683 011751 006405 036965 030058 023450 033321 038479 012696 036966 005713 036150 014906 036967 030059 022546 014243 024808 037797 009475
500 WESTOVER DR NW 770 PINE STREET, SUITE 220 PO BOX 1600 2406 BELLEVUE, ERIN OFFICE PARK PO BOX 2748 5102 PAULSEN STREET, #3 410 SHANENDOAH DRIVE SUITE 300 682 HEMLOCK STREET C/0 TIFTON RADIOLOGY, PO BOX 388 1287 CHURCH STREET 1813 CRESTLINE CT 2094 VALIANT DR., N. E. 2190. ST DE VILLE 3C UNIV. MEDICAL CENTER, 820 ST. SEBASTIAN WAY 8 TARROW RIDGE ROAD 2022 10TH AVENUE, SUITE A 4553 CHATSWORTH OVERLOOK 3717 SAPPHIRE DRIVE 804 POINT COMFORT RD. 1872 INDEPENDENCE SQ# D, AT DUNWOODY NORTH PLACE 770 PINE STREET, SUITE 560 2767 BENTLEY PLACE EZZARD BUILDING, 107 CROGAN STREET
ATLANTA
GA
MACON
GA
MILLEDGEVILLE GA
DUBLIN
GA
COLUMBUS
GA
SAVANNAH
GA
CALHOUN
GA
MACON
GA
TIFTON
GA
JASPER
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
COLUMBUS
GA
ROSWELL
GA
MARTINEZ
GA
MARTINEZ
GA
DUNWOODY
GA
MACON
GA
MARIETTA
GA
LAWRENCEVILLE GA
30305-3538 RE
31201
41
31061
17
31021
52
31902
03
31405
32
30701
03
31201
00
31793
36
30143
10
30345
28
30345
17
30345
23
30902
52
31411
41
31901
15
30075-5725 08
30907
00
30907
33
30338-5150 17
31208-4045
30067
17
30245
01
FAASE, MARIA ELIZABETH FACKLER, CARL DAVID FACKLER, WILLIAM B JR FADEL, HOSSAM E FADEL, SKINA H FADIGAN, ANNETTE BARBARA FAGEN, BRUCE DONALD FAGIN, DAVID HARRY FAGIN, RONALD R FAGUET, GUY BERNARD FAILE, GEORGE MARION III FAIRBROTHER, GENEVIEVE LUCY FAIYAZ, UNNISA FAJARDO, MANUEL M FAJMAN, NANCY LEA NOST FAJMAN, WILLIAM ALDIS FAKHREDDINE, FUAD ALI FALBAUM, HARTLEY LAWRENCE FALCO, FRANK JOHN ENGLISH FALCONER, WALTER ZUBER FALL, PAMELA JANE FALLON, MICHAEL PETER FALLS, DORTH GREER, III FAN, KUO-CHAO FANG, KUO-KANG FANTAUZZI, FRANCISCO FANTZ, JON SCOTT FANUCCHI, MICHAEL PAUL FARBER, BOBBI ADELE FARHI, DIANE C FARHIDVASH, MOHAMMAD
-F-
038145 RR 2 BOX 293
ATHENS
GA
018219 2001 PEACHTREE ROAD, SUITE 705
ATLANTA
GA
004990 303 SMITH STREET
LAGRANGE
GA
017172 818 ST. SEBASTIAN WAY, SUITE 200
AUGUSTA
GA
017173 3503 LOST TREE COURT
AUGUSTA
GA
035046 2568 DUNLAP MILL ROAD
GAINESVILLE GA
038750 3180 CLAIRMONT ROAD, NE, APT 503
ATLANTA
GA
028765 575 HEMBREE RD
ROSWELL
GA
014619 4750 WATERS AVENUE, SUITE 311
SAVANNAH
GA
016725 DEPARTMENT OF MEDICINE, MEDICAL COLLEGE OF GA
AUGUSTA
GA
027724 BOX 356
DAHLONEGA
GA
037531 2300 SANFORD ROAD
DECATUR
GA
022087 2579 HIGHWAY 54
011753 * 1396 SOUTH LAKE PLAZA, SUITE 2A
PEACHTREE CITY GA
MORROW
GA
036732 2860 HAWTHORNE DRIVE
ATLANTA
GA
016337 2860 HAWTHORNE DRIVE
ATLANTA
GA
018294 285 BOULEVARD N.E., SUITE 510
ATLANTA
GA
014737 3993 LAWRENCEVILLE HIGHWAY, SUITE 110-A
LILBURN
GA
036733 4584-E VALLEY PARKWAY
SMYRNA
GA
035252 490 PEACHTREE STREET NE, SUITE 250-B
ATLANTA
GA
038751 3720 FOXFIRE PLACE
MARTINEZ
GA
038752 1590 ADAMSON PARKWAY, SUITE 206
MORROW
GA
026773 747 MACGRUDER LANDING
EVANS
GA
018804 9051 PAR DRIVE
DOUGLASVILLE GA
017450 522 5TH AVENUE
ALBANY
GA
029274 50-A MEETIBG STREET
SAVANNAH
GA
012034 985 N MAIN ST NW
CONYERS
GA
034335 478 PEACHTREE ST NE, SUITE 517-A
ATLANTA
GA
030994 COLUMBUS BONE & JOINT CLINIC, ST FRANCIS MEDICAL PARK COLUMBUS
GA
035047 7645 BRIGHAM DRIVE
DUNWOODY
GA
016063 7415 OLD MAINE TRAIL
ATLANTA
GA
30607-9801 32
30309
28
30240
17
30901
15
30907
03
30506
10
30329
03
30076
32
31404
10
30910
17
30533
17
30033
15
30269
17
30260
10
30345
32
30345
36
30312
32
30247
28
30082
53
30308
52
30907
22
30260-1763 08
30809
31
30134
32
31701
00
31411
01
30207-4454 17
30305
53
31904
28
30350
31
30328
11
Page No. 64
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FARIA, MIGUEL ANGEL FARIS!, HAZIM A FARIYIKE, BABATUNDE TENITAYO FARKAS, STEPHEN JULIUS FARLEY, MONICA M FARMAN, DOUGLAS PAUL FARMER, GERRY B FARMER, JAMES THEODORE FARMER, TIMOTHY LEON FARR, WILLIAM L JR FARRA, SAMIR FARRINGTON, JULIE FARROW, ROYAL THOMAS FASSERO, JEFFRY JAMES FASSULJOTJS, THOMAS MICHAEL FATH, KENNETH ALAN FAUCHER, MARY MARIE FAULK, CARL F FAULK, CARLTON TRENT FAULKNER, ALVA H FAULKNER, ROBERT L JR FEAGIN, STEVEN JACKSON FEARING, DONNA MICHEL WILLIS FEARNEYHOUGH, THOMAS COOPER FEASTER, RONALD GIBSON FEEMAN, MARK WILLIAM FEGER, TIMOTHY ALAN FEGHALI, NASSIF TOUFJC FEHLENBERG, RICHARD DANIEL FEHR, KAREN LOUISE FEHRS, LAURA J FEIBELMAN, NATHAN DONALD, Ill FEILD, WILLIAM M FEIN, ISIDOR ALAN FEINBERG, BRUCE A. FEINBERG, MICHAEL JACK FEINER, CLIFFORD M FEINGOLD, ALAN 0 FEINGOLD, DAVID ALLEN FEJNSMITH, LESLIE SEWALD FEINSTEIN, ARTHUR CHARLES FEKETE, PAUL STEPHEN FELDER, LOUIS H FELDER, RICHARD E FELDMAN, DANIEL MICHAEL FELDMAN, DANIELS FELDMAN, ELAINE B FELDMAN, JACK ARNOLD FELDMAN, LYNNE DI MASCIO FELDMAN, PAUL DAVID FELDMAN, ROBERT STEPHEN FELGER, MARK CHARLES FELICIANO, DAVID VINCENT FELKER, FORT FRASER, JR FELL, DONNA CYD FELNER, JOEL MICHAEL FELTON, STEPHEN FRANK FELZ, MICHAEL WAYNE
019941 016201 037532 020698 022754 022755 033824 032381 027991 015931 036734 035867 009312 033076 028540 031909 021974 014487 033322 005130 010715 021500 029447 026262 025972 028767 037201 035253 025746 035178 032729 028768 004183 037202 029639 037801 032180 015583 037436 015087 012461 024420 005308 004991 021682 014803 014804 019942 013741 029640 028977 034133 034827 006898 033078 015763 030996 030297
5791 KENTUCKY DOWNS DRIVE
MACON
GA
6378 CHESTNUT PARKWAY
FLOWERY BRANCH GA
113B EAST COUNTY RD
THOMASTON
GA
691 LANIER PARK DRIVE NE
GAINESVILLE GA
VA MEDICAL CENTER, 1670 CLAIRMONT RD STA 151
DECATUR
GA
818 ST. SEBASTIAN WAY, SUITE 307
AUGUSTA
GA
6576 OLD WEST POINT ROAD, PO BOX 800086
LA GRANGE
GA
PO BOX 1037
HAWKINSVILLE GA
962 JOE FRANK HARRIS PKWY, SUITE 104
CARTERSVILLE GA
820 ST SEBASTIAN WAY, SUITE 7-B
AUGUSTA
GA
22 RIVER BEND ROAD
RICHMOND HILL GA
275 13TH ST, NE, APT 207
ATLANTA
GA
1109 BURLEYSON RD, SUITE 201
DALTON
GA
1984 PEACHTREE STREET NW, SUITE 515
ATLANTA
GA
715 JESSE JEWELL P'KWAY, SUJTE104
GAINESVILLE GA
4546 CHERIE GLEN TRAIL
STONE MOUNTAIN GA
300 HUNT RD
ATHENS
GA
936 PEACHTREE BATTLE AVENUE
ATLANTA
GA
439 WAVERLY DRIVE
AUGUSTA
GA
2258 WRJGHTSBORO RD, SUITE 300
AUGUSTA
GA
NEWTON PROFESSIONAL COURT
COVINGTON
GA
4165 OAKCREST DRIVE
TUCKER
GA
ALPHARETTA PEDIATRICS, P.C., 11660 ALPHARETTA HWY-SUI ROSWELL
GA
2305 WDOUBLEGATE DRIVE
ALBANY
GA
988 SOMERSET DR NW
ATLANTA
GA
840 JETT FERRY MANOR
DUNWOODY
GA
4714 CUTTER MILL RD
MARTINEZ
GA
1017 STEENS CREEK ROAD, #135-C
AUGUSTA
GA
MERCER UNIV. SCH. OF MED., 1550 COLLEGE ST
MACON
GA
2213 BOWDOIN DRIVE
AUGUSTA
GA
332 LAMONT DRIVE
DECATUR
GA
1550 COLLEGE STREET, MERCER UNIV SCH OF MED
MACON
GA
1112 N DAVIS ST
ALBANY
GA
3108 TREELINE LANE
ALBANY
GA
STEMMER BLDG, 2712 LAWRENCEVILLE HWY
DECATUR
GA
PARK TOWERS, 795 HAMMOND DR, ROOM 917
ATLANTA
GA
201 FIFTEENTH STREET NE
ATLANTA
GA
2801 NORTH DECATUR ROAD, SUITE 300
DECATUR
GA
1206 SPRING VALLEY LANE
ATLANTA
GA
150 MEDICAL WAY, SUITE A-1
RIVERDALE
GA
490 PEACHTREE STREET, N.E., SUITE 330-B
ATLANTA
GA
1081 SHOALS DRIVE
ATHENS
GA
35 COLLIER ROAD, NW, SUITE 250
ATLANTA
GA
6363 ROSWELL RD
ATLANTA
GA
205 WOODROW WILSON DRIVEW
VALDOSTA
GA
EUGENE TALMADGE MEMORIAL HOSP, NEUROLOGY DEPT.
AUGUSTA
GA
MEDICINE-NUTRITION DEPT., MEDICAL COLLEGE OF GEORGIA AUGUSTA
GA
3623 J DEWEY GRAY CR, SUITE 312
AUGUSTA
GA
312 NORTH PATTERSON STREET
VALDOSTA
GA
499 ARROWHEAD BLVD
JONESBORO
GA
2517 PHEASANT DRIVE
ALBANY
GA
3448 N DRUID HILLS RD, APT N
DECATUR
GA
GRADY MEMORIAL - SURGERY, 69 BUTLER ST
ATLANTA
GA
PO BOX 2495
DALTON
GA
4267 STILSON CIRCLE
NORCROSS
GA
2386 SHERBROOKE DR NE
ATLANTA
GA
MEDICAL CENTRE OF CONYERS, 1820 HWY 20 - SUITE 160 CONYERS
GA
MCG-EG 203
AUGUSTA
GA
31210
44
30542
00
30286
30505
27
30033
17
30901
17
30241
15
31036
17
30120
17
30901
17
31324
36
30309
33
30720
32
30309
03
30505
52
30083
05
30606-1426 03
30327
11
30909
10
30904-4765 15
30209
11
30084
17
30076
32
31707
36
30327
25
30350-4710 01
30907
32
30907
05
31207
10
30909
25
30307
32
31207
33
31701-1842 41
31707
53
30033-2512 17
30328
10
30309
36
30033
17
30306
38
30274-2516 22
30308
17
30606
30309
17
30328
33
31602
32
30912
23
30912
20
30909
41
31603
32
30236-1219 47
31707
23
30033-3753 41
30303
41
30722
41
30092
33
30345-1935 17
30208
01
30912
10
Page No. 65
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FENG, TERRY 1-TEH
026264
FENLEY, JAMES LEWIS, JR
034584
FENLON, PATRICK BARBOUR
027373
FERGUSON, DANIEL SULLIVAN
022140
FERGUSON, DAWN CAMILLE
035179
FERGUSON, FRANCES ELAINE
035625
FERGUSON, FREDERICK C
019161
FERGUSON, JAMES PAUL
010150
FERGUSON, ROBERT C
015667
FERGUSON, VINCENT TOMMY FRANC! 037203
FERMANIS, ERNEST GEORGE
023355
FERN, DAVID RICHARD
014488
FERNANDEZ, ANTONIO
009479
FERNANDEZ, CYNTHIA KAY
032994
FERNANDEZ, DEMETRJO SANTOS, JR 022141
FERNANDEZ, ENRIQUE JOSE
036152
FERNANDEZ, GONZALO GABRIEL 034586
FERNANDEZ, JOSE LUIS
038483
FERNANDEZ, MARIA DEL PILAR 031736
FERNANDEZ, MIGUEL A
031422
FERNANDEZ-BEER, ERNESTO
028352
FERNANDEZ-GARCIA, JOSE M.
015540
FERNANDO, HESIRI MANILAL
019825
FERNANDO, MARYLOU DAVID
028770
FERNHOFF, PAUL MARTIN
016595
FERRAN, HAR~Y HARPER
026111
FERRARI, DURVAL ANGEL
017520
FERRARI, THOMAS J
034829
FERRARO, FRANCIS ANTHONY
037204
FERRELL, ROBERT THEODORE
037802
FERRELL, THOMAS JR
008433
FERRI, GENE ROBERT, JR.
026113
FERRIER, FRANKL
011644
FERRIS, CHARLES CONN
030060
FERRIS, DARON GALE
031593
FETZEK, JOHN RAYMON
027186
FEUER, GERALD ALLEN
036154
FIBUS, TODD F.
025747
FIEDOTIN, ARNOLDO
011754
FIELD, DAVID EARL
015374
FIELD, RICHARD SHAFTER
028541
FIELDER, DENNIS LEE
020535
FIELDS, BARBARA L
027546
FIELDS, CARMELITA ELIZABETH 037534
FIELDS, LINDA J GONSKY
035415
FIELDS, RICHARD ALAN
020992
FIESELER, DAVID PAUL
017756
FIETS, GREGORY LEE
036736
FIGA, DARYL LEE
035868
FIGAROLA, MARJA SUSANA
034587
FIGIEL, GARY S
035254
FIGUEREDO, JORGE V
018017
FIGUEROA, ANY JOYCE
038756
FIGUEROA, CESAR YAMILL
032105
FIGUEROA, JOSE M.
026265
FIGUEROA, KENNETH TEOPACO
038755
FIGUEROA, PABLO EVANGELISTA 036737
FIGUEROA, RAMON EDGARDO
027053
40 BROOKHAVEN DRIVEN E 4683 BRAE BURN LANE 119 WEST HILL STREET 35 COLLIER RD NW, SUITE 250 1502 SUMMERWALK PARKWAY 1712 EAST BROAD AVENUE 3623 J DEWY GRAY CIRCLE,# 313 THE HARBIN CLINIC, 1825 MARTHA BERRY BLVD. NORTHEAST GEORGIA DIAGNOSTIC, 710 BROAD STREET SE 944 DEERCREST CIRCLE 3250 HOWELL MILL ROAD, S 106 505 IRVIN COURT SUITE 201 167 RIVERSIDE DRIVE, PO BOX 51901 2000 HAMILTON RD 915 N. CULPEPPER STREET 704 SOUTH BROAD STREET 1984 PEACHTREE RD NW, SUITE 505 246 BENTON FIELDS 1212 PINE HEIGHTS DRIVE, N.E. 175 FORT WILKINSON DRIVE ATLANTA NEUROLOGICAL INST., 237 MEDICAL WAY 380 RIVER VALLEY RD 1437 HUNTER'S FORD 3623 J DEWEY GRAY CIRCLE, SUITE 113 1542 RAINIER FALLS DRIVE 203 OVERLOOK DR 610 RIVER VALLEY ROAD ROUTE 7, BOX 464-B 3215 BRIARCLIFF GABLES CIRCLE VA MED CTR, DEPT OF PSCH 116AU, 1 FREEDOM WAY 1208 ALICE ST 2890 LAUREL GREEN COURT 3250 HOWELL MILL ROAD, SUITE 303 9305 WHITEFIELD AVE 4521 DEER RUN ROAD 1459 MONTREAL RD, SUITE 409 980 JOHNSON FERRY RD NE, SUITE 900 1278 PASADENA AVE. N. E. PO BOX 421369 200 MEDICAL LANE 3126 EXETER ROAD 230 CLIFFCHASE CLOSE 777 CLEVELAND AVE, SUITE 316 5346 ST MARTINS CT 1294 KEYS LAKE DRIVE 3610 IDLE CREEK DRIVE 523 WEST MAIN STREET 321 W. 5TH ST 618 CALIBRE WOODS DR 1207 WINSTON AVE WESLEY WOODS HOSPITAL, 1821 CLIFTON ROAD NE 1001 THORNTON ROAD, SUITE 414 75 26TH STREET 104 DERBY LANE 1136 CLEVELAND AVE, SUITE 410 75 26TH STREET 421 4TH AVENUE MED COLLEGE OF GA-DEPT OF RAD, 1120 15TH STREET
ATLANTA
GA
MACON
GA
THOMASVILLE GA
ATLANTA
GA
TUCKER
GA
ALBANY
GA
AUGUSTA
GA
ROME
GA
GAINESVILLE GA
EVANS
GA
ATLANTA
GA
DECATUR
GA
MACON
GA
COLUMBUS
GA
QUITMAN
GA
THOMASVILLE GA
ATLANTA
GA
STOCKBRIDGE GA
ATLANTA
GA
MILLEDGEVILLE GA
RIVERDALE
GA
ATLANTA
GA
STONE MOUNTAIN GA
AUGUSTA
GA
ATLANTA
GA
GAINESVILLE GA
ATLANTA
GA
BAXLEY
GA
ATLANTA
GA
AUGUSTA
GA
WAYCROSS
GA
ROSWELL
GA
ATLANTA
GA
SAVANNAH
GA
EVANS
GA
TUCKER
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
CANTON
GA
AUGUSTA
GA
ROSWELL
GA
ATLANTA
GA
MABLETON
GA
ATLANTA
GA
DECATUR
GA
THOMASTON
GA
ROME
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
LITHIA SPRINGS GA
ATLANTA
GA
MACON
GA
EAST POINT GA
ATLANTA
GA
ALBANY
GA
AUGUSTA
GA
30319-3025 25
31210
17
31792
10
30309-1602 17
30084
38
31705
17
30909
49
30165
44
30501
17
30809
08
30327
01
30030
41
31201
28
31993
15
31643
01
31792
23
30309
36
30344
17
30324
36
31061
41
30274
23
30328
32
30088
08
30910
32
30329
32
30506
46
30328
36
31513
10
30329
36
30904
33
31501
17
30076
30327
48
31406
36
30809
10
30084-6925 41
30342-1607 13
30306
36
30342-8369 05
30114
10
30909
17
30076
03
30315
17
30059
08
30319
03
30034
33
30286
10
22937
36
30329
08
31404
36
30329
33
30057
41
30309
36
31210
33
30344-3618 52
30309
17
31701
10
30912
36
Page No. 66
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FIGUEROA, THELMA TILANDUCA FIGUEROA-NIEVES, TOMAS FILARDI, GERALD A FILIP, DONALD J FILLER, JUDSON C FILLINGIM, DAVID WALTER FILLINGIM, JOHN M FILSTEIN, ALLEN BRUCE FINAN, MARIAN CLAIRE FINCH, CHARLES S. III FINCH, CHARLES STANLEY FINCH, MICHAEL HUGHES FINCHER, JACQUELINE WINFIELD FINCHER, MICHAEL EDWARD FINCHER, RONALD EDWIN FINCHER, RUTH-MARIE EDLA FINDLEY, AMBROUS OLIVER, JR. FINE, JOEL DAVID FINE, MINDY ILENE FINE, RICHARD ELLIS FINE, ROBERT ALLEN FINE, ROBERT M FINEBERG, EDWARD MARTIN FINEBERG, JUDITH ANN FINEMAN, STANLEY M FINGER, ELLIOTT RONALD FINGERLE, RICHARD ERNEST FINK, AARON SAMUEL FINK, STACEY MARC FINKE, JAY ELLIOT FINKELMAN, DAVID FINLAYSON, RODERICK CAMPBELL FINLEY, CHARLES RICHARD FINLEY, JOSEPH CLAYTON FINNERTY, DONALD PAUL FINNEY, CARI LYNN FINNEY, CHARLES EUGENE FINNEY, HERMAN R FINNEY, NORMAN REED FIRESTONE, SCOTT DARRYL FIRTH, MARK ROBERT FIRTH, PAUL GERALD FISCHER, ASMA QURESHI FISCHER, PAUL BARTO FISHBEIN, DANIEL BARTON FISHBEIN, SUMNER L FISHEL, ROBERT SCOTT FISHER, ALLAN JAMES FISHER, CHESTER LIONEL, JR FISHER, DAVID GEORGE FISHER, GARNETT A FISHER, GILBERT FRANKLIN JR FISHER, J EDWARD FISHER, JAMES LEE FISHER, LYLE EUGENE, JR FISHER, MICHAEL SCOTT FISHER, WILLIAM R FISHMAN, ALAN BRUCE
036738 037803 013130 016066 017686 009480 011327 017383 026266 024421 013211 025748 029169 020101 010923 019676 028267 036739 032382 030997 016795 009383 017175 017176 016229 015541 023046 037535 030298 010153 021501 032906 030763 011328 021683 032730 008757 011858 030252 031595 022758 021684 026114 025973 029448 015253 034134 034336 036155 018018 013326 016339 008949 025749 034337 034135 005309 023154
421 FOURTH AVE
ALBANY
GA
1391 WENLOCK EDGE COVE
STONE MOUNTAIN GA
428 WINN WAY
DECATUR
GA
105 COLLIER RD NW, SUITE 3040
ATLANTA
GA
. TRENTON PROF CENTER, PO BOX 680
TRENTON
GA
5354 REYNOLDS ST, SUITE 422
SAVANNAH
GA
500 EISENHOWER DRIVE
SAVANNAH
GA
945 BUCKINGHAM CIRCLE
ATLANTA
GA
5556 MARTINA WAY
DUNWOODY
GA
3831 VALPARISO CIRCLE
DECATUR
GA
114 CHERRY STREET SUITE H, PO BOX 1286
MARIETTA
GA
7675 BLANDFORD PLACE
DUNWOODY
GA
P. 0. BOX 1898
THOMSON
GA
820 FLEMING AVE
AUGUSTA
GA
2045 PEACHTREE ROAD, SUITE 410
ATLANTA
GA
820 FLEMING AVE
AUGUSTA
GA
RR 1 BOX 2553
TIGER
GA
1523 TUXWORTH CIRCLE
DECATUR
GA
4366 COLUMNS DRIVE
MARIETTA
GA
702 CANTON RD
MARIETTA
GA
1931 KEENCHEEFOONEE ROAD
RUTLEDGE
GA
2675 NORTH DECATUR ROAD, SUITE 601
DECATUR
GA
500 IRVIN COURT, C-210
DECATUR
GA
1420 NORTH CROSSING DRIVE
ATLANTA
GA
COBB ALLERGY & ASTHMA ASSOC, P.C, 790 CHURCH ST. EXT. MARIETTA
GA
11706 MERCY BOULEVARD, 8 ST JOSEPH'S PROFESSIONAL PLA SAVANNAH
GA
833 CAMPBELL HILL STREET, SUITE 111
MARIETTA
GA
4344 CONWAY VALLEY COURT
ATLANTA
GA
GWINNETT WOMEN'S PAVILION, 700 MEDICAL CENTER BLVD LAWRENCEVILLE GA
124 MEMORIAL DRIVE
JESUP
GA
3834 AUSTELL ROAD, SUITE A
MARIETTA
GA
743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
1233 OXFORD ROAD, NE
ATLANTA
GA
10385 STATE BRIDGE ROAD
ALPHARETTA GA
100 10TH ST NW
ATLANTA
GA
21 BROOKHAVEN DRIVE
ATLANTA
GA
1238 HILLTOP DRIVE
ALBANY
GA
1512 ANTHONY RD
AUGUSTA
GA
MCG-THORACIC & CARDIAC SURGERY, 1120 15TH ST
AUGUSTA
GA
1018 CALIBRE WOODS DRIVE NE
ATLANTA
GA
1050 RAMSER DRIVE
BOGART
GA
440 CHARTER BLVD, SUITE 2204
MACON
GA
764 EAGLETON DRIVE
MARTINEZ
GA
764 EAGLETON DR
MARTINEZ
GA
776 DIXIE AVENUE, N.E.
ATLANTA
GA
820 ST SEBASTIAN WAY, SUITE 6A
AUGUSTA
GA
1116 PARKER PLACE
ATLANTA
GA
5737 LONGBOW DRIVE
STONE MOUNTAIN GA
1276 HAMPTON HALL DRIV~
ATLANTA
GA
575 PHARR RD NE, PO BOX 11547
ATLANTA
GA
5836 BUFORD HIGHWAY
NORCROSS
GA
PO BOX 1896
VIDALIA
GA
340 BOULEVARD NE, SUITE #634
ATLANTA
GA
140 LACY STREET, SUITE A
MARIETTA
GA
2908 STRATFORD DRIVE
AUGUSTA
GA
7105 GLENRIDGE DRIVE
ATLANTA
GA
2084 CONTINENTAL DRIVE
ATLANTA
GA
980 JOHNSON FERRY RD NE, SUITE 490
ATLANTA
GA
31701
15
30083
17
30030
52
30309-1708 16
30752
01
31405-6007 15
31499
10
30327
06
30338
06
30034
17
30061-1286 03
30350
32
30824
17
30904
17
30309
15
30904
17
30576
01
30033
03
30067
15
30060
41
30663
36
30033
06
30030
27
30329
36
30060
47
31499-1904 47
30090
31
30327
41
30245
32
88220
27
30060
17
30503
03
30306
41
30202
36
30309-3846 52
30319
08
31707
27
30904
52
30912-1003 17
30329
33
30622
17
31210
01
30907
30907-9559 10
30307
08
30901
27
30324
17
30087
15
30319
10
30305-3445 01
30071
10
30474
15
30312
15
30060
17
30909
32
30328
06
30345
30
30342-1607
Page No. 67
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FISHMAN, CRAIG DENNIS
037536 704 LENOX WAY, NE
ATLANTA
GA
FISHMAN, LEONARD FISHMAN, MICHAEL LEE
010792 PO BOX 245
030061 * 4015 S COBB DR, SUITE 120
CLARKESVILLE GA
SMYRNA
GA
FISTER, ANTHONY JOHN
028771 1010 LONS DALE COURT
ALPHARETTA GA
FITCH, STARLA D
038757 5231 POWERS FERRY RD
ATLANTA
GA
FITE, JOHN DONALD
008434 1133 HESS DRIVE
AVONDALE EST GA
FITZGERALD, BRENDA CODY
022142 PO BOX 2485
CARROLLTON GA
FITZGERALD, DAVID JAMES
036740 329 FOREST COURT
MARTINEZ
GA
FITZGERALD, EDMUND MAURICE , J 026851 CARL VINSON VETERANS ADMN.,
DUBLIN
GA
FITZGERALD, THOMAS EMMETT III 019677 205 HICKORY CHASE
CARROLLTON GA
FITZGERALD-ALFORD, SHARON JAN 016509 3685 LAWRENCEVILLE HWY, SUITE 100
LAWRENCEVILLE GA
FITZHUGH, FRANCIS W JR
006522 1938 PEACHTREE ROAD, N.W., SUITE 410
ATLANTA
GA
FIVEASH, ARLIE EUGENE JR
010535 PO BOX 2825
AUGUSTA
GA
FIX, RICHARD M'
012463 3226-C HAMPTON AVE
BRUNSWICK
GA
FIXELLE, ALAN M.
024675 4470 N SHALLOWFORD RD, SUITE 203
ATLANTA
GA
FLACK, NORMA JEANNE
035049 126 WAVERLY WAY, N.E.
ATLANTA
GA
FLANAGAN, WILLIAM CARR JR
015932 500 - 18TH STREET, SUITE A-50
COLUMBUS
GA
FLANDERS, HUGH DORSEY JR
015208 PO BOX 5070, SUITE 303
SAVANNAH
GA
FLANDERS, WILLIAM DANA, III 034588 2005 OAK GROVE RD
ATLANTA
GA
FLANDRY, FREDERICK CHARLES 027054 P.O. BOX 9517
COLUMBUS
GA
FLANNERY, ANN MARIE
030299 MEDICAL COLLEGE OF GEORGIA, DEPT. SURGERY, DIV. NEURO AUGUSTA
GA
FLANNERY, DAVID BRIAN FLATOW, JEFFREY HOWARD
026516 DEPT. OF PEDIATRICS, MED. COL. GA
028543 * 245 LAKEVIEW RIDGE EAST
AUGUSTA
GA
ROSWELL
GA
FLAX, FREDRIC B
017452 12385 CRABAPPLE ROAD, SUITE 100
ALPHARETTA GA
FLEAGLE, JANE ANNE
038758 120 HONEYTREE DR
ATHENS
GA
FLECK, RALPH EDWARD JR
016340 148 CLINIC AVE
CARROLLTON GA
FLEISHMAN, KENNETH EDWIN
036968 4329 BRIDLE PATH COURT
TUCKER
GA
FLEMING, CURTIS
021686 1516 LOKEY DRIVE
COLUMBUS
GA
FLEMING, DAVID AUBREY
036713 305 CIMARRON COURT
MACON
GA
FLEMING, GARY ALLAN
034092 1199 PRINCE AVE
ATHENS
GA
FLEMING, LAMAR LAFAYETTE
010926 1365 CLIFTON RD NE, DEPT OF ORTHOPEDICS
ATLANTA
GA
FLEMING, MARIANNE MAE
035180 4451 PAULSEN SREET
SAVANNAH
GA
FLEMING, MICHAEL THOMAS
016908 3834 AUSTELL RD# B
MARIETTA
GA
FLEMING, SIDNEY H
010536 1248 OXFORD RD NE
ATLANTA
GA
FLEMING, WILLIAM HARVARD
037537 1840 BERKELEY MEWS
ATLANTA
GA
FLETCHER, EDWARD
035416 PO BOX 42098
SAVANNAH
GA
FLETCHER, GERALD FLOYD
009481 1441 CLIFTON ROAD
ATLANTA
GA
FLETCHER, OCLLA MICHELE
037538 904 BRIARHILL LANE
ATLANTA
GA
FLEXON, PHILLIP BILLINGS
031737 4750 WATERS AVENUE, SUITE 103
SAVANNAH
GA
FLICK, ARTHUR BARTHOLOMEW
030457 MOUNTAIN MEDICAL SPECILITJES, PO BOX 640, HWY 441 SO DEMOREST
GA
FLICKINGER, FREDERICK WILLIAM 031913 3526 CARNOUSTIE DRIVE
AUGUSTA
GA
FLIEGEL, EVAN JOEL
033964 275 TAMARACK DRIVE
ATHENS
GA
FLINT, LUCIEN AUSTIN
009814 #1 BEECH KNOLL DRIVE
CANTON
GA
FLOM, GARY SCOTT
034589 SOUTH ATLANTA ENT, P.C., 6525 PROFESSIONAL PL STEC RIVERDALE
GA
FLOOD, THOMAS MICHAEL
026269 4470 N SHALLOWFORD RD, SUITE 101
ATLANTA
GA
FLOORE, STEPHEN LAWRENCE
017521 PO BOX 179
CAIRO
GA
FLORENCE, THOMAS JAMES
004855 2550 WINDY HILL ROAD #205
MARIETTA
GA
FLORES, ENRIQUE ANDRES
036741 478 PEACHTREE STREET, NE, SUITE 107-A
ATLANTA
GA
FLORES, JOSE ROBERTO
016068 295 YOUNGBLOOD CIRCLE
MILLEDGEVILLE GA
FLOURNOY, EDWIN E JR
010793 810 13TH AVE
ALBANY
GA
FLOURNOY, HENRY W
012464 2444 PARKWOOD DR
BRUNSWICK
GA
FLOWER, SARA PALMER
026115 163 SWEETGUM ROAD
LAWRENCEVILLE GA
FLOWERS, CORNELIUS
018647 1760 CANDLER RD SUITE B
DECATUR
GA
FLOWERS, NANCY C
011755 6 ST JOSEPH'S MEDICAL OFC PARK, 11700 MERCY BLVD
SAVANNAH
GA
FLOWERS, RAYMOND POLLOCK III 020701 3135 TWIN LAKES COURT
MARIETTA
GA
FLOWERS, RUNETTE FLOYD, GWYNNE DOUGLAS
018297 4411 BUCKINGHAM CIRCLE
012864 * 330 TURNER MCCALL BLVD, SUITE 202
DECATUR
GA
ROME
GA
FLOYD, JOSEPH BERNARD
019882 PO BOX 525
SNELLVILLE GA
30324
27
30523-0245 06
30080-6303 00
30202
03
30339
27
30002
27
30117
15
30907
34
31021
30117
08
30244-4107 32
30309
17
30914
36
31520
32
30338-6402
30307
27
31901
13
31414-5070 41
30345
17
31908-9517 28
30912-4010 44
30912
32
30076
33
30201
32
30605
17
30117
46
30084
33
31904
15
31204
03
30613-3799 52
30322
46
31405
41
30060-5863 44
30306-2610 33
30329
53
31409
10
30322
05
30324
03
31404
30
30535
28
30907
36
30605
53
30114
36
30274-4902 30
30338-6402 17
31728
41
30067
52
30308-3124 05
31061
32
31701
10
31520
15
30245
30032
17
31419
05
30062
32
30035
32
30165-2747 05
30278
03
Page No. 68
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FLOYD, STEPHEN DOUGLAS
029642 2281 HOG MOUNTAIN ROAD, SUITE B
FLOYD, VIRGINIA CAROL DAVIS 019467 1546 KINGS CROSSIN
FLOYD, VIRGINIA TAYLOR
026270 975 JOHNSON FERRY RD NE, SUITE 400
FLOYD, WALDO E., III
029170 840 PINE STREET - SUITE 500, P.O. BOX 6317
FLOYD, WALDO EMERSON JR
007468 840 PINE STREET - SUITE 500, PO BOX 6317
FLUECKIGER, MICHAEL LYNN
035869 1658 TIMBERLAND ROAD, N.E.
FLUELLEN, JUDITH M. HARDY FLYNN, PAUL G.
029326 5 BENHAM CIRCLE
019381 * 101 1/2 ST MARYS ROAD
FLYTHE, CAROL W
009127 4555 MYSTIC DRIVE
FOEGE, WILLIAM HERBERT
031244 2191 ELDORADO DRIVE
FOHAN, DAVID RANDAL
034591 6108 BAYONNE DRIVE
FOLEY, PATRICK HENRY
035870 3181 MATHIESON DRIVE, #18
FOLGOSA, MAURO
025750 217 UPPER RIVERDALE RD
FOLGUERAS, ALBERT JOHN
036375 6262 HAMILTON ROAD
FONTAINE, ROBERT ELLERY
021502 CDC - MAIL STOP COB, 1600 CLIFTON ROAD NE
FOOTE, JENELLE ELIZABETH
034592 128 NORTH AVVENUE, SUITE 100
FORBES, PEGGY ANN
032732 EGELSTON'S CHILDRENS HOSPITAL, 1405 CLIFTON RD
FORBES, ROBERT ARTHUR, JR
034341 514 CREEKVIEW DRIVE
FORBIS, SAMUEL EARL JR
009021 5 CAMELLIA CIRCLE
FORD, ANNE CUNANAN
033825 1270 PRINCE AVENUE
FORD, EARL SPENCER
031246 1780 CRESTLINE CT NE
FORD, HENRY JACK
008761 913 RIVERBEND DRIVE
FORD, JAMES MILTON
014489 501 BROAD STREET
FORD, JOHN MALCOLM ANTHONY 020702 285 BOULEVARD NE, SUITE 540
FORD, LINDA DIANNE
017051 4945 HIGHWAY 92
FORD, WILLIAM CHESTER
009816 233 VIRGINIA HILLS ROAD
FOREMAN, CHARLES STEEL, JR 035871 3900 GLENHURST DRIVE
FOREMAN, MARILYN LAZETTE GURLE 035872 3900 GLENHURST DRIVE
FORESTER, BEVERLY WOOD
005577 PO BOX 6617
FORMBY, LARRY HUGH
019043 1013 N 5TH AVE, SUITE ONE
FORNEY, PAUL DAVID
023155 123 STONE MILL DRIVE
FORREST, JOHN WENDELL
023956 715 JEWELL PARKWAY, SUITE 102
FORSBERG, EDWIN REESE
017384 4802 COBB LANE
FORSHNER, JOHN G
012698 1206 WEST WAUGH
FORSTER, JOHN GEORGE, III
036969 861 DEERCREST CIRCLE
FORSYTH, DOUGLAS H
011860 993 JOHNSON FERRY RD NE# C, SUITE 240
FORSYTH, GEORGE PAUL
034831 3941 PARWOOD ROAD
FORTENBERRY, JAMES DONALD
035875 2875 THORNBRIAR RD
FORTENBERRY, JEWELL WENDELL 027994 P.O. BOX 311135
FORTNER, GREGORY LAMAR
032733 2524 ANDOVER DR
FORTSON, LUTHER G
006206 108 MARGARET AVE NE
FORTSON, MARK ROUTON
024937 415 SHEFFIELD CIR
FORTSON, MICHAEL THOMAS
035051 PO BOX 671
FORTSON, WILLIAM CAMP
023598 790 CHURCH STREET EXTENSION, SUITE 570
FOSHEE, WILLIAM STUART
029872 422 CAMBRIDGE WAY
FOSTER, CATHERINE ELIZABETH 007386 2315 GA. HWY 11 NW
FOSTER, CHARLES DEAL III
024938 6 FAT FRIARS RETREAT
FOSTER, GAVIN NEIL
031915 310 HOSPITAL DRIVE, SUITE 200
FOSTER, GREGORY ALLEN
030062 1500 - 17TH AVE
FOSTER, HARRY ROBERT JR
007469 7660 COVINGTON HWY
FOSTER, JAMES GILBERT, JR
016230 25 PRESCOTT ST NE SUITE 6418
FOSTER, JOHN IRVING, III
037539 5290 EDGERTON DRIVE
FOSTER, JULIA GRAYDON WOOD 028772 2572 RAINTREE DRIVE
FOSTER, REX BENTLY, III
031424 4094 CLUB DR NE
FOSTER, RICHARD SPARRE
030301 4053 LA VISTA ROAD
FOSTER, ROGER SHERMAN
035626 1750 WINTERTHUR CLOSE NW
FOSTER, SCOTT CRAIG
028402 2005 DRUMMOND POND ROAD
FOSTER, STANLEY OWENS
014174 822 CASTLE FALLS
WATKINSVILLE GA
STONE MOUNTAIN GA
ATLANTA
GA
MACON
GA
MACON
GA
ATLANTA
GA
CARTERSVILLE GA
ST MARYS
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
RIVERDALE
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
HINESVILLE GA
NEWNAN
GA
ATHENS
GA
ATLANTA
GA
MILLEDGEVILLE GA
WRENS
GA
ATLANTA
GA
DOUGLASVILLE GA
ROYSTON
GA
SMYRNA
GA
SMYRNA
GA
MACON
GA
ROME
GA
MARTINEZ
GA
GAINESVILLE GA
TIFTON
GA
DALTON
GA
EVANS
GA
ATLANTA
GA
BLYTHE
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
AUGUSTA
GA
MONROE
GA
MARIETTA
GA
MARTINEZ
GA
MONROE
GA
SAVANNAH
GA
MACON
GA
COLUMBUS
GA
LITHONIA
GA
ATLANTA
GA
NORCROSS
GA
ATLANTA
GA
ATLANTA
GA
TUCKER
GA
ATLANTA
GA
ALPHARETTA GA
ATLANTA
GA
30677
32
30087
17
30342-1619 25
31208
28
31208
46
30345
08
30120
03
31558
08
30342
03
30325
PH
31909
10
30305
41
30274
52
31909
45
30333
17
30308
52
30322
31313
32
30263
36
30606
15
30345-3815 35
31061
33
30833
10
30312
17
30135-5127 3
30662
10
30080
15
30080
17
31208-6617 17
30165-2601 52
30907
01
30501
31794
12
30720
06
30809
08
30342-1645 17
30805
36
30340
32
30331
03
30360
36
30060
17
30909-3519 17
30655
10
30060
11
30907
32
30655
13
31411
25
31201
15
31901
00
30058
32
30308
52
30092
28
30345
31
30319-1161 03
30084
17
30328
41
30201
03
30329
35
Page No. 69
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as at"" October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FOSTER, STEVEN LAMAR
028773 ROUTE 7, BOX 7449
CHATSWORTH GA
FOSTER, THOMAS VERNON
010055 6169 CAPE COD COURT
COLUMBUS
GA
FOTION, THOMAS REID
028164 976 KILLIAN HILL ROAD, BLDG. A SUITE C
LILBURN
GA
FOUNTAIN, ARTHUR JACKSON, JR 023954 1743 WILSON'S CROSSING DRIVE
DECATUR
GA
FOUNTAIN, GREGORY TODD
034593 696 PIKE STREET NW, SUITE 450
LAWRENCEVILLE GA
FOUNTAIN, JOEL ROBERT JR
020703 90-A MLK JR DRIVE
FORSYTH
GA
FOUNTAIN, JOHN ASKEW
021688 1349 MILSTEAD ROAD
CONYERS
GA
FOUNTAIN, LINDA MICHEL
023955 1743 WILSON'S CROSSING DRIVE
DECATUR
GA
FOUSHEE, KAREN JANE MCGUIGAN 033323 1512 ANTHONY ROADACE
AUGUSTA
GA
FOWIKES, JENNIFER CALLINS
024581 3836 HOLY CROSS DR
DECATUR
GA
FOWLER, DAVID FRANKLIN
028403 CAPITAL CITY OPTHOPEDICS, 5555 PEACHTREE DUNWOODY ROA ATLANTA
GA
FOWLER, JOHN E
009817 RABUN PROFESSIONAL BLDG, P.O. BOX 825
CLAYTON
GA
FOWLER, RAYMOND LOGAN
019679 9280 HIGHWAY 5, SUITE E
DOUGLASVILLE GA
FOWLER, REGINALD STEPHEN
020995 3193 HOWELL MILL ROAD, SUITE 223
ATLANTA
GA
FOWLER, SCOTT RAYMOND
033578 707 FOSTER'S COURT
EVANS
GA
FOWLER, WILEY DOUGLAS, JR
030458 205 WEST MAIN ST
COLQUITT
GA
FOX, JENNIFER LYNNE
033324 2011 WOODSDALE ROAD
ATLANTA
GA
FRADKIN, MAURY LEE
015170 GA WOMEN'S MED CTR - SUITE 600, 980 JOHNSON FERRY ROA ATLANTA
GA
FRADY, ROBERT PERRY
017801 1436 BROADRICK DRIVE
DALTON
GA
FRAGA, ENRIQUE ZENON'
023524 PO BOX 134
JONESBORO
GA
FRANCH, KATHERINE ANN
032184 4520 CANDLER LAKE EAST
ATLANTA
GA
FRANCH, ROBERT H
008258 1364 CLIFTON ROAD, EMORY UNIVERSITY HOSPITAL
ATLANTA
GA
FRANCIS, PAUL B
016799 2884 CRAVEY DRIVE
ATLANTA
GA
FRANCIS, THOMAS ESKRIDGE
018987 743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
FRANCO, CARLOS M.
023733 993 JOHNSON FERRY RD NE, SUITE 430, BLDG D
ATLANTA
GA
FRANCO, NED MARTIN
010540 960 JOHNSON FERRY ROAD, SUITE 420
ATLANTA
GA
FRANCO, RAMON SAUL
011330 980 JOHNSON FERRY RD NE
ATLANTA
GA
FRANCO, RICHARD DAVID
010157 993 BLDG F JOHNSON FERRY RD, SUITE 120
ATLANTA
GA
FRANK, ERICA
037205 EMORY UNIV - COMMUNITY &PREV.ME, 69 BUTLER ST, SE ATLANTA
GA
FRANK, MARTIN JULES
011793 3030 PARK AVE
AUGUSTA
GA
FRANK, MILTON III
012319 1372 PEACHTREE STREET NE, SUITE 301
ATLANTA
GA
FRANKEL, MICHAEL ROSS
034832 #12 SYCAMORE STATION
DECATUR
GA
FRANKLIN, CHERYL GOFFNEY
032185 3200 DOWNWOOD CIRCLE, SUITE 300
ATLANTA
GA
FRANKLIN, DINAH LYNN
028775 ROCKDALE ANESTHESIA, PO BOX 80363
CONYERS
GA
FRANKLIN, ERNEST WASHINGTON II 012320 PO BOX 420649, 830 JOHNSON FERRY ROAD
ATLANTA
GA
FRANKLIN, HAL ADDISON II
026517 1468 BRIAROAKS TRAIL
ATLANTA
GA
FRANKLIN, LISA KAREN GINN FRANKLIN, REGINAL KEITH
037807 4101 WOODLAND DDR
022143 * 425 LAKE DRIVE, APT D-3
SMYRNA
GA
MARIETTA
GA
FRANKO, JAMES BENJAMIN
030604 THE MEDICAL TOWER, 425 THIRD AVE, SUITE 400
ALBANY
GA
FRANKS, ADELE LOIS
025155 1336 PASADENA AVE.
ATLANTA
GA
FRANKS, MARLA JANE
030766 4909 BRIARLEIGH CHASE
MABLETON
GA
FRANZINO, ARTHUR FRANCIS
021393 RR 2, BOX 2389
BLAIRSVILLE GA
FRAUENTHAL, ELLEN SUE
031740 2797 DOVER ROAD NW
ATLANTA
GA
FRAZIER, TIMOTHY COCKRUM
035627 4107 CLINTON WAYE
MARTINEZ
GA
FRAZIER, WESLEY T.
013385 ANESTHESIOLOGY DEPT EMORY UNIV, 617 WOODRUFF MEM BLDG ATLANTA
GA
FREANT, LAWRENCE JOSEPH
011949 681 GLEN ABBEY DRIVE
AUGUSTA
GA
FREDERICK, HAROLD MYREON
031741 33 S.W. UPPER RIVERDALE ROAD, SUITE 105
RIVERDALE
GA
FREDERICK, ROBERT WINSTON
035877 128 HUNTINGTON ROAD NE
ATLANTA
GA
FREDERICKS, CRAIG ALLEN
032907 * S. GA NEUROLOCIAL INST, 704 S BROAD ST
THOMASVILLE GA
FREDERICKSON, EDWARD DENT
032384 SUITE 610 35 COLLIER RD
ATLANTA
GA
FREED, GARY E.
030459 275 LANDFALL RD
ATLANTA
GA
FREEDMAN, ALAN I
018488 55 BATTLE RIDGE DRIVE
ATLANTA
GA
FREEDMAN, ALLAN
021690 6127 KINGS MOUNTAIN COURT
STONE MOUNTAIN GA
FREEDMAN, KENN ALAN
037206 EYE ASSOC OF MIDDLE GA, 216 CORDER RD, PO BOX 6479 WARNER ROBINS GA
FREEDMAN, MILTON H
004621 3856 RANDALL RIDGE ROAD NW
ATLANTA
GA
FREEDMAN, MURRAY ALLEN
011950 #7 RETREAT
AUGUSTA
GA
FREEDMAN, SANDRA NEWTON
012466 #7 RETREAT
AUGUSTA
GA
FREEDMAN, STEVEN ALAN
026855 501 CROWN POINTE WAY, SUITE 220
LAWRENCEVILLE GA
30705
08
31904
33
30247
32
30033-1103
30245
15
31029
10
30207
06
30033-1103
30909
32
30034
30342
28
30525
10
30134
08
30327
17
30809
15
31737
10
30324
10
30342
15
30720
30
30237-0134 01
30319
33
30322
05
30345
17
30503
03
30342-1645 17
30342
52
30342-1607 30
30342
23
30303-2119 35
30909-3034 17
30309
05
30030
23
30327
15
30208
03
30342
13
30329
30080
15
30060
17
31701 -1985 17
30306
01
30059
31
30512
17
30327
08
30907
04
30322
03
30907
48
30274
36
30309-1504 46
31792
44
30367
22
30328
27
30342
03
30087
17
31095
28
30327
17
30909
,15
30909
36
30245
Page No. 70
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FREEMAN, ALAN FREEMAN, ATWOOD M JR FREEMAN, CHARLES JR FREEMAN, CORNELIUS EDWARD, JR FREEMAN, DAVIDSON LEE FREEMAN, DONALD LAURIE FREEMAN, GORDON GLENN FREEMAN, HELEN MC FREEMAN, JAMES KENNETH FREEMAN, JAMES MARVIN FREEMAN, JAMES ROE FREEMAN, KEVIN STEWART FREEMAN, LAWRENCE CONRAD FREEMAN, MCARTHUR FREEMAN, OLEN !VO, JR FREEMAN, RAY MICHAEL FREEMAN, RICHARD ARCHIE FREEMAN, RONALD A FREEMAN, THOMAS RUMPH FREEMAN, WILLIAM EMMETT FREEMAN, WILLIAM TOWNSEND FREEMONT, JAMES M FREGOSI, ALBERT HUGO FREID, NORMAN DAVID FREIJI, RULA MUSA FREIREICH, RONALD FRENCH, JAMES BOWLING FRENCH, RICHARD SCOTT FRESCH!, JOSEPH E FRESOLI, ROCCO PAUL FREUNDLICH, GLORIA WINIFRED FREYFOGLE, KATHRYN ROSE FREYRE, ROBERT CARMEN FRICKER, EDWARD JOHN FRIDIE, INGA LINDSEY FRIDKIN, SCOTT KEVIN FRIED, MICHAEL WARREN FRIED, MILTON FRIEDLAND, LANCE BRIAN FRIEDLANDER, LEWIS DUKE FRIEDMAN, MARK F FRIEDMAN, MICHAEL ARTHUR FRIEDMAN, MICHAEL IAN FRIEDMAN, RICHARD JEFFREY FRIEDRICH, ERIC WILLIAM FRISON, LISA MARIE FRIST, BRIAN SPENCER FRIST, STEPHEN FRITH, HERBERT CARL, II FRITZ, ROBERT C FRIX, JAMES MITCHELL FROEHLICH, JAMES ALLEN FROHWEIN, STEPHEN CRAIG FROLICH, DAVID JAY FROLICH, MICHAEL ARNOLD FROMM, STEFAN H FRONTIN, KENNY MORGAN FROST, MARK LYNN
026271 2365 ELON WAY 006209 PO BOX 7630 006004 820 ST SEBASTIAN WAY, SUITE 8-A 030767 8513 HEATHERWOOD DRIVE 026518 1512 ANTHONY RD, SUITE C 021979 3642 FARMINGTON LANE 023958 3891 HIGHWAY 78 WEST 007767 915 PEACHTREE-DUNWOODY COURT NE 036376 313 VALLEYVUE CT 008764 425 - 3RD AVE, SUITE 510 024238 696 W. PIKE STREET, SUITE 270 034344 33 UPPER RIVERDALE ROAD SW, SUITE 114 011225 355 LINDBERGH DR NE 026117 4849 RONDELAY FORREST WAY 008091 915 PEACHTREE DUNWOODY CT NE 032186 GWINNETT MED CENTER BLVD, 696 PIKE ST. SUITE 300 022367 P.O. BOX 2226 010930 380 HOSPITAL DRIVE, SUITE 340 004858 505 EISENHOWER DRIVE 026856 113 TIMBERLEA DRIVE 007985 6 VALE CLOSE N.E. 016343 777 CLEVELAND AVE SW 008660 9060 PRESTWICK CLUB DRIVE 015933 2121 FOUNTAIN DR., SUITE F 038759 2396 LAVISTA RD 017179 29 UPPER RIVERDALE RD SW, SUITE 230 009819 660-E LANIER PARK DRIVE NE 034137 400 INTERSTATE NORTH PARKWAY, SUITE 630 018221 3193 HOWELL MILL RD NW, SUITE 214 036970 TURNING POINT HOSPITAL, PO BOX 1177- 319 BYPASS 032561 1792 N HOLLY LANE 031916 THE EMORY CLINIC, 1365 CLIFTON ROAD, NED 013355 2532 AMALFI DRIVE 038487 VALDOSTA MEDICAL CLINIC, 3207 COUNTRY CLUB DR 036157 3200 LENOX RD, NE, APT C-202 036971 797 CLEMONT DRIVE NE 036972 215 LACKLAND COURT 019162 4426 TILLY MILL ROAD 028268 601-A PROFESSIONAL DRIVE, SUITE 370 025157 975 WADSWORTH DR NW 020705 2483 DEMERE VILLAGE, SUITE 101 023048 2675 NORTH DECATUR ROAD, SUITE 705 034833 5177 MEADOW CREEK DRIVE 019382 993 JOHNSON FERRY RD NE# F 016344 2916 GLYNN AVENUE 032908 4104 HERTITAGE RIDGE
018490 * 5495 ERROL PLACE
017802 5495 ERROL PLACE 030768 5051 OXFORD ROAD 022761 3255 MCCLURE BRIDGE RD, PO BOX 1415 036744 1623 WINTER STREET 030606 320 LONG VUE CT 034834 798 FREDERICA ST# 4 014352 5853 KENTUCKY DOWNS DRIVE 038761 55 MAPLE STREET, NW# 930 019681 PO BOX 1969 035417 1755 COVE CROSSING 035418 PO BOX 8027
DECATUR
GA
TIFTON
GA
AUGUSTA
GA
SAVANNAH
GA
AUGUSTA
GA
DULUTH
GA
SNELLVILLE GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
LAWRENCEVILLE GA
RIVERDALE
GA
ATLANTA
GA
LITHONIA
GA
ATLANTA
GA
LAWRENCEVILLE GA
LAGRANGE
GA
MACON
GA
SAVANNAH
GA
WARNER ROBINS GA
ATLANTA
GA
ATLANTA
GA
DULUTH
GA
SNELLVILLE GA
ATLANTA
GA
RIVERDALE
GA
GAINESVILLE GA
ATLANTA
GA
ATLANTA
GA
MOULTRIE
GA
ATLANTA
GA
ATLANTA
GA
LITHONIA
GA
VALDOSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
ST SIMONS ISLA GA
DECATUR
GA
DUNWOODY
GA
ATLANTA
GA
BRUNSWICK
GA
EVANS
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
DULUTH
GA
AUGUSTA
GA
DULUTH
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
DALTON
GA
ATLANTA
GA
GAINESVILLE GA
30033
23
31793
46
30901-2668 46
31406
10
30904
30136
08
30278
30328
38
30909
33
31701
48
30245
30274
27
30305
03
30038
30328-1629 33
30245
27
30241
36
31201
47
31406
41
31088
30324
03
30315
15
30136
52
30278
15
30329
32
30274-2616 05
30505
13
30339
08
30327
23
31768
53
30329
10
30322
17
30058
01
31602
17
30324
31
30306
17
30350
11
30360
10
30245
17
30318-1653 41
31522
11
30033
17
30338
31
30342-1645 11
31520
47
30809
03
30327
31
30327
31
31210
10
30136
41
30904
28
30136
03
30306
05
31210
36
30314
03
30722-1969 41
30331
11
30507
33
Page No. 71
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
FROST, ROSANNE GRACE
037208 200 INDUSTRIAL BLVD.
FRUMKIN, HOWARD
033826 EMORY UNIV SCH OF PUBLIC HEALTH, 1599 CLIFTON RD
FRY, YVONNE DIANE WILKINS
029172 1600 MILL ACRES DRIVE
FRYHOFER, SANDRA LYNNE ADAMSON 026430 1984 PEACHTREE ROAD NW, SUITE 310
FRYSH, HENRY
023049 2550 WINDY HILL ROAD, SUITE 314
FUERST, JULIAN F
010336 315 WINN WAY
FUERSTMAN, LOUIS PETER
024939 1270 MCCONNELL DRIVE, SUITED
FUGEDY, JAMES EMERY
032502 * 1821 BISHOP'S GREEN DRIVE
FUKUSHIMA, TOYOMI
033326 1404 DRUID VALLEY DRIVE, APT. #F
FULENWIDER, JULIUS T
017181 1075 B JESSE JEWELL PARKWAY, NE
FULGHUM, CHARLES B JR
008950 1970 CLIFF VALLEY WAY STE 108
FULLER, ARTHUR KENNETH
028165 121 ROBIN HOOD ROAD
FULLER, LONNIE E., SR
032562 190 MORNING SPRINGS WALK
FULLER, SANDRA JEAN
030155 KAISER PERMANENTE SOUTHWOOD, 2400 MT ZION PARKWAY
FULLER, TAMA YVONNE
021981 960 JOHNSON FERRY RD, NE, SUITE 500
FULLER, THOMAS RALPH JR
018649 340 WEST PONCE DE LEON AVE, PO BOX 1007
FULLERTON, LEROY ROBERT JR 025751 820 SAINT SEBASTIAN WAY, SUITE 8-A
FULLERTON, RICHARD NELSON
023599 35 COLLIER RD NW, SUITE 270
FULP, CHARLES JOHNSON, JR
031917 1100 JOHNSON FERRY RD NE, SUITE 10
FUNDERBURK, MICHAEL DANIEL 034138 830 MERIWEATHER DRIVE
FUNG, KUNG-HSI
031918 187 KESTWICK DRIVE, WEST
FUNK, FOREST JAMES JR
004994 2001 PEACHTREE ROAD, SUITE 705
FUNK, JOSEPH PRESTON
037996 2131-B LAKE PARK DR
FUNK, KATHLEEN GAIL BERISH 037997 1231-B LAKE PARK DR
FUNK, MARK RAPHAEL
016510 909 CENTER STREET, INT MEDICINE GROUP, PC
FUNK, SIDNEY ALAN
011333 980 JOHNSON FERRY RD NE, NS HOSP DRS CENTRE #720
FUQUA, KEVIN RAY
037998 4223 DUNWOODY RD
FUQUA, LINDA LEE GUTHRIE
036974 4223 DUNWOODY ROAD
FUQUA, WILLIAM MITCHELL
033083 8 STEPHENSON AVE
FURIE, DAVID MARTIN
038489 PO BOX 1007
FURMAN, ANDREW CARL
036158 1313 GABLES DRIVE
FUSELLI, VINCENT JOSEPH
037809 2620-H PACES VIEW
FUSSELL, DANIEL 0
009486 1540 WATSON BLVD
FUSSELL, GLENN EDWARD
026777 2827 WARM SPRINGS ROAD, SUITE 3-B
FUTCH, CHARLTON BUTLER
016599 3226 HAMPTON AVE #101B
FUTCH, WILLIAM ALEXANDER
010716 PO BOX 460
FUTRAL, ALLEN ASHLEY, III
036530 1040 KENTUCKY AVENUE, NE
FUTRAL, MICHELLE JOANNE BAYENS 036378 1040 KENTUCKY AVE, NE
FYE, CHIQUITA AGATHA
020707 PO BOX 584
DUBLIN
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
DECATUR
GA
DECATUR
GA
MARIETTA
GA
ATLANTA
GA
GAINESVILLE GA
ATLANTA
GA
THOMASVILLE GA
FAIRBURN
GA
JONESBORO
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
MARTINEZ
GA
ATLANTA
GA
SMYRNA
GA
SMYRNA
GA
COLUMBUS
GA
ATLANTA
GA
MARTINEZ
GA
MARTINEZ
GA
SAVANNAH
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
WARNER ROBINS GA
COLUMBUS
GA
BRUNSWICK
GA
CONYERS
GA
ATLANTA
GA
ATLANTA
GA
MONTEZUMA
GA
31040
31
30329
17
30311
32
30309
01
30067
03
30030
15
30033
32
30062
53
30329
10
30505
41
30329
11
31792
33
30213
17
30236
32
30342
32
30031-1007 36
30901-2643 46
30309
30342-1707 36
31416
52
30907
38
30309
28
30080
08
30080
08
31901
17
30342-1607 15
30907
03
30907
32
31405
03
30031-1007 36
30319
33
30339
. 32
31093
17
31904
10
31523
41
30207
01
30306
52
30306
05
31063
17
-G-
GAB!ANA, CAMILO VASQUEZ
029645
GABIANA, ELIZABETH DE LA CERNA 029646
GABIANELLI, EUGENE BENEDICT 035629
GABLE, DONNA DIANNE STOVALL 030461
GABLE, THOMAS WILLIAM
012700
GABRIEL, SABRY AZIZ
036056
GADACZ, THOMAS ROMAN
034596
GADDIS, ALFRED TRENT
032564
GADEGBEKU, PHILIPPE EMILE
033084
GADHIA, ARVIND MANUBHAI
019682
GADLAGE, ROBERT ARTHUR
015766
GAGNON, JOSEE
038762
GAGON, ELEANOR LAW
020048
GAGON, TERRY ERSEL
026857
GAHR, JEFFREY ALLYN
036975
4291 DEANERY COURT 4291 DEANERY COURT ATLANTA MEDICAL ASSO!CATES, 100 TENTH STREET NW 5330 CLARIDGE SQUARE 3400 PEACHTREE RD NE, 1045 LENOX TOWERS 1900 WESLEYAN DRIVE, SUITE 1704 MCG - DEPT OF SURGERY, RM BIW-446 3540 FIELDSTONE CROSSING 3551 RIVER MANSIONS PKWY 107 AUTUMN LEAF 2121 FOUNTAIN DRIVE, SUITE C 2114 WOODLANDS DRIVE 315 WEST PONCE DE LEON AVE, SUITE 569 315 WEST PONCE DE LEON AE, SUITE 569 201 REESE STREET, SUITE B
Page No. 72
COLUMBUS
GA
COLUMBUS
GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
ALPHARETTA GA
DULUTH
GA
PEACHTREE CITY GA
SNELLVILLE GA
SMYRNA
GA
DECATUR
GA
DECATUR
GA
AMERICUS
GA
31907
17
31907
17
30309
28
30338
31
30326-1107 11
31210
10
30912
41
30202
10
30136
08
30269
32
30278
43
30080
41
30031
33
30031
33
31709
41
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GAINER, JAMES SAMUEL, JR.
020313 4750 WATERS AVE, SUITE 302
GAINES, JOSEPH JACKSON, JR. 028550 ST MARY'S HOSP - PATHOLOGY DEPT, 1230 BAXTER ST
GAINES, MICHAEL GENE
022762 PO BOX 429, 301 WEST COLLEGE STREET
GAINES, OSCAR CORNELL
030410 1616 MOSS CREEK ROAD
GAINEY, PHILIP CAMERON
027189 6 ST JOSEPH'S MED OFFICE PARK, 11700 MERCY BLVD
GAINEY, WILLIAM HENRY
013213 924 GORDON AVENUE
GAL, ANTHONY ANDREW
032189 EMORY UNIV DEPT OF PATHOLOGY, 1364 CLIFTON ROAD
GALAID, EDWARD IRA
037544 2526 COSMOS DRIVE
GALAMBOS, JOHN THOMAS
006645 29 WING MILL ROAD
GALAMBOS, MICHAEL ROBERT
030064 2001 PEACHTREE RD. N. E., SUITE 545
GALAN, VICENTE
028685 4231 RIDGEHURST DRIVE
GALANTE, ANGELO
036976 HUGHSTO ORTHOPEDIC CLINIC, 6262 HAMILTON ROAD
GALINA, MORTON PAUL
011704 5455 MERIDIAN MARK RD, SUITE 410
GALLAGHER, BRIAN BORU
019383 3019 BRANSFORD ROAD
GALLAGHER, MICHAEL RICHARD 035257 3695 EAST BAY STREET
GALLEGO, MANOLO SOTELO GALLEGOS, KARL VANCE
036745 2733 BRIARCLIFF ROAD, APT 3
031247 * 1277 WYNFORD HWY
GALLER, EDWIN JULIUS
009824 1666 SILVER HILL RD
GALLESHAW, JANICE ANN
033906 3200 DOWNWOOD CIRCLE, SUITE 125
GALLIANO, ENRIQUE ALBERTO
026778 1810 EMMETT AVE
GALLINA, DANIEL LINO
027996 910 ROSEDALE ROAD
GALLOWAY, ASHER B
016511 8954 HOSPITAL DRIVE, SUITE 120 A
GALLOWAY, GEORGE WASHINGTON 013275 140 RIVER CT PARKWAY NW
GALLOWAY, JACQULYN
032190 867 WILLIVEE DRIVE
GALLOWAY, JOHN RUSSELL
025752 1365 CLIFTO ROAD NE
GALLOWAY, NIALL T.M.
031921 1365 CLIFTON ROAD NE, UROLOGY
GALLOWAY, RONALD FROST
007794 820 ST SEBASTIAN WAY, 2-D
GALLOWAY, WILLIAM H
004995 1190 CLUB COVE DR., PORT ARMOUR
GALLUP, DEBORAH C
032364 2337-C SPRINGHOUSE LANE
GALLUP, DONALD GEORGE
010161 MED COL OF GEORGIA, DEPT OF OB/GYN
GALLUPS, JEFFREY MARK
033774 6019 OAK PARK CIR NE
GALLUPS, NANCY DENEAN H
038230 6019 OAK PARK CIR NE
GALVEZ, LUIS MANUEL
036746 478 PEACHTREE ST, NE, SUITE 107-A
GALVIN, VIRGINIA CARLYN GARRET 024846 4311 HIGHBORNE DRIVE
GALYON, RONALD CURTIS
031248 80 SOUTHSIDE CHURCH STREET
GAMBRELL, RICHARD DONALD JR 019521 903 15TH STREET
GAMBRELL, ROBERT CLAYTON
036747 473 TIMBER WOLF TRAIL
GAMWELL, JOHN WHITE
013133 DEPT OF OPTHOPHEDICS, 69 BUTLER STREET SE
GANAPATHY, MALLIGA ESHWARI 032734 2902 PLEASANT CT
GANAWAY, GEORGE K
016233 2030 CANNON WAY
GANDHI, BHARAT!
021394 4553 N SHALLOWFORD ROAD, SUITE 70-C
GANDHI, KAMLESH SHANTILAL
027190 4754 KELLEY COURT
GANDHI, RAJ KUMAR
016914 4553 N SHALLOWFORD ROAD, SUITE 70-C
GANDHI, SHAILESH
034139 3188 ATLANTA RD
GANDY, WINSTON HAROLD JR
030065 1555 CHEVRON DRIVE
GANELLI, RONALD RALPH
035053 213-B MIMS ROAD
GANN, JOYCE ANN
010162 2784 N DECATUR ROAD, SUITE 150
GANN, RICHARD LEE
015465 PO BOX 2003
GANNON, CARMEN
020428 PO BOX 60039
GANSLER, TED STUART
033328 ANATOMIC PATHOLOGY EMORY UNIV, 1364 CLIFTON ROAD
GANTNER, LISA ELLEN WILLIAMS 027690 5018 SEDONA COURT
GANTT, JAMES STEWART
033329 504 MAPLE DR
GARBACZ, EDWARD SIMON
030304 4501 CIRCLE 75 PKWY, SUITE F-6190
GARBER, NANCY DEBORAH
036748 5115 FALCON CHASE LANE NE
GARBER, RANDALL BLAIR
031426 207 ROBINHOOD RD
GARCIA, PEDRO F
011758 3193 HOWELL MILL ROAD, N.W., SUITE 216
GARCIA, RUBEN ERFE
011861 1580 PRINCE AVE
GARCIA, SAMUEL I
016530 2715 MILL LAKE WAY
SAVANNAH
GA
ATHENS
GA
BOWDON
GA
WAYCROSS
GA
SAVANNAH
GA
THOMASVILLE GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
SMYRNA
GA
COLUMBUS
GA
ATLANTA
GA
AUGUSTA
GA
DULUTH
GA
ATLANTA
GA
MARIETTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
TIFTON
GA
ATLANTA
GA
DOUGLASVILLE GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
GREENSBORO GA
MARTINEZ
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
ELLI JAY
GA
AUGUSTA
GA
MARTINEZ
GA
ATLANTA
GA
MARTINEZ
GA
MARIETTA
GA
ATLANTA
GA
MABLETON
GA
ATLANTA
GA
SMYRNA
GA
DUNWOODY
GA
SYLVANIA
GA
DECATUR
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
COLUMBUS
GA
VIDALIA
GA
ATLANTA
GA
ATLANTA
GA
THOMASVILLE GA
ATLANTA
GA
ATHENS
GA
MORROW
GA
31404
05
306063791 31
30108
10
31501
17
31419
17
31792
08
30322
31
30345
26
30350-3139 11
30309
00
30080
03
31909
10
30342
04
30909
23
30136
44
30329
22
30064
53
300872209 17
30327
16
317943348 17
30306
30134
15
30328
08
30033
32
30322
41
30322
49
30901
48
30642
15
30907
15
30912
15
30324-5294 30
30324-5294 32
30308
17
30066
08
30540
28
30910-0192 13
30907
10
30303
46
30907
10
30064
33
30338
38
30059
17
30338
48
30080-3897 33
30350
00
30467
41
30033
15
30301
33
31401
17
30322
31
31907
30474-3789 32
30339
01
30342
28
31792
10
30327
33
30606
10
30260
15
Page No. 73
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GARCIA-CASIMIRO, SANCHEZ
017976 600 PROFESSIONAL DRIVE, SUITE 200
LAWRENCEVILLE GA
GARCIA-MARIN, ANGEL RAFAEL 011802 781 SPRING ST
MACON
GA
GARCIA-SAUL, JOSE ANTONIO
022227 980 JOHNSON FERRY ROAD, SUITE 220
ATLANTA
GA
GARCIAS, VARON ALEXANDER
022551 217 UPPER RIVERDALE RD
RIVERDALE
GA
GARDNER, ALAN MARTIN
027191 2550 WINDY HILL RD SUITE 203
MARIETTA
GA
GARDNER, BILLY FRANKLIN, II 030463 * 1220 RAMSER DRIVE
BOGART
GA
GARDNER, CAROLE SUE
035879 500 DUNNALLY COURT
ALPHARETTA GA
GARDNER, CARY B
008951 * 1490 15TH STREET, NW
CAIRO
GA
GARDNER, EDWARD CLINTON
019684 315 SKYLINE PKY
ATHENS
GA
GARDNER, MARK ROBERT
038765 5204 TROLLEY SQUARE CROSSING NE
ATLANTA
GA
GARDNER, NORMAN PEASE
006900 * 234 CHEROKEE RD
THOMASTON
GA
GARDNER, STEPHANIE ANN STEIN 032567 2767 COSMOS DR, NE
ATLANTA
GA
GARG, SUCHETA GUPTA
038492 1800 WESLEYAN DRIVE, APT #134
MACON
GA
GARIGAN, THOMAS PHILIP
034140 DEPT OF FAMILY PRACTICE, MACH
FT BENN I NG GA
GARLAND, BRENDA
022813 PO BOX 579
DEMOREST
GA
GARLAND, JOHN WHITE III
010543 664-A LANIER PARK DRIVE NE
GAINESVILLE GA
GARLING, ANDREW CHARLES
030607 240 BRANDON PLACE
ATLANTA
GA
GARNER, CYLER DUGGAN
009137 200 PINE STREET
GORDON
GA
GARNER, EDWARD CLARK
035420 2513 SPRINGWOOD DR
AUGUSTA
GA
GARNER, ROBERT CARLYLE
008613 47 PEACHTREE PARK DR NE
ATLANTA
GA
GARNER, RONALD SMITH
008985 158 OAK HILL DR
ROCKMART
GA
GARNER, STEVEN RALPH
020708 309 BELLEVNE AVE.
DUBLIN
GA
GARNER, THOMAS KIRKLAND
020538 PIEDMONT HOSP PROF BLDG, 35 COLLIER ROAD - SUITE 500 ATLANTA
GA
GARNETT, ROBERT LOUIS
014625 6015 WELLESLEY DR
COLUMBUS
GA
GARNTO, WILLIAM KEITH
021396 163 ROBERSON MILL ROAD NW
MILLEDGEVILLE GA
GARRETT, CLAUDIA MCDILL
022552 3910 FLOWERLAND DR NE
ATLANTA
GA
GARRETT, FLOYD PHILLIPS
013493 * 2500 HOSPITAL BLVD, SUITE 320
ROSWELL
GA
GARRETT, JOHN CALVIN
018650 5671 PEACHTREE DUNWOODY RD, NE
ATLANTA
GA
GARRETT, TIMOTHY JON
036381 1251 DA ANDRA DRIVE
WATKINSVILLE GA
GARRETTSON, LORNE KEITH
011168 DEPT OF PEDIATRICS, 69 BUTLER STREET
ATLANTA
GA
GARRINGER, JACQUELINE AILEEN 026275 2711 IRVIN WAY, SUITE 203
DECATUR
GA
GARRIS, PAMELA DEE COMAN
033966 1509 WILMINGTON ISLAND RD
SAVANNAH
GA
GARRISON, ALTON FRANK
011336 1246 AUGUSTA WEST PARKWAY
AUGUSTA
GA
GARRISON, CHARLES PAUL
019883 590 WIDGEON LANEN W
ATLANTA
GA
GARRISON, GLEN EARL
011116 MED COL OF GEORGIA, CARDIOLOGY DEPT.
AUGUSTA
GA
GARRISON, JOSEPH M
006902 PO BOX 60068
AUGUSTA
GA
GARRISON, SCOTT KEENAN
037437 1400 MARKAN DRIVE, #14
ATLANTA
GA
GARRITANO, ANN MARIE
033085 PO BOX 1987
TYBEE ISLAND GA
GARRITY, MARIE ELIZABETH
038766 STOCKBRIDGE FAMILY MED CARE CTR., 3579 HIGHWAY 138, S STOCKBRIDGE GA
GARTEN, JAY HOWARD
024239 1790 MULKEY ROAD, SUITE 6-A
AUSTELL
GA
GARTH, GREGORY ALLEN
033330 PO BOX 706, 1038-E FORSYTH
AMERICUS
GA
GARTMOND, CINDY MARVA O'BRYANT 037545 554 HUNTINGTON PLACE
ROSWELL
GA
GASKIN, ARNOLD DOLLAR
036382 9386 GRACE LAKE DRIVE
DOUGLASVILLE GA
GASKIN, DANIEL RAY JR.
028117 PO BOX 1149, 205 N LAUREL STREET
SPRINGFIELD GA
GASKIN, DAVID JOSEPH
032736 PO BOX 1848
HINESVILLE GA
GASKINS, JOE EDWARD
033967 590 RIVERBEND ROADS E
MONROE
GA
GASKINS, RALPH EDWARD, JR
019045 PO BOX 88362
ATLANTA
GA
GASPARD, PATRICE THERESA
036749 891 BYRNWYCK ROAD
ATLANTA
GA
GASTON, JOHN OLIVER
023050 5229 SANDLEWOOD COURT NE
MARIETTA
GA
GASTON, JOSEPH HARPER
007478 PO BOX 670
GREENVILLE GA
GASTRIGHT, JOHN ANTHONY
035880 901 EDGEWATER DRIVE
ATLANTA
GA
GATES, JACKSON LAVALE
038767 550 RIDGE AVENUE
ST MOUNTAIN GA
GATEWOOD, THOMAS SCHLEY, JR 014738 205 SOUTH LEE STREET, PO BOX 1047
AMERICUS
GA
GATIPON, GLENN BLAISE
023962 326 ROCKMOOR TRAIL
MARIETTA
GA
GATTIS, LARRY DAVID
019949 * 412 COMMERCE STREET
HAWKINSVILLE GA
GATTO, JOHN RICHARD
032738 2885 CLARY HILL DRIVE
ROSWELL
GA
GAUGHF, CLAUDIA NADINE
037810 211 AUTUM TRACE CT
MACON
GA
GAUTHIER, PAUL DENIS
010717 *PO BOX 189
JEFFERSONVILLE GA
30245
15
31201
30
30342
15
30274
52
30067
06
30622
08
30202
17
31728
15
30606-3852 17
30306
05
30286
10
30345
06
31210
08
31905
10
30535-0579 17
30501
11
30328
10
31031
10
30904
17
30309
32
30153
36
31021
00
30309
17
31904
11
31061
11
30319
17
30076
33
30342
28
30677
08
30303
32
30030
27
31410
15
30909
41
30327-4729 31
30912
05
30909
03
30306
03
31328
08
30281
17
30001
11
31709-0706 30
30076
10
30135
10
31329
31313
10
30655
15
30356
30
30319
32
30068
33
30222
05
30328
17
30083
31
31709
15
30066
31036
10
30075
32
31210
06
31044
53
Page No. 74
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as c;-f October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GAY, APRILE PITTMAN GAY, BRINTON BIZZELLE, JR.
033878 805 FOREST OVERLOOK DR. 005135 911 VISTAVIA CIRCLE
ATLANTA
GA
DECATUR
GA
GAY, DOY OSBORNE GAY, GEORGES MANTOVANI
030067 173 HIGHLAND DRIVE 035548 453 PHEASANT RUN DRIVE
WINDER
GA
EVANS
GA
GAY, GREGORY LYNN
021694 58 CONIFER CIRCLE
AUGUSTA
GA
GAY, HEYWOOD KYLE GAY, JACK NORMAN GAY, JAMES WILLIAM GAY, KATHLEEN FRANCES BIRD
038768 034349 010164 027192
922 BENNOCK MILL ROAD 952 HEARD AVE 3543 CHAMBLEE-DUNWOODY ROAD 1687 HUNTERS TRACE
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
LILBURN
GA
GAY, RONALD CHARLES
034350 104 FOUR OAKS DRIVE
GRIFFIN
GA
GAYLE, ROSALYN ANN GAYNES, ROBERT PAUL
032568 149 WOLF CREEK DR 033582 5018 TRAILRIDGE WAY
MACON
GA
DUNWOODY
GA
GAYTAN, RAFAEL JOSEPH
025977 962 JOE FRANK HARRIS PKWY, CARTERSVILLE MED ARTS BLDG CARTERSVILLE GA
GAYTON, JOHNNY LEE
021454 216 CORDER ROAD, PO BOX 6479
WARNER ROBINS GA
GAZAWAY, HOYT WAYBORN, JR
035421 SOUTHERN SURGICAL ASSOC, 4700 HWY 20 SUITE 270
BUFORD
GA
GEARHARD, MARY K KNOBLOCK
027211 2324 CROSS CREEK DRIVE
POWDER SPRINGS GA
GEARHARD, THOMAS EDWARD
027193 1790 MULKEY ROAD, SUITE 8-A
AUSTELL
GA
GEARY, FRANKLYN HARVEY, JR 030306 4405 BAKERS FERRY ROAD, S.W.
ATLANTA
GA
GEBELE, GENE PAUL
034598 PO BOX 766
DALTON
GA
GEBHARDT, CHARLES FREDERICK 028778 PO BOX 505
ALBANY
GA
GEBHART, RONALD JOHN
026525 2921 CRAVEY DR.
ATLANTA
GA
GEBHART, SUZANNE PARRISH
026526 2921 CRAVEY DR
ATLANTA
GA
GECKLER, JOHN HENRY
013890 8212 HEMLOCK CIRCLE, BOX 307
BIG CANOE
GA
GEDGAUDASMCCLEES, RITA KRISTI 023602 1100 JOHNSON FERRY ROAD, SUITE 107
ATLANTA
GA
GEDNEY, LEIGH MATTIAS
006411 ROUTE 1 BOX 1393-C
HELEN
GA
GEE, MICHAEL LOWELL
031427 119 W. HILL STREET
THOMASVILLE GA
GEE, WILLIAM N JR
009986 VA OUTPATIENT CLINIC, 325 WEST MONTGOMERY CROSSROAD SAVANNAH
GA
GEESLIN, JAMES MENARD
017183 110 WALESKA RD
CANTON
GA
GEFFEN, MORRIS ROY
028405 SAVANNAH ONCOLOGY CTR #11, 310 EISENHOWER DRIVE SAVANNAH
GA
GEFFEN, THEODORE
020999 361 COMMERCIAL DR
SAVANNAH
GA
GEIS, CAROLYN PATRICIA C.
038769 828 DRUID OAKS, NE
ATLANTA
GA
GEKAS, JAMES CONSTANTINE
036750 3654 CAMEL BACK LANE
MARTINEZ
GA
GELBART, ARTHUR
016600 MED COLLEGE OF GA, INTERNAL MED/FAMILY PRACTICE
AUGUSTA
GA
GELLER, ROBERT BURNS
035631 365 BRENTWOOD TER NE
ATLANTA
GA
GELLER, ROBERT JEROME
030771 4795 LANGFORD COURT
MABLETON
GA
GELLY, HELEN BACHVAROV
023892 1085 YORK TRACE
MARIETTA
GA
GELLY, JOHN ANDREW
026528 52 TOWER ROAD, N.W.
MARIETTA
GA
GELTZ, CHRISTIAN DONALD
023963 1459 MONTREAL ROAD, SUITE 301
TUCKER
GA
GENDEL, CHARLES LAWRENCE
011337 4250 RIDGEHURST DRIVE
SMYRNA
GA
GENOVA, KENNETH JOSEPH
036977 1555 DOCTORS DRIVE, SUITE 106
LA GRANGE
GA
GENTRY, MIRIAM FISHER
010925 1730 FRIAR TUCK RD NE
ATLANTA
GA
GENTRY, PAUL D GEORGE, ANTHONY
017577 624 DIXIE ST
033331 * 1068 SHADY VALLEY PL NE
CARROLLTON GA
ATLANTA
GA
GEORGE, DENNIS ANDREW
037211 1426 HICKMAN RD
AUGUSTA
GA
GEORGE, JOHN PACK
027815 11706 MERCY BLVD, #7 ST JOSEPH'S PROF. PLAZA
SAVANNAH
GA
GEORGE, JULIE BERNY A
033332 PO BOX 98341
ATLANTA
GA
GEORGE, MARIAMMA
023734 3327 HWY 5
DOUGLASVILLE GA
GEORGE, RICHARD ELDON
038771 1860 MACK DOBBS ROAD
KENNESAW
GA
GEORGE, WILLIAM M JR
012125 414 5TH AVENUE
ALBANY
GA
GEORGI, EMIL B
019048 PO BOX 956
EASTMAN
GA
GEPHARDT, GORDON NEAL
036160 158 MAPLE AVENUE
MARIETTA
GA
GERARD, LINDA LAMM
028168 10 COVE DRIVE
SAVANNAH
GA
GERBER, ARTHUR RUSSELL
030307 1663 KNOB HILL CT., N.E.
ATLANTA
GA
GERBER, DAVID ALLEN
033827 133 RIDLEY LANE
DECATUR
GA
GERETY, BRIGID MEGHAN
033087 1192 VILLAGE COVE
ATLANTA
GA
GERMAN, THOMAS L
012321 5354 REYNOLDS ST., SUITE 505
SAVANNAH
GA
GERR, FREDRIC ETHAN
034599 EMORY UN PUBLIC HEALTH, 1599 CLIFTON ROAD, NE
ATLANTA
GA
GERSHON, CHARLES ROBERT
020430 285 BOULEVARD N.E., SUITE 215
ATLANTA
GA
30331
01
30033
36
30680
10
30809
30909
03
30906
17
30907
10
30341
13
30247
54
30223
36
31210
15
30338
17
30120
17
31095
27
30518
41
30073
10
30001
10
30331
15
30722
31
317020505 17
30345
30345
09
30143
03
30342
36
30545
26
31792
17
31406
17
30114
41
31406
36
31499
10
30329
38
30907-9424 17
30901
17
30305
16
30059
32
30064
30060
30084
29
30080
17
30240
33
30309
17
30117
10
30324-2771 01
30904-4710 03
31419
30359-2041 10
30135
30144
17
31701
15
31023
31
30064
31
31419
15
30329
31
30030
40
30319
36
31405
28
30329
17
30312
52
Page No. 75
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GERSHON, RAPHAEL Y
033089 1086 BURTON DRIVE
ATLANTA
GA
GERSON, EDWIN STEVEN
015469 RADIOLOGY ASSOC. OF CLAYTON, P.C, 33 SW UPPER RIVERDA RIVERDALE
GA
GETMAN, THOMAS ALBERT
D17608 209 E. MAIN STREET, P.O. BOX 605
HAHIRA
GA
GETTS, ALAN GRANT
027377 4362 FERNBROOK CROSSING
EVANS
GA
GHAFOORI, GIOVANNA
036751 60 CINNAMON FERN CIR
COVINGTON
GA
GHAN!, GHALEB A.
015875 2268 TRISTAN CIRCLE
ATLANTA
GA
GHAZZAL, ZIYAD
029276 3238 VALAIRE DRIVE
DECATUR
GA
GHIM, THAD TAEHYUNG
020325 853 BYRNWYCK ROAD
ATLANTA
GA
GHORASHI, BIJAN
019384 5520 GLEN ERROL ROAD
ATLANTA
GA
GIACOMETTI, ANDREA RAPHAEL 034835 700 GREYSTONE PARK, N.E.
ATLANTA
GA
GIAP, BANDON cuoNGQUOC
035633 353 PARKWAY DRIVE, NE, SUITE 101
ATLANTA
GA
GIBBAS, DONNA LEE
015768 1740 CENTRY CIRCLE, NE# 14
ATLANTA
GA
GIBBONS, JACQUELINE ELAINE 037212 2302 STARLING STREET
BRUNSWICK
GA
GIBBONS, KATHLEEN KAY
026530 804 COMMERCE BLVD, SUITE B
RIVERDALE
GA
GIBBONS, WILLIAM STEPHEN
014912 211 CHICOPEE DRIVE
MARIETTA
GA
GIBBS, JON CHRISTOPHER
038493 712 EAST 18TH STREET
TIFTON
GA
GIBBS, ROBERT I, JR.
006214 1446 RIDGEWOOD DRIVE
HARTWELL
GA
GIBBS, SANDRA HAMM
032192 2089 NEAL AVENUE
MACON
GA
GIBERSON, THOMAS PAUL
033090 510 RIVERBOTTOM ROAD
ATHENS
GA
GIBSON, DONALD LEE
035881 5082 KANAWHA BLF,
STONE MTN
GA
GIBSON, FRANK LESLIE
004998 1245 LAKE DOUGLAS ROAD
BAINBRIDGE GA
GIBSON, HUGH H
009494 380 HOSPITAL DRIVE, SUITE 320
MACON
GA
GIBSON, KIMBERLY SUE BATTIN 030309 3707 LARGENT WAY
MARIETTA
GA
GIBSON, TIMOTHY B
015584 *PO BOX 179, WINTERVILLE MEDICAL CENTER
WINTERVILLE GA
GIBSON, WILLIAM ALLEN
035054 110 SUNCREST PL
KATHLEEN
GA
GIDDENS, RICHARD D
016347 1504 BROADRICK DRIVE, BOX 1969
DALTON
GA
GIEP, BANG NGUYEN
036531 1614 CHAMPION PINES
AUGUSTA
GA
GIEP, TUNG NGUYEN
038232 4750 WATERS AVE, SUITE 206
SAVANNAH
GA
GIERL, PAUL RICHARD
031922 3300 BUCKEYE RD SUITE 178
ATLANTA
GA
GIESLER, GARNETT JAY JR
012467 639 COUNTRY CLUB ROAD
LAGRANGE
GA
GIESLER, JOHN HAROLD
035882 4 MARKET SQUARE
ATLANTA
GA
GIL DE RUBIO-OCASIO, OBED EDUA 036978 1136 CLEVELAND AVE, SUITE 410
EAST POINT GA
GILBERSTADT, FRANK HUSON
034836 1001 MURPHY STREET
AUGUSTA
GA
GILBERT, CARL N
010545 3810 PLEASANTDALE ROAD
ATLANTA
GA
GILBERT, CHARLES ANDREW
011803 2712 NORTH DECATUR RD
DECATUR
GA
GILBERT, FREDERICK EMERSON 014049 2 PINEHOLLOW DRIVE
NEWNAN
GA
GILBERT, PETER GAILLARD
010942 1825 MARTHA BERRY BLVD
ROME
GA
GILBERT, RAYMOND LAMAR, JR. 027056 1550 MARS HILL ROAD
WATKINSVILLE GA
GILBERT, ROBERT W JR
018491 105 COLLIER ROAD, SUITE 1030
ATLANTA
GA
GILBERT, STEWART DIXON
013036 TIFTON RADIOLOGY, PO BOX 388
TIFTON
GA
GILBREATH, STEPHEN LANE
035422 510 SHANNON WAY
LAWRENCEVILLE GA
GILDINER, KAROL
021397 1376 SHEFFIELD PARKWAY
MARIETTA
GA
GILES, EUGENE HIXON
010546 322 SOUTH MAIN ST
BLAKELY
GA
GILES, JACKSON THERMAN JR
015470 PO BOX 609
NEWNAN
GA
GILES, PAUL JOSEPH, JR.
025159 22 HICKORY GROVE POINT
SAVANNAH
GA
GILES, WENDY SAURENMAN
033091 929 KENNISAW DUE WEST ROAD
KENN I SAW
GA
GILFILLAN, CAROL ANNE
026531 280 HAMPTON FARMS CT.
MARIETTA
GA
GILHULY, MICHAEL JOSEPH
022765 3316 SOMERSET TRACE
MARIETTA
GA
GILL, JASBIR S
031429 2704 NOAK STREET, BLD J
VALDOSTA
GA
GILL, JERRY ROBIN
033092 1001 THORNTON ROAD, SUITE 409
LITHIA SPRINGS GA
GILLESPIE, CHARLES BRASELTON 009496 2100 PALMYRA ROAD
ALBANY
GA
GILLESPIE, EUGENE J
011759 305 SAND WEDGE LANE, RIVERMONT COUNTRY CLUB
ALPHARETTA GA
GILLESPIE, JOE I
011548 1511 ANTHONY RD
AUGUSTA
GA
GILLETT, BRUCE M
010547 522 NORTH AVE.
MARIETTA
GA
GILLETT, RICHARD CLARK, JR 034142 710 CENTER STREET, BOX 100
COLUMBUS
GA
GILLI, MARCEL
029277 1266 REDFIELD RIDGE
DUNWOODY
GA
GILLOGLY, SCOTT DALE
029455 3200 DOWNWOOD CIR NW, SUITE 530
ATLANTA
GA
GILMAN, CARY B.
029454 4341 HORDER COURT
LITHONIA
GA
30329
03
30274
36
31632
08
30809
32
30209-8688 42
30345
03
30033
05
30319
32
30327
36
30324
36
30312
03
30345
37
31520
03
30296-3319 32
30060
28
31794
17
30643
17
31204
10
30606
08
30087-2145 33
31717
41
31201
15
30064
17
30683
10
31047-9522 32
30722
41
30909
15
31404
21
30341
31
30240
17
30318
36
30344
17
30904
08
30340
32
30033
17
30263
31
30165
52
30677
10
30309
23
31793
36
30244
08
30062
01
31723
10
30263
27
31409
01
30144
15
30067
30067
08
31602
32
30057
17
31701-1320 28
30202
06
30904
30
30060
23
31994
10
30338
03
30327-1610 46
30058
03
Page No. 76
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GILMAN, MURRAY JACK
021982 122 HUNTINGTON ROAD, NE
GILMAN, PRISCILLA ANN
016603 4537 DEER RUN
GILMORE, GEORGE THOMAS
033333 852 MONROE DRIVE# 2
GILMORE, KIMBERLY K
035883 820 CANTON ROAD, #413
GILNER, DONALD M
010548 5555 PEACHTREE DUNWOODY RD NE, SUITE 325
GILRANE, TIMOTHY BRANT
035258 20 LINDEN AVENUE, NE
GILTMAN, LARRY IRWIN
037812 VAMC-ATLANTA- DEPT OF PATHOLOGY, 1670 CLAIRMONT RD
GIMBEL, KENNETH S
018653 29 UPPER RIVERDALE RD SW, SUITE 230
GIMPEL, AMMON
015935 5399 NORTHLAND DR NE
GINDLER, JACQUELINE S
031923 469 CANDLER STREET NE
GINES, ROBERTO
038494 427 BLUE RIDGE DRIVE, SUITE D-54
GINGREY, JOHN PHILLIP
013037 625 CHURCH STREET
GIOIA, BRUCE MICHAEL
038774 PO DRAWER 540
GIRARDEAU, HERBERT SAMUEL, JR. 006904 6251 MEADOW RUN COURT
GIRARDEAU, JAMES TATE
027552 * 682 HEMLOCK ST, SUITE 390
GIRARDEAU, JOSEPH LANG
005848 105 COLLIER RD, SUITE 4010
GIRTON, FRED SCHEERER
037214 3780 EISENHOWER PARKWAY
GISNESS, ROBERT A
023051 455 JUNCTION TRACK
GITLIN, NORMAN
036057 4250 WIEUCA OVERLOOK N.E.
GITOMER, RICHARD STEPHEN
025754 25 PRESCOTT STREET,# 2401
GIULJANE, GIANNANTONIO
017759 411 MAXHAM ROAD, SUITE 300
GIUSTRA, LAWRENCE JOSEPH, JR. 021697 1174 LENOX CIRCLE, N. E.
GIVEN, KENNA SIDNEY
013847 748 TRIPPS COURT
GIVOGRE, JOHN LEE
038234 1120 SPRINGDALE ROAD
GLADIN, COLLIER BRANAN, JR 030609 3350 NORTHSJDE DR.
GLADSON, MICHAEL BRUCE
021506 625 DEKALB INDUSTRIAL WAY
GLADSTEIN, JEFFREY NATHAN
034837 2779 BEDDINGTON WAY
GLADSTONE, NEILS
016917 237 UPPER RIVERDALE ROAD
GLASER, ANNE MIRIAM LOWICH 035634 PO BOX 1007
GLASER, ELYSE WENDY
029323 KEN MAR BUILDING, 833 CAMPBELL HILL ST., STE. 350
GLASPY-BENTON, ELEANOR R
033093 117 LYMAN HALL ROAD
GLASS, BRIAN ALLAN
032911 , 1525 CHATTANOOGA ROAD
GLASS, CLARK HOWELL Ill
017387 652 CHURCH STREET
GLASS, FREDRIC CHARLES
022409 3300 ARBORWOODS DRIVE
GLASS, JEFFREY THURMAN
031743 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
GLASS, LAMAR F
006006 3180 PALISADES COURT
GLASS, PAUL JASON
026278 2163 NORTHLAKE PKY, SUITE 102
GLASS, ROGER IM
018654 840 SPRINGDALE ROAD NE
GLASS, THOMAS FRANKLIN III
020711 753 STONINGTON PLACE
GLASSBERG, LORRIES
021507 2118 SOUTH AKIN DRIVE
GLASSER, GARY ALAN
033583 659 PEACHTREE STREET NE, #1811
GLASSMAN, ALAN DAVID
031744 700 SUNSET DRIVE, SUITE 504
GLAVEY, CHRISTINE PATRICIA 024242 401 SOUTH MAIN STREET A-4
GLAZEBROOK, GEORGE WILLIAM 016348 110 WALESKA RD
GLEASON, JAMES EARTHA
030466 1605 FAIRHAVEN DR
GLEASON, JOHN RICHARD
033584 3910 AUSTELL ROAD, SUITE 101
GLEAVE, GWEN
017388 # 10-812 S BROAD ST
GLEJTSMANN, KENNETH YORKE
024814 1228 AUGUSTA WEST PARKWAY
GLEN, JONATHAN COLEMAN
021984 716 EAST 71ST STREET
GLENN, FRANK DALY
013277 412 NORTHSIDE DR EAST
GLENN, JOHN ASBURY, JR
038495 701-A GRIFFIN ST
GLENN, PATRICIA DENISE
027195 730 PEACHTREE STREET NE, SUITE 920
GLENN, ROBERT TAYLOR, JR
038775 1136 HESS DRIVE
GLENN, THADDEUS LAMAR
009498 295 PENDLETON DR
GLESSNER, DIANNA VALARIE HANNI 034351 5675 ASHWIND TRACE
GLICKENBERGER, ROBERT STEPHEN 038776 3624 J DEWEY GRAY CIRCLE, SUITE 250
GLISSON, JOHN VAUGHAN
028406 650 BROAD STREET
GLODENER, MARK GERSHOVICH
036752 28 CLARK TERRACE
ATLANTA
GA 30309
17
EVANS
GA 30809
32
ATLANTA
GA 30308
10
MARIETTA
GA 30060
03
ATLANTA
GA 30342-1710 04
ATLANTA
GA 30365
11
DECATUR
GA 30033
31
RIVERDALE
GA 30274-2616 17
ATLANTA
GA 30342-2009 33
ATLANTA
GA 30307
32
MARTINEZ
GA 30907
08
MARIETTA
GA 30060
15
THOMSON
GA 30824
17
NORCROSS
GA 30092
08
MACON
GA 31201-6870 47
ATLANTA
GA 30309
15
MACON
GA 31206
10
ROSWELL
GA 30075
08
ATLANTA
GA 30342
11
ATLANTA
GA 30308
17
AUSTELL
GA 30001
10
ATLANTA
GA 30306
33
AUGUSTA
GA 30909
47
GAINESVILLE GA 30501
03
MACON
GA 31210
10
DECATUR
GA 30033-5908 01
SUWANEE
GA 30174
03
RIVERDALE
GA 30274
15
DECATUR
GA 30031
36
MARIETTA
GA 30060
17
SAVANNAH
GA 31410
15
DALTON
GA 30722
15
MARIETTA
GA 30060
46
ALPHARETTA GA 30202
08
ROME
GA 30165
23
MARIETTA
GA 30067
41
TUCKER
GA 30084-4101 27
ATLANTA
GA 30306
11
MACON
GA 31210
36
ATLANTA
GA 30345
08
ATLANTA
GA 30308
15
ATHENS
GA 30606
32
ALPHARETTA GA 30201
CANTON
GA 30520
41
RIVERDALE
GA 30296
10
AUSTELL
GA 30001
46
THOMASVILLE GA 31792
03
AUGUSTA
GA 30309
SAVANNAH
GA 31405
17
STATESBORO GA 30458
49
EASTMAN
GA 31023
10
ATLANTA
GA 30308
17
AVONDALE EST GA 30002
03
ATHENS
GA 30606-1646 05
ALPHARETTA GA 30202
10
AUGUSTA
GA 30909
11
GAINESVILLE GA 30505
32
SAVANNAH
GA 31404
10
Page No. 77
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GLOVER, CAROL MADISON
028987 1285 MORGAN CHASE TERRACE
MARIETTA
GA
GLOVER, HOWARD CLARK JR
003845 189 JEFFERSON PKWY
NEWNAN
GA
GLOVER, NATHANIEL BANKS
006007 189 JEFFERSON PARKWAY
NEWNAN
GA
GLOVER, RIDLEY MC
007798 PO BOX 644
DUBLIN
GA
GLOVER, ROBERT VERNON
036161 1034 FOUNTAIN LAKE DRIVE
BRUNSWICK
GA
GLOVER, SUSAN GAY
032913 547 BROYLES STREET, SOUTH EAST
ATLANTA
GA
GLUCKMAN, RICHARD JAY
013892 3911 MULKEY WAY
AUSTELL
GA
GOBER, GUY DAVID GOBER, HENRY FRED JR
033336 392 RIDGECREST CIRCLE
020432 * 5505 PEACHTREE DUNWOODY RD NE, SUITE 580
CLAYTON
GA
ATLANTA
GA
GODARD, JOHN ELLINGTON
012469 160 CLINIC AVE
CARROLLTON GA
GODBEY, PATRICK EDSEL TAYLOR 024815 3215 SHRINE ROAD, SUITE 2
BRUNSWICK
GA
GODBEY, RENEE ELIZABETH WILLIA 023158 2302 STARLING STREET
BRUNSWICK
GA
GODETTE, KAREN DEBRA
035884 970 SIDNEY MARCUS BLVD, APT 1216
ATLANTA
GA
GODFREY, WILLI~M ALLEN
028552 769 DIXIE AVE, NE
ATLANTA
GA
GODIN, VANESSA SCARFONE
036383 350 HOSPITAL DRIVE
MACON
GA
GODLEWSKI, GARY LEE
030068 4755 WESLEYAN WOODS DRIVE
MACON
GA
GODLEWSKI, STEPHEN ARTHUR
016512 2085 MCGEE ROAD
SNELLVILLE GA
GODWIN, JOHN T
004507 4691 SENTINEL POST RD
ATLANTA
GA
GODWIN, THOMAS ADAMS
020105 4691 SENTINEL POST RD NW
ATLANTA
GA
GOEHRING, LOUIS AUGUSTUS, III 033335 12 PARKWAY 575
GOEHRING, ROSS ALAN
031430 * 235 SOUTH MACON STREET
WOODSTOCK
GA
JESUP
GA
GOETZINGER, ROBERT THORNTON 018141 4116 RIVER CLIFF CHASE
MARIETTA
GA
GOGGIN, THOMAS WESTBROOK
029457 700 OGLETHORPE AVE
ATHENS
GA
GOGINENI, SAMRAJYA LAKSHMI 025160 2510 FAIRFAX DRIVE
ALBANY
GA
GOHEER, KHALAD SAEED
022933 1035 BRIDGEWATER WALK
SNELLVILLE GA
GOLD, BENJAMIN DAVID
032739 DIV OF GASTROENTEROLOGY DEPT PED, 2040 RIDGEWOOD DR N ATLANTA
GA
GOLD, HOMER LECIL JR
015769 110 WALESKA RD
CANTON
GA
GOLD, MARK ANDREW
034352 3215 SHRINE ROAD, 11 TOWER MEDICAL PARK
BRUNSWICK
GA
GOLD, ROBERT STANLEY
031431 4611 BRIERWOOD PLACE
ATLANTA
GA
GOLDBERG, AARON STANLEY
016726 2395 WALL STREET, SUITE 700
CONYERS
GA
GOLDBERG, DAVID ALAN
029873 615 CLEAR LAKE TERRACE
ROSWELL
GA
GOLDBERG, HOWARD CRAIG
031746 600 PROFESSIONAL DR, SUITE 240
LAWRENCEVILLE GA
GOLDBERG, JEFFREY EVAN
036754 907 BROOKHAVEN WAY
ATLANTA
GA
GOLDBERG, RONALD FLOYD
020433 5400 SUTLIVE STREET
SAVANNAH
GA
GOLDBLATT, ROY
031005 3995 KINGS PADDOCK COURT
NORCROSS
GA
GOLDEN, ROBERT MICHAEL
015770 * 1170 GRIMES BRIDE ROAD, SUITE 100-A
ROSWELL
GA
GOLDEN, STEPHEN CHARLES
032569 3407 WOODHAVEN ROAD NW
ATLANTA
GA
GOLDEN, TERRY DONALD
014050 77 COLLIER RD NW STE 2060
ATLANTA
GA
GOLDENRING, JAMES RICHARD
037547 3761 WESTLAKE DRIVE
MARTINEZ
GA
GOLDFADEN, DANIEL MICHAEL
028988 HARBIN CLINIC, 1825 MARTHA BERRY BLVD.
ROME
GA
GOLDFINGER, MICHAEL PAUL
036162 1616 CHAMPIONS PINES LANE
AUGUSTA
GA
GOLDHAGEN, HAVIVA
021152 1376 SHEFFIELD PARKWAY
MARIETTA
GA
GOLDKLANG, GERALD _A
020714 PO BOX 54406
ATLANTA
GA
GOLDKRAND, JOHN WOLF
031597 218 WHEELER STREET
SAVANNAH
GA
GOLDMAN, ALAN LEE
017806 2500 HOSPITAL BLVD, SUITE 410
ROSWELL
GA
GOLDMAN, GILBERT CHARLES
014807 993 JOHNSON FERRY RD NE STE D, SUITE 100
ATLANTA
GA
GOLDMAN, JOHN ABNER
015256 5555 PEACHTREE DUNWOODY RD NE, SUITE 293
ATLANTA
GA
GOLDMAN, KENNETH LEONARD
014360 920 18TH STREET
COLUMBUS
GA
GOLDMAN, LAWRENCE NORMAN
014497 ATLANTA MEDICAL ASSOCIATES, 100 - 10TH STREET NW ATLANTA
GA
GOLDMAN, MAURICE SAMUEL, JR 008446 PO BOX 415
VIENNA
GA
GOLDMAN, NORMAN I
008772 909 CENTER ST, INT MEDICINE GROUP
COLUMBUS
GA
GOLDMAN, ROBERT PHILIP
018656 1151 CLEVELAND AVENUE, SUITE A
EAST POINT GA
GOLDMAN, STEPHEN RICHARD
013816 80 PARK LANE
ATLANTA
GA
GOLDSCHMID, MERILYN GRAHAM 031252 2847 RANGEWOOD TERRACE
ATLANTA
GA
GOLDSCHMID, STEVE
031006 2847 RANGEWOOD TERRACE
ATLANTA
GA
GOLDSMITH, BARRY JAY
020435 1126 MEDICAL CENTER DRIVE
AUGUSTA
GA
GOLDSMITH, HOWARD GERALD
015936 1920 WARM SPRINGS RD
COLUMBUS
GA
GOLDSMITH, MANNING MILES
025161 PROVIDENT PROF. BLDG., #103, 4750 WATERS AVE.
SAVANNAH
GA
30066
33
30263
32
30263
32
31040-0644 36
31525
17
30312
33
30001
32
30525
52
30342-1713 15
30117
27
31520
15
31520
30324
36
30307
10
31213
44
31210
00
30278
30
30327
31
30327
31
30188-3875 41
31545
10
30067-4745 27
30606
15
31707
17
30278
15
30307-1028 32
30114
10
31520
44
30360
41
30208
32
30076
17
30245-7651 49
30319
30
31405
16
30092
17
30075
17
30305
13
30309-1710 17
30907
01
30165
48
30909
17
30062
01
30308-0406 16
31405
25
30076-4907 41
30342-1638 06
30342-1710 32
31901
41
30309
31092
05
31901
17
30344
15
30309-2753 15
30345
17
30345
11
30909
15
31904-8000 46
31404
08
Page No. 78
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GOLDSMITH, STUART MARTIN GOLDSTEIN, EDWARD MORRIS GOLDSTEIN, GORDON T GOLDSTEIN, JOEL ARNOLD GOLDSTEIN, LAWRENCE HOWARD GOLDSTEIN, MARTIN IRVING GOLDSTEIN, RICHARD MARK GOLDSTEIN, ROBERT WHITNEY GOLDSTONE, LAWRENCE MARK GOLER, KARL ANDREW GOLIGHTLY, DANIEL PAUL JR GOLIGHTLY, EARL STEPHEN GOLUSINSKI, LAWRENCE LEO, JR GOMEZ, FRANCIS B. GOMEZ, FRANK GOMEZ, JULIAN R GOMEZ, LILY MERCEDES GOMEZ, MIGUEL GOMEZ, ROBERT F GOMEZ-MARCIAL, CARLOS ALBERTO GOMEZ-MAYA, ANTONIO GONGAWARE, ROBERT DAVID GONGAWARE, THEODORA L GONTER, ANTHONY THOMAS GONTER, PAUL WILLIAM GONZALEZ, ANGELO GONZALEZ, EMILIO BUSTAMANTE GONZALEZ, EVANGELIO GONZALEZ, FRANCISCO E GONZALEZ, GILBERT JORGE GONZALEZ, KETTY M. GONZALEZ, LAURA ELIZABETH GONZALEZ, PABLO E GONZALEZ, RAUL ALBERTO GONZALEZ, RICHARD GONZALEZ, VICTOR RODOLFO GONZALEZ-SALDANA, LUISE GOO, DAVID JOSEPH GOODEN, STEPHEN MARSHALL GOODHART, GLENN L GOODLET, JAMES SAMUEL JR GOODLETT, KAREN LARISSA GOODMAN, BRAD HENRY GOODMAN, BRADLY SEAN GOODMAN, CAREY WHEELER GOODMAN, DANIEL STUART GOODMAN, JEFFREY ALAN GOODMAN, JULIUS T GOODMAN, LANCE RICHARD GOODMAN, LLOYDS GOODMAN, MICHAEL LOUIS GOODMAN, NEIL EVAN GOODMAN, RICHARD ALAN GOODNER, JAMES VANCE GOODRICH, JACOB ALLAN GOODRICH, JAMES THOMAS GOODRICH, SAMUEL M GOODSON, BRINKLEY FEURT
035424 300 - 3RD AVE 033337 5455 MERIDIAN MARKS RD NE, SUITE 530 013278 1170 CLEVELAND AVE SW, SOUTH FULTON HOSP 014177 70 PALISADES RD NE 032386 5299 GARNABY LANE 010375 3001 SOUTH COBB DR SE #203 035637 655 GLENRIDGE CLOSE DR 014913 980 JOHNSON FERRY RD NE, SUITE 820 036755 29 S.W. UPPER RIVERDALE RD, SUITE 140 031251 2550 WINDY Hill RD, SUITE 307 012470 * 1259 ZIMMER DRIVE, N.E. 022148 743 S 18TH ST 038777 595 PIEDMONT AVE, NE, SUITE 668 024941 340 BLVD., NE, SUITE 145 012165 4237 E HIGHWAY 34 0,11804 2060 MT PARAN RD, SUITE 102 026861 29 DUNAIRE COURT 010337 333 PADGET ROAD 015586 1270 PRINCE AVENUE 024244 1961 NORTH DRUID HILLS ROAD NE, SUITE 203B 019385 1961 NORTH DRUID HILLS RD, NE, SUITE 203B 015092 505 EISENHOSER DRIVE 014808 39 EAST 51ST ST 021700 2612 COUNTRY CLUB DRIVE 033971 2790 PAYTON RD 011805 626 FLAT CREEK TRL 032195 DIVISION OF RHEUMATOLOGY, 69 BUTLER STREET, S.E. 016234 * 611 NORTH AVENUE
015001 * 110 WALESKA ROAD, P.O. BOX 311
026533 960 JOHNSON FERRY RD NE, SUITE 215 026280 1517 SUMMERSET DRIVE 037549 1861 CLAIRMONT RD# 508 011604 4508 CHERIE GLEN TRAIL 024942 20 NORTH PLEASANT RUN 035425 3997 LAWRENCEVILLE HWY, SUITE 230-B 011865 127 CHERRY STREET 011922 5416 SAFFRON DR 031924 413 RIDGECREST ROAD, N.E. 033972 1430-B HARPER STREET 019386 2675 N DECATUR RD, SUITE 312 017808 833 CAMPBELL Hill STREET, SDUITE 300 034353 839 FIRESIDE WAY 038780 86 SCHLEY AVE 034838 314 TUXWORTH CIRCLE 019264 1203 GEORGE C. WILSON DRIVE., SUITE B 026121 4470 N SHALLOWFORD RD, SUITE 105 035639 341 JOSHUA TREE LANE 011866 230 THREAD NEEDLE RD E 037999 1130 PIEDMONT AVE, NE, APT 805 013215 P.O. BOX 23089 031748 105 COLLIER RD NW, SUITE 3060 034143 8109 CREEKWOOD COURT 022410 2487 BURNT LEAF LANE 027379 1008 TREERIDGE PARKWAY 020540 170 MCBRIDE RD 019524 PO BOX 1130 009502 750 N COBB ST 024680 P.O. BOX 1709
ALBANY
GA
ATLANTA
GA
EAST POINT GA
ATLANTA
GA
NORCROSS
GA
SMYRNA
GA
ATLANTA
GA
ATLANTA
GA
RIVERDALE
GA
MARIETTA
GA
ATLANTA
GA
GRIFFIN
GA
ATLANTA
GA
ATLANTA
GA
SHARPSBURG GA
ATLANTA
GA
MABLETON
GA
SENOIA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
SAVANNAH
GA
CONYERS
GA
ATLANTA
GA
FAYETTEVILLE GA
ATLANTA
GA
VILLA RICA GA
CANTON
GA
ATLANTA
GA
DUNWOODY
GA
DECATUR
GA
STONE MOUNTAIN GA
ROME
GA
LILBURN
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
DECATUR
GA
MARIETTA
GA
STONE MTN
GA
SAVANNAH
GA
DECATUR
GA
AUGUSTA
GA
ATLANTA
GA
MARTINEZ
GA
AUGUSTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
MIDLAND
GA
DECATUR
GA
ALPHARETTA GA
MARTINEZ
GA
RINGGOLD
GA
MILLEDGEVILLE GA
CUMMING
GA
31701
06
30342-1640 23
30344
36
30309
32
30092
03
30080
06
30328
17
30342-1607 11
30274
52
30067
44
30306
41
30223
30
30308
10
30312
27
30277
41
30327
33
30059
30276
03
30606
30
30329
01
30329
11
31499
41
31405
17
30208
01
30345
17
30214-4218 41
30303
37
30180
10
30114
15
30342-1695
30338
32
30033
17
30083
03
30161
17
30247
32
30060
33
30338
38
30307-1843 32
30910
41
30033-6131 53
30090
52
30083-2509 17
31419
04
30033
53
30909
10
30338-6402 17
30907
17
30907
01
30309
32
31403
17
30309-1708 44
31820
32
30033
17
30202
17
30907-1681 46
30736-1130 15
31061
15
30130
17
Page No. 79
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of"-October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GOODWIN, BURTON D JR GOODWIN, HENRY NORTH GOODWIN, HUGH A JR GOODWIN, JOHN RICHARD GOODWIN, WILLIAM PIERCE, JR GOOLSBY, CHARLES D GOOLSBY, KENNETH EUGENE GOOLSBY, LOUIS W. GOOLSBY, SARA LEMBETH GORDON, ANTHONY KENT GORDON, BERKMAN OLONZO GORDON, HELEN MINIFIE GORDON, JAMES NICHOLAS GORDON, JEFFERSON TAYLOR GORDON, JOHN HAMISH GORDON, LOURDES NERY GORDON, MICHAEL COWL GORDON, NEIL EDWARD GORDON, PETER ALFRED GORDON, RANDOLPH LEEGORDON, RICHARD A GORDON, ROBERT DANA GORDON, STEPHEN FRANK GORDON, STEPHEN WINSLOW GORDON, WALTER CARL JR GORE, JAMES ROY GORE, THOMAS BOWDEN GORELKIN, LEO GORHAM, ZERAH KENYA GORMAN, ALFRED CARL GORMAN, HENRY CAMERON GORMAN, RICHARD WILLIAM GOSE, FRED DEXTER GOSHA, TONYA LASHON GOSS, JAMES RICHARD GOSS, WOODROW GOSSAGE, JAMES RICHARD, JR GOTAY, HECTOR GOTLIEB, EDWARD MARVIN GOTLIEB, JAQUELIN SMITH GOTT, JOHN PARKER GOTTLIEB, ALAN JAY GOTTLIEB, GEORGE ROBERT GOTTLIEB, STEVEN MICHAEL GOULD, BRUCE JONATHAN GOULD-, JEFFERY LYNN GOULD, JENNIFER JANE GOULD, MARK ALLEN GOULD, STEPHEN JAY GOURDIN, FREDERICK WALTER GOUSE, JOHN CONRAD GOVER-MENDEZ, CHARLES B GOWDA, APPASWAMY M. GOWDA, SRIDHAR GOWDER, GEORGE D JR GOWDER, GEORGE DAVID III GOWDY, DAVID PHILLIP GOWEN, JAMES FURMAN
010795 5223 PAULSEN STREET 010550 1521 ANTHONY RD 005317 PO BOX 429 038781 ROME RADIOLOGY GROUP, 1104 MARTHA BERRY BLVD 033973 BOX 562 010551 101 MOCKINGBIRD DRIVE 025162 PO BOX 3276 022230 119 SADDLE RUN COURT 008773 PO BOX 2155 031432 465 HEMBREE ROAD 037815 1181 OAK KNOLL CT 037438 721 NORTHERN AVENUE 018143 275 5TH ST NW, GA TECH INFIRMARY 033338 100 PROFESSIONAL PARK, SUITE 202 037550 2005 N. CROSSING WAY 021210 247 SOUTHERN HILL DRIVE 026534 3188 ATLANTA STREET 022411 1106-1 N. MAIN ST. 023055 500 IRVIN COURT, SUITE C-120 038000 1497 CANDLBERRY CT 020436 1145 WINTERBERRY WAY 036163 EMORY UN HOSP, 1364 CLIFTON RD, NE S-H124A 013185 980 JOHNSON FERRY RD NE, SUITE 700
021508 * 3280 HOWELL MILL ROAD NW, SUITE 212-E
007484 401-A. S. MADISON ST 036384 424 AUDUBON CIRCLE 027553 1551 DOCTORS DRIVE, SUITE 301 016801 1331 BREEZY LANE 034839 5244 FIELDGREEN CROSSING 036757 3739 WOODLAKE ROAD 007356 4612 COUNTRY MEADOWS LANE 031008 450 COMMERCE DRIVE 028557 1875 MOUNTAIN CREEK DRIVE 035057 3131 N. DRUID HILLS RD, APT 4309 027381 2704 N. OAK STREET, BLDG B-3 005583 PO BOX 605, 118 GOSS DRIVE 038782 3720 FOXFIRE PLACE 01635D 592 MEDICAL PARK DRIVE 014500 5405 MEMORIAL DRIVE, SUITED 017810 5405 MEMORIAL DR, BUILDING D 028989 550 PEACHTREE STREET NE, SUITE 4356 027554 1372 PEACHTREE ST, SUITE 301 020437 2675 N DECATUR ROAD, SUITE 404 033094 1103 LILY PAD LANE 032740 55 SOUTH MEDICAL DRIVE, SUITE 240 013356 1793 S. PONCE DE LEON AVE, N.E. 033974 3167 GABLEWOOD COURT 009827 550 RIVERSIDE PARKWAY NW 018144 2460 PEACHTREE ROAD, APT 706 020106 4186 KNOLL CREST CIRCLE, NORTH 028558 503 EISENHOWER DRIVE, P.O. BOX 14444 037217 4596 OXFORD DRIVE 028407 602 SOUTH EIGHTH STREET 035885 3818 SHOAL CREEK COURT 007487 1658 GOWDER DRIVE 025163 170 HOSPITAL CIRCLE, SUITE A 034601 2258 PEELER ROAD 012471 3226 HAMPTON AVE, SUITE A
SAVANNAH
GA
AUGUSTA
GA
SUMMERVILLE GA
ROME
GA
ELLAVILLE
GA
CARTERSVILLE GA
GAINESVILLE GA
MACON
GA
FT OGELTHORPE GA
ROSWELL
GA
LITHONIA
GA
CLARKSTON
GA
ATLANTA
GA
CARROLLTON GA
DECATUR
GA
DULUTH
GA
SMYRNA
GA
CEDARTOWN
GA
DECATUR
GA
LILBURN
GA
CONYERS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ALBANY
GA
GRIFFIN
GA
LAGRANGE
GA
ATLANTA
GA
STONE MOUNTAIN GA
HEPHZIBAH
GA
MARTINEZ
GA
PEACHTREE CITY GA
STONE MOUNTAIN GA
DECATUR
GA
VALDOSTA
GA
ASHBURN
GA
MARTINEZ
GA
GAINESVILLE GA
STONE MOUNTAIN GA
STONE MTN
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
STATESBORO GA
MARIETTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
MARTINMEZ
GA
SAVANNAH
GA
EVANS
GA
GRIFFIN
GA
MARTINEZ
GA
BLAIRSVILLE GA
BLAIRSVILLE GA
DUNWOODY
GA
BRUNSWICK
GA
31405
36
30910-0799 46
30747
01
30165
36
31806
10
30120
11
30503
33
31210
15
30742
03
30076
36
30058-3005 10
30021
17
30318
01
30117-3802 10
30033
15
30136
03
30080-3897 01
30125
17
30030
27
30247
10
30208'
36
30322
41
30342-1607 15
30327
47
31702
41
30223
26
30240
17
30329
31
30088
32
30815
17
30907-8861 36
30269
10
30087-1015 17
30033
15
31602
28
31714-0649 10
30907
34
30501
23
30083
32
30083-3258 32
30365
40
30309
17
30030
04
30458
03
30006-0 53
30307
36
30033
33
30328
33
30305
03
30907
12
31416
36
30809
36
30223
17
30907
33
30512
10
30512
17
30338
17
31520
15
Page No. 80
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GOWER, DAVID JOHN GOWER, VERLIA COLE GOWER, WILLIAM JUSTUS,111 GOWITT, GERALD THOMAS GOZA, SARA HELEN GOZA, WENDY RENEE SMITH GRABLOWSKY, OSCAR MARSHALL GRACEN, TODD LEE GRACIA, ANTONIO JOSE GRACIAA, GUIDO FLAVIO GRACY, JOHN ALLEN GRADY, MICHAEL JEROME GRAHAM, DAVID GRAHAM, ERROL GENE GRAHAM, JAMES LUTHER GRAHAM, JIMMY GRAHAM, LEROY MAXWELL, JR GRAHAM, MALCOLM DALTON GRAHAM, ROBERT KEITH GRAHAM, RONALD EUGENE GRAHAM, SAM DIXON, JR GRAHAM, THOMAS CASTON GRAHAM, WILLIAM LEE GRAHAM, YOLANDA PATRICE GRAIVIER, MILES HART GRAMLICH, TERRY LEE GRAMLING, ZACHARIAH SR GRANT, EDWIN HARRIS GRANT, FRANCES BARNES GRANT, GEORGE G II GRANT, JACQUELINE HOLT GRANT, JESSE RAY JR GRANT, JOHN RICHARD GRANT, JOSEPH MARTIN GRANT, LARRY W GRANT, PAUL JACOB GRANT, RALPH PEERY, JR. GRANT, ROBERT CLYDE GRANT, ROBERT W GRANT-GREENE, MONICA CYNTHIA GRANTHAM, CARLOS GREGORY GRANTHAM, VERNON J GRANTIER, DAVID R GRATTAN-SMITH, JOHN DAMIEN GRAU, JOSEPH GRAYSON GRAVANIS, MICHAEL B GRAVEN, RICHARD MEARLYN GRAVES, DANTE JAMES GRAVES, KAREN LEVAN GRAVES, RAPHAEL K GRAVES, TIMOTHY LEE GRAVLEE, MARK LABAN GRAY, ARTHUR RICHARD GRAY, ARTHUR RICHARD, JR. GRAY, CHARMAINE DELORES GRAY, FAITH MICHELLE GRAY, JAMES ROBERT GRAY, JOYCE LORRAINE
038235 038499 022412 025164 029652 032476 014741 038783 013622 013865 034145 029875 036534 032388 030071 017811 036758 036759 026858 029174 023969 008448 014742 038001 034602 034354 009023 010797 024944 008774 032570 021510 013138 038784 016802 036385 010945 008102 017189 020717 010170 008103 013623 038237 035058 011867 028559 032914 033383 008449 026859 034355 006907 024248 033586 036165 009144 036761
3834 AUSTELL ROAD, SUITE A 1404 TAMARRON PARKWAY 755 MOUNT VERNON HWY NE, SUITE 500 1870 KINGSTON WAY FAYETTE MEDICAL CENTER, 101 YORKTOWN FAYETTE MEDICAL CLINIC, 101 YORKTOWN DRIVE 5667 PEACHTREE DUNWOODY RD, SUITE 330 1983 TAYLOR SPRINGS RD PO BOX 2496 PO BOX 401 CARROLLTON ORTHOPAEDIC CLINIC, 148 CLINIC AVE 4106 MILL STREET 145 MOUNT SHASTA LN 503 PINE ST TIFTON FAMILY PRACTICE, 1493 KENNEDY ROAD 2885 HEADLAND DRIVE 891 BYRNWYCK ROAD GEORGIA EAR INSTITUTE, 4750 WATERS AVE, SUITE 103 5716 NORTHERN DANCER DRIVE 1555 ETHRIDGE MILL ROAD THE EMORY CLINIC UROLOGY, 1365 CLIFTON ROAD, NE 15 CAVENDER ST, PAPP CLINIC 2825 TECHWOOD DRIVE 250 ELEVENTH ST, NE, APT 2-B N. ATLANTA PLASTIC & RECON SURGE, 2500 HOSPITAL BLVD 2850 THORNRIDGE LANE 3201 RAMSGATE ROAD 605 DIXIE STREET 380 HOSPITAL DRIVE, SUITE 462 CENTRAL STATE HOSP 3256 HARVESTER WOODS RD 235 MEDICAL CT 425 W THIRD AVE, SUITE 500 6262 HAMILTON RD 330 HOSPITAL DRIVE, SUITE 220 3499 NANCY CREEK RD 1493 LAVISTA ROAD, N.E. 1.74 PRIOR ST SE ST. JOSEPHS MEDICAL BUILDING, SUITE 2-C 523 15TH STREET 888 PINE ST 900 KNOXVILLE ST 1543 CLEARVIEW DRIVE 1209 N DECATUR RD NE 1555 DOCTORS DRIVE 1002 OXFORD RD NE 3633 PEBBLE BEACH DRIVE 882 CINDERALL CT 882 CINDERELLA CT 3300 BUCKEYE ROAD, SUITE 178 BOX 452, RR 4, GRAHAM ROAD 509 BROOKSIDE DRIVE 2 PROFESSIONAL COURT 380 HOSPITAL DR - SUITE 465, PO BOX 2564 428 CITY HEIGHTS DRIVE 1096 REDAN TRACE PO BOX 1332 5225 BOWERS BROOK DRIVE
MARIETTA
GA
SMYRNA
GA
ATLANTA
GA
LAWRENCEVILLE GA
FAYETTEVILLE GA
FAYETTEVILLE GA
ATLANTA
GA
VIDALIA
GA
VALDOSTA
GA
MILLEDGEVILLE GA
CARROLLTON GA
COVINGTON
GA
ALPHARETTA GA
BAXLEY
GA
TIFTON
GA
EAST POINT GA
ATLANTA
GA
SAVANNAH
GA
MACON
GA
GRIFFIN
GA
ATLANTA
GA
NEWNAN
GA
COLUMBUS
GA
ATLANTA
GA
ROSWELL
GA
ATLANTA
GA
AUGUSTA
GA
CARROLLTON GA
MACON
GA
MILLEDGEVILLE GA
DECATUR
GA
FORSYTH
GA
ALBANY
GA
COLUMBUS
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
GAINESVILLE GA
SAVANNAH
GA
AUGUSTA
GA
MACON
GA
FT VALLEY
GA
ACWORTH
GA
ATLANTA
GA
LA GRANGE
GA
ATLANTA
GA
MARTINEZ
GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
GRAY
GA
DALTON
GA
ROME
GA
MACON
GA
ATLANTA
GA
STONE MOUNTAIN GA
WINDER
GA
LILBURN
GA
30060-5863 44
30080
30
30328-4274 17
30244
31
30214-1585 32
30214
17
30342
39
30474
17
31604-2496 33
31061
23
30117
28
30209
15
30202-5440 15
31513-2514 17
31794
10
30344
17
30319
32
31404
30
31210
01
30223
08
30322
52
30264
15
31906
36
30309
33
30076-4919 47
30340
31
30909
03
30117
36
31201
17
31061
33
30034-5125 15
31029
10
31701-1954 30
31909
46
31201
34
30327
05
30324
33
30501
17
31419
17
30901
32
31201
03
31030
10
30101
08
30306-2307 36
30240
33
30306
31
30907
32
30033
17
30033-5812 10
30341
31
31032-9430 10
30720
41
30165-4304 11
31203
03
30308
32
30088
17
30268
32
30247
31
Page No. 81
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GRAY, OTIS LEE JR
015858 1224 AUGUSTA WEST PARKWAY
GRAY, PHILLIP NOLAN
033340 415 SADDLEBROOK DR SE, SE
GRAY, RICHARD GLENN
029653 1700 HOSPITAL SOUTH DRIVE, SUITE 102
GRAY, ROBERT FRANCIS
037218 2413 SHENANDOAH AVE
GRAY, SAMUEL HARRIS
013186 4555 N SHALLOWFORD RD, SUITE 101
GRAY, WOODROW WILSON, JR.
026284 1127 ROYAL COACH DRIVE
GRAYBEAL, MICHAEL LEE
027199 820 ST. SEBASTAIN WAY SUITE 7 A
GRAYSON, JOHN THOMAS
012913 231 GRAEFE STREET
GRECO, ANTHONY MICHAEL
029278 203 WOODPARK PLACE, A-100
GRECO, RAY S., I I
025756 4143 HOSPITAL DRIVE
GRECO, RICHARD JUD~
036762 11706 MERCYU BLVD, #8
GREEN, AGNES PATRICIA
029876 5040 SNAPF!NGER WOODS DR, SUITE 103
GREEN, ALFRED JOSEPH
006908 17 INDIAN COVE ROAD
GREEN, ARTHUR J
013565 1459 MONTREAL ROAD, #506
GREEN, BRUCE GARY
016803 MT VERNON MED CTR, 755 MOUNT VERNON HWY# 300
GREEN, CHARLES GRAY JR
017456 3822 INVERNESS WAY
GREEN, CHERYL ANNETTE
035640 2697 GLENROSE HILL DRIVE
GREEN, CLYDE 0
030072 PO BOX 794, HWY 129
GREEN, DALE ERIC
031926 489 N MILLEDGEVILLE AVE
GREEN, IRVING ISAAC
016605 * 3379D PEACHTREE CORNERS CIRCLE
GREEN, JAMES ELLIS
027200 * THE ATRIUM SUITE 285, 675 WHITE SULPHUR ROAD
GREEN, JEFFREY PAUL
035886 1332 DRUID OAKS NE
GREEN, LAURENCE BROOKS
026535 2110 SUMMERCHASE DRIVE
GREEN, MARGARET ORR
016235 3623 DEWEY GRAY CIRCLE, SUITE 108
GREEN, MICHAEL FRANKLIN
023972 818 ST. SEBASTIAN WAY, SUITE 403
GREEN, ROBERT CASTLEMAN
030777 1144 ZIMMER DRIVE
GREEN, SALLY PROCK
024480 1147 OAK BROOK WAY
GREEN, SPURGEON, JR
033830 PO BOX 1190
GREEN, VICTORIA LA SHELLE GREEN, WILLIAM EDWIN, III
038240 3680 SALEM TRL
031599 * C/0 ANCHOR HOSPITAL, 5454 YORKTOWNE DR
GREEN-MULDROW, BARBARA LEE 031927 110 GRAN DE CT
GREENBERG, BERNARD STEVEN
028169 1462 MONTREAL ROAD, SUITE 412
GREENBERG, DORIS MARKOWITZ 018658 5120 PAULSEN STREET
GREENBERG, EUGENE SAUL
036166 AMERICUS UROLOGY PC, 1102 E LAMAR STREET
GREENBERG, IRVING L
003781 1730 DONCASTER DRIVE, NE
GREENBERG, JOEL ANSON
028560 PO BOX 23059, 4600 WATERA AVE - SUITE 200
GREENBERG, JOEL I
010798 2550 WINDY HILL ROAD, SUITE 206
GREENBERG, MARTIN H
018659 MEMORIAL MED CTR, BOX 23089
GREENBERG, MICHAEL JEFFERY 020719 NORTHSIDE ANESTHESIOLOGY CONSULT, P.O. BOX 720261
GREENBERG, RAYMOND SETH
025611 EMORY UNIV/SCH OF PUB HEALTH, 1599 CLIFTON ROAD NE
GREENBERG, ROSS EVAN
029656 PO BOX 52204
GREENBERG, ROSS HILLARD
037219 802 MANDARIAN DRIVE
GREENBERG, WENDELIN FAY HARRIS 035641 755 MT VERNON HIGHWAY, SUITE 150
GREENE, BARBARA H
014631 1350 WWESLEY RD NW
GREENE, DAVID
018224 550 PEACHTREE ST NE
GREENE, DEIDRE JOAN
038002 4455 HAVERSTRAW DR
GREENE, JAMES TERRY
032741 P.O. BOX 957
GREENE, JAMES WALTER
029657 PO BOX 1956
GREENE, MICHAEL EUGENE
034840 RT 2, HWY 27, PO BOX 447
GREENE, RALPH RUDICIL JR
011344 900 ROBIN ROAD
GREENE, WILLIAM ALBERT CATES 022231 2320 LIMESTONE RD
GREENE-JOHNSON, TRACEY
038785 200 DARMOUTH PLACE, WEST
GREENFIELD, PAULA RANDOLPH 037220 3264 HUNTERS PACE DRIVE
GREENFIELD, ROBERT THOMAS
037221 3264 HUNTERS PACE DRIVE
GREENHAW, STEVEN THOMAS
035427 2310 NORTH PATTERSON STREET, SUITE B
GREENHOOD, GARY PHILLIP
020438 3667 OXFORD TRACE
GREENSPAN, JOEL R
021001 685 GREYSTONE PARK NE
GREENSTEIN, DAVID BRIAN
032574 4975 RIVERLAKE DRIVE
AUGUSTA
GA
CALHOUN
GA
AUSTELL
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
GRIFFIN
GA
WOODSTOCK
GA
COVINGTON
GA
SAVANNAH
GA
DECATUR
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
GRAY
GA
ATHENS
GA
NORCROSS
GA
GAINESVILLE GA
ATLANTA
GA
DULUTH
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
PERRY
GA
LITHONIA
GA
ATLANTA
GA
COLLEGE PARK GA
TUCKER
GA
SAVANNAH
GA
AMERICUS
GA
ATLANTA
GA
SAVANNAH
GA
MARIETTA
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
HINESVILLE GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
CLARKSVILLE GA
BRUNSWICK
GA
SUMMERVILLE GA
RINGGOLD
GA
GAINESVILLE GA
PEACHTREE CITY GA
LITHONIA
GA
LITHONIA
GA
VALDOSTA
GA
MARIETTA
GA
ATLANTA
GA
DULUTH
GA
30909
10
30701-4656 10
30001
17
30305
30
30338-6407 41
31201
25
30910-1799 09
30223
17
30188
10
30209
25
31419
47
30035-4093 03
30909
32
30084
17
30328
52
30907
17
30341
31
31032
10
30601
17
30092
17
30505
17
30329
27
30136
10
30909
27
30901
17
30306
23
30319
31069-1190 01
30038-2950 15
30349-5317 03
30349
08
30084
15
31405
32
31709
52
30309
41
31403
23
30067
15
31403
32
30358-0261 03
30329
RS
30355
08
31313
33
30328
32
30327
17
30365
36
30338
32
30523
10
31521
10
30747
10
30736
10
30501
15
30269
15
30038
33
30038
46
31602
27
30062
17
30324
35
30136
17
Page No. 82
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GREENSTONE, SIDNEY THOMAS GREENWALD, DAVID HOWARD GREENWALD, HERBERT LOUIS GREENWALD, HERBERT S JR GREENWALD, LLOYD VICTOR GREENWELL, KEVIN RAY GREENWOOD, WILLIAM HOWARD GREER, CHARLES CARLTON, III GREER, JOHN ANDREW GREER, MACK VARNEDOE GREEVER, CARL MARTIN GREGORY, BEVERLY CAROL GREGORY, JAMES R SR GREGORY, JOHN,MICHAEL GREGORY, PAULA DIANE GREGORY, WILLIAM JULIAN GREICO, VINCENT MICHAEL GREMILLION, CHARLES M., JR GRESEN, KENNETH WARREN GRESHAM, DOUGLAS GRANVILLE GRESHAM, WALTER SHELTON GREWAL, MANDEEP SINGH GRICE, KATHRYN ASHTON GRICE, STEPHEN CHARLES GRIEME, BRYAN RUSSELL GRIER, BARNETT J. W., JR GRIFFETH, JOE LEONARD GRIFFIN, ALVIN VINCENT GRIFFIN, BASIL MANLY JR GRIFFIN, CHARLES WILLIAM GRIFFIN, DONALD LEWIS GRIFFIN, EDMOND IRVIN GRIFFIN, HOWARD A JR GRIFFIN, JACKSON THOMAS JR GRIFFIN, JOAN MARIE BOLIN GRIFFIN, JOHN B JR GRIFFIN, JOHN MICHAEL GRIFFIN, JOSEPH FRANCIS, III GRIFFIN, JOSEPH WALDO JR GRIFFIN, KENNETH JOE, JR GRIFFIN, LETHA YURKO GRIFFIN, LOUIE HANNAH, JR GRIFFIN, MARK STEPHEN GRIFFIN, RALPH CONNELL, JR GRIFFIN, RICHARD ARNOLD, III GRIFFIN, SAMUEL CHARLES GRIFFIN, SHELLEY A. GRIFFIN, WARREN LEIGHTON JR GRIFFIN, WILLIAM L GRIFFIS, MARK GRIFFITH, GEORGE JEROME GRIFFITH, JAMES A GRIFFITH, KENNE GRIFFITH, MARCUS C GRIFFITH, PATRICK ALEXANDER GRIFFITH, RICHARD LYNN GRIFFITH, SCOTT DEE GRIFFITHS, ARTHUR ALEXANDER
017812 * 11135 WILLOW WOOD DR 026536 4419 DUNMORE ROAD 014302 6128 PRESTLEY MILL RD STE D 011346 380 HOSP DR STE 440, COLISEUM PARK PROF BLDG 018988 5305 WOODRIDGE FOREST TRAIL 024249 51 HOSPITAL ROAD 030074 696 PIKE STREET, SUITE 420 011343 1702 EAST 20TH AVE, BOX 1115 033341 4232 SMITHSONIA DRIVE 009145 INFIRMARY VALDOSTA STATE UNIV 036980 MEDICAL COLLEGE OF GA, GEN. INT. MED. HB-2010 036073 7633 HOUSTON MILL RD, NE 011347 1105 BURLEYSON RD. 019165 195 KING AVE 032575 5157 PATRIOT DRIVE 027201 PO BOX 218 038786 104 GEORGETOWN CT 033975 1000 ABERNATHY ROAD, BLDG 400 SUITE 195 024586 PO BOX 1376 026286 340 EISENHOWER DRIVE, BUILDING 1600 008450 * 425 W COLLEGE ST 035642 3034 SPRING HILL RD APT D 033976 455 WYNDHAM FARMS WAY 033832 455 WYNDHAM FARM WAY 031750 PO DRAWER 2450, 113 HANSELL STREET 036060 4968 POST ROAD PASS 007801 MED CTR CLINIC, PO BOX 399 032107 1021 ROSSER ST NW 015937 993 JOHNSON FERRY RD, SUITE C-110 035428 TIFTON MEDICAL CLINIC, 712 E 18TH STREET 027820 1824 NORTH LEE AVENUE 014914 5555 PEACHTREE DUNWOODY RD, SUITE 190 013041 RADIOLOGY ASSOC OF WAYCROSS, PO BOX 938 007199 6626 STANDING BOY RD 027060 4661 RIVOLI DRIVE 007802 5666 RED COAT RUN 015588 365 EAST PACES FERRY ROAD NE 023361 1970 CLIFF VALLEY WAY, SUITE 100 014811 212 AVONDALE DR 038501 29 WINDSOR ON THE MARSH 022791 2001 PEACHTREE ROAD, SUITE 705 010177 818 ST SEBASTIAN WAY, SUITE 303 038502 224 EAST YORKTOWN DRIVE 031751 RTE ONE BOX 45, COUNTRY CREEK ROAD 009506 PO BOX 1053 026287 700 SUNSET DRIVE, SUITE 101 016238 304 JONES AVE, PO BOX 609 012705 800 1ST ST 006817 2411 GOLDEN AVENUE 038140 SOUTHWESTERN STATE HOSPITAL, PO BOX 1378 027202 * 311 WANDERSON STREET, PO BOX 1004 015647 1055 BANKHEAD HWY SW, BANKHEAD CLINIC 023973 11 JOHN MADDOX DR 035643 1547 GOLF LINK DRIVE 018661 720 WESTVIEW DRIVE, S.W. 036763 833 CAMBELL HILL ROAD, SUITE 112 036386 120 KESWICK WAY 035887 5104 ASHMONT COURT
ROSWELL
GA
MARIETTA
GA
DOUGLASVILLE GA
MACON
GA
ATLANTA
GA
NEWNAN
GA
LAWRENCEVILLE GA
CORDELE
GA
TUCKER
GA
VALDOSTA
GA
AUGUSTA
GA
ATLANTA
GA
DALTON
GA
ATHENS
GA
STONE MOUNTAIN GA
DALTON
GA
MACON
GA
ATLANTA
GA
HAZLEHURST GA
SAVANNAH
GA
BOWDON
GA
SMYRNA
GA
ALPHARETTA GA
ALPHARETTA GA
THOMASVILLE GA
STONE MTN
GA
COMMERCE
GA
CONYERS
GA
ATLANTA
GA
TIFTON
GA
TIFTON
GA
ATLANTA
GA
WAYCROSS
GA
COLUMBUS
GA
MACON
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
ATLANTA
GA
AUGUSTA
GA
LA GRANGE
GA
MACON
GA
CARTERSVILLE GA
ATHENS
GA
WAYNESBORO GA
MACON
GA
AUGUSTA
GA
THOMASVILLE GA
OGLETHORPE GA
MABLETON
GA
ROME
GA
STONE MOUNTAIN GA
ATLANTA
GA
MARIETTA
GA
ALPHARETTA GA
DUNWOODY
GA
30075
10
30068
08
30134-2287 32
31201
27
30327
36
30263
01
30245
00
31015
27
30084
52
31698
10
30912-3104 17
30329
03
30720
15
30606
52
30087
10
30720
17
31210
26
30328
27
31539
08
31406
09
30108
10
30080-4721 22
30201
03
30201
03
31799
36
30088-2008 17
30529
01
30207-4463 10
30342
46
31794
44
31794
30342
06
31501
36
31904-2222 44
31210
01
30087
33
30305
47
30329
30907
11
31419
17
30309
28
30901
41
30240
08
31210
08
30120
41
30606
08
30830
32
31201
30
30906
10
31799-1378
31068-1004 17
30059
01
30165-1499
30088
33
30310
23
30090
17
30202
10
30338
08
Page No. 83
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GRIFFITHS, DEBORAN RENEE BROWN 035888 5104 ASHMONT COURT
DUNWOODY
GA
GRILLO, THOMAS ANDREW
020720 2131 FOUNTAIN DRIVE, SUITE 200
SNELLVILLE GA
GRIMES, GEORGE WASHINGTON Ill 019830 LAFAYETTE SQUARE, 540-B WTHOMAS STREET
MILLEDGEVILLE GA
GRIMES, STEVEN ROY
036764 207 N CROSSING WAY
DECATUR
GA
GRIMES, WILLIAM H JR
004023 1056 LULLWATER RD, NE
ATLANTA
GA
GRIMSHAW, DAVID NORMAN
034603 108 KIRK CROSSING
DECATUR
GA
GRIMSLEY, EDWIN WALKER
030468 ONE CHRISTIE LANE
SAVANNAH
GA
GRINDON, ALFRED JOSEPH
018226 AMERICAN RED CROSS, 1890-F BEAVER RIDGE CIRCLE
NORCROSS
GA
GRINER, NANCY REBA
030076 4875 RIVERSOUND DRIVE
LITHONIA
GA
GRINER, ROBERT WINGATE
030077 4875 RIVERSOUND DRIVE
LITHONIA
GA
GRINER, WALLACE EUGENE
015194 5614 ROARING BRANCH ROAD
COLUMBUS
GA
GRISAMORE, JENNINGS M
007683 6292 RIVERWOOD DRIVE
ATLANTA
GA
GRISHKIN, BRENT ANTHONY
031930 UNIVERSITY HOSPITAL MEDICAL CTR., 820 ST. SEBASTIAN WAUGUSTA
GA
GRIST, WILLIAM JAMES
019688 188 ELIZABETH STREET
ATLANTA
GA
GRIVAS, ANDREWS JR
016921 WILDWOOD HOSPITAL
WILDWOOD
GA
GRIZZLE, DANIEL CRAIG
037223 5 PROFESSIONAL COURT
ROME
GA
GRONKA, EDWARD SCOTT
035431 1691 PHOENIX BLVD, SUITE 280
ATLANTA
GA
GRONLICK, CAROL ANN
031435 639 SCOTT CIRCLE
DECATUR
GA
GRONSBELL, MARK DANIEL
017457 2550 WINDY HILL RD STE 301
MARIETTA
GA
GROOMS, JAMES DUANE
028001 102 ST. CLAIR PARKWAY
ST. SIMONS ISL GA
GROOMS, PHILLIP GRAHAM
026781 PO BOX 764
ALMA
GA
GROOVER, MICHAEL HAMPTON
035059 1234 ELEGANCE CT
STONE MOUNTAIN GA
GROPPER, GARY ROBERT
028273 3193 HOWELL MILL ROAD, N.W., SUITE 311
ATLANTA
GA
GROSS, ALEXANDER STEVEN
030078 2675 NORTH DECATUR ROAD, SUITE 601
DECATUR
GA
GROSS, DARRYL SCOTT GROSS, DONALD WARREN
025925 40 FAIR FOREST TERRACE
014119 * 1643 FAIR HAVEN DRIVE
COVINGTON
GA
RIVERDALE
GA
GROSS, GAIL KLINE
023161 980 JOHNSON FERRY RD., SUITE 620
ATLANTA
GA
GROSS, HARTMUT
032916 2535 QUEENS COURT
GROVETOWN
GA
GROSS, LAWRENCE BAKER
034357 100 -10TH STREET NW
ATLANTA
GA
GROSS, LAWRENCE RICHARD
035432 1137 EAGLES LANDING PKY, BLDG B SUITE 5
STOCKBRIDGE GA
GROSS, LEON RAY
016351 5667 P'TREE DUNWOODY RD, SUITE 250
ATLANTA
GA
GROSS, MICHAEL DAVID
029660 PO BOX 2495
VIDALIA
GA
GROSSL, NORMAN ARMIN
035433 1096 ROGERS STREET
CLARKSTON
GA
GROSSMAN, CONRAD P
009024 4968 WELLINGTON DR
MACON
GA
GROSSMAN, GILBERT DAVID
009829 550 PEACHTREE STREET, N.E.
ATLANTA
GA
GROSSMAN, PETER DANIEL
032198 3623 J DEWEY GRAY CIRCLE, SUITE 300
AUGUSTA
GA
GROSSNIKLAUS, HANS EDWIN
031600 EMORY EYE CENTER - ROOM 1603, 1327 CLIFTON ROAD, N.E. ATLANTA
GA
GROTZ, KENNETH LEE
037820 COLUMBIA CO MED PLAZA, 635 WASHINGTON WEST DRIVE
EVANS
GA
GROVES, ROBERT HAMILTON, SR 009148 1900 BEATTIE ROAD
ALBANY
GA
GROW, WILLIAM ROY
013752 3207 COUNTRY CLUB DRIVE
VALDOSTA
GA
GRUBB, WILLIAM GEORGE
016606 2705 WILDWOOD DRIVE
BRUNSWICK
GA
GRUBBE, ROBERT EUGENE
036387 3603 BROKEN ARROW DRIVE
WOODSTOCK
GA
GRUBBS, EARL ALWIN
032742 375 HIGH BRIDGE CHASE
ALPHARETTA GA
GRUBER, MICHAEL PAUL
038505 135 TORREY PINES CT
NEWNAN
GA
GRUBMAN, MITCHELL LEON
037551 659 PEACHTREE ST# 601
ATLANTA
GA
GRUDEM, CHARLES MICHAEL GRUMET, ROSS FREDERICK
037821 3567 PARKWAY LANE, SUITE 200
011596 * 340 BOULEVARD, NE, SUITE 640
NORCROSS
GA
ATLANTA
GA
GRUNDY, MICHAEL JOHN
026537 35 COLLIER ROAD NW, SUITE 520
ATLANTA
GA
GRZONKA, ROBERT LOUIS
035644 4154 KNOLLCREST CIRCLE NORTH
MARTINEZ
GA
GUASCH, ANTON 10
036766 2384 WATERFORD COVE
DECATUR
GA
GUBERT, SUSAN MARIE
037552 2131-I LAKE PARK DRIVE
SMYRNA
GA
GUBLER-MCCREADIE, EDITH HELGA 034842 PO BOX 1357
TOCCOA
GA
GUDGER, GARLAND K
016538 6262 HAMILTON ROAD, P.O. BOX 9517
COLUMBUS
GA
GUERCIO-HAUER, CATHERINE ALICE 037224 3660 NEWPORT BAY DRIVE
ALPHARETTA GA
GUERENA, FERNANDO BURGUENO 036647 1347 BRIARWOOD DRIVE, APT 4
ATLANTA
GA
GUERRESO, ROBERT JOSEPH
038787 1810 HARBOR LANDING
ROSWELL
GA
GUERRY, RODERICK
010554 13 BLUFF DR ISLE OF HOPE
SAVANNAH
GA
GUEST, WILLIAM ARTHUR
023975 TIFTON MEDICAL CLINIC, 712 E 18TH ST
TIFTON
GA
30338
08
30278
15
31061
10
30033-4125 27
30307
15
30030
10
31411
17
30071
31
30058
30
30058
00
31904
08
30328
41
30901-2653 40
30307
30
30757
17
30165
10
30349-5505 47
30033
10
30067
33
31522
06
31510
10
30083
17
30327
44
30033
06
30209
30296
01
30342
15
30813
08
30309
03
30281-5080 47
30342
27
30474
10
30021
31
31210
15
30365
40
30909
15
30322
27
30809
10
31701
10
31602
17
31520
22
30188
04
30202
08
30265
46
30308
08
30097
08
30312
33
30309
28
30907
52
30033
22
30080
03
30577
10
31995-3299 46
30202
10
30306
35
30076
10
31406
31
31794
01
Page No. 84
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
GUHA, SUMIT
038003 671 HIGHLAND CT
MARIETTA
GA 30068-4618 08
GUILL, MARGARET FRANK
016533 DEPT OF PEDIATRICS, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA 30912
32
GUILL, MARSHALL III
016239 2247 PICKENS ROAD
AUGUSTA
GA 30904
06
GUILLEBEAU, FRANK D
007202 425 THIRD AVENUE, SUITE 300
ALBANY
GA 31701
17
GUINAN, MARY ELIZABETH
021988 2569 CIRCLEWOOD ROAD
ATLANTA
GA 30345
17
GULATI, NIDHI KAPIL
031752 3690 FOXFIRE PLACE
MARTINEZ
GA 30907
10
GULATI, RITA
036388 933 BRIARHILL LANE
ATLANTA
GA 30324
15
GULLE, JOYCE CORPUZ
030079 61 RIVER BLUFF DRIVE
SAVANNAH
GA 31406
00
GULLEY, LAWRENCE RUCKER
026862 240 NACOOCHEE DRIVE
ATLANTA
GA 30305
17
GULLEY, SHARON GERAGHTY
025165 3280 HOWELL MILL ROAD, T-25
ATLANTA
GA 30327
01
GUMA, JOSE
030313 336 OAK CENTER PLACE
VALDOSTA
GA 31602
23
GUMER, ARTHUR
031010 960 JOHNSON FERRY ROAD, SUITE 430
ATLANTA
GA 30342
15
GUMUC!O, CESAR AUGUSTUS
032744 1368 WELLBROOK CIR NE# B
CONYERS
GA 30207-3872 47
GUNDERSON, JEFFREY PATRICK 026124 * 162 PIERCE BUTLER DR
ST SIMONS IS GA 31522-5418
GUNKEL, DIETER K
014247 6 ST JOSEPH'S MEDICAL OFFICE PAR, 11700 MERCY BLVD SAVANNAH
GA 31419
05
GUNN, EARLE WALCOTT III
026538 1270 PRINCE AVENUE, SUITE 102
ATHENS
GA 30606
GUNN, HERBERT HARRELL JR
015474 * 1033 ALFORD ROAD
LI THON IA
GA 30058
01
GUNN, JOSEPH BRUCE
021003 650 BROAD ST SW
GAINESVILLE GA 30501-4208 32
GUNTER, OLIVER LEE
015095 24 NORTH ELLIS ST, P. 0. BOX 347
CAMILLA
GA 31730
01
GUNTHER, JOHN STEPHEN
025758 CONSULTATIVE GASTROENTEROLOGY, 1207 WEST MEDICAL PARK AUGUSTA
GA 30909-1871 11
GUOTH, JANOS G
033343 7 QUIET COVE
MOULTRIE
GA 31768
15
GUOTH, PAMELA RENATA
030779 7 QUIET COVE
MOULTRIE
GA 31768
10
GUPTA, ARVIND
033344 3207 COUNTRY CLUB DRIVE
VALDOSTA
GA 31602
17
GUPTA, ASHWINI
025981 365 DIX-LEE-ON' DRIVE
FAIRBURN
GA 30213
03
GUPTA, KRISHAN GOPAL
027203 150 MEDICAL WAY, SUITE F-1
RIVERDALE
GA 30274-2516 52
GUPTA, MAN MOHAN
023976 P.O. BOX 13026, 770 PINE STREET - SUITE 440
MACON
GA 31208
37
GUPTA, RAJ RANI
024819 PO BOX 13026, 770 PINE ST - SUITE 440
MACON
GA 31208
37
GUPTA, RAJ RATTAN
033345 3653 BAY POINT DRIVE
MARTINEZ
GA 30907
53
GUPTA, TARSEM LAL
028410 6572 RIVER PARK DR
RIVERDALE
GA 30274-2550 17
GUR-LAVI, MEIR
020721 1810 MULKEY ROAD, SUITE 200
AUSTELL
GA 30001
17
GURLEY, BRADLEY MAXWELL
036391 7730 LITTLE ASTON WAY
DULUTH
GA 30136
10
GURSEL, SEZAI
014015 ST FRANCIS HOSP LAB, PO BOX 7000
COLUMBUS
GA 31995
31
GURSOY, AHMET SINAN
027726 1791 MULKEY ROAD, SUITE 101
AUSTELL
GA 30001
05
GUSDON, JOHN PAUL, JR
032745 3198 KINGS ARMS COURT, N.E.
ATLANTA
GA 30345
15
GUSSACK, GERALD SAMUEL GUSSACK, HAROLD AARON
031601 C/0 EMORY CLINIC ENT DEPT, 1365 CLIFTON ROAD 008665 2080 CASTLEWAY DRIVE, N.E.
ATLANTA ATLANTA
GA 30322
30
GA 30345
co
GUSSO, RICHARD SCOTT
028562 PO BOX 1145, 2 HOSPITAL COURT
CALHOUN
GA 30703-1145 17
GUSTIN, JOHN CRAIG
032917 * 666 CUMBERLAND ROAD NE
ATLANTA
GA 30306
33
GUTHRIE, DEANNA ELAINE
035645 1508 WOODHILL TRAIL
AUGUSTA
GA 30909
15
GUTIERREZ, JOSE ALBERTO
038789 1602 WOODHILL TRAIL
AUGUSTA
GA 30909
32
GUTSCHENRITTER, PETER WALTER 027382 755 MT VERNON HWY, SUITE 500
ATLANTA
GA 30328
17
GUTTENPLAN, MITCHEL
025166 2500 HOSPITAL BLVD, SUITE 410
ROSWELL
GA 30076-4907 41
GUY, DANIEL KREFFES
029877 300 MEDICAL DRIVE
LA GRANGE
GA 30240
46
GUY, ERNEST PHILIP
014367 4082 NORTHLAKE CREEK COVE
TUCKER
GA 30084
03
GUYTON, ROBERT ALLAN
021240 25 PRESCOTT ST, CARDIOTHORACIC SURGERY DEPT.
ATLANTA
GA 30308
40
GUZMAN, GERARDO HUMBERTO
019268 P. 0. BOX 729
SWAINSBORO GA 30401
GUZMAN, MARGARITA
017816 *PO BOX 777, HAPPY HOLLOW ROAD
DAHLONEGA
GA 30533
01
GUZZARDO, MARCIA BENDER
021989 777 HEMLOCK STREET, HOSPITAL BOX 130
MACON
GA 31201
32
GUZZETTA, NINA ANN
033977 175 - 15TH STREET NE, APT 308
ATLANTA
GA 30309-3547 03
GWYNN, MATTHEWS WEBER
034147 993-F JOHNSON FERRY ROAD, SUITE 120
ATLANTA
GA 30342
23
GYNTHER, LAWRENCE NEIL
026863 303 SMITH STREET
LAGRANGE
GA 30240
GYURGYIK, LASZLO STEVEN
037226 2000 ASHBURY SQUARE, APT 3268
DUNWOODY
GA 30346
27
H'DOUBLER, PETER BEMIS, JR H'DOUBLER, WILLIAM ZACK
-H-
034609 5669 PEACHTREE DUNWOODY ROAD,# 135 035899 28 COLLIER ROAD, SUITE 1
Page No. 85
ATLANTA ATLANTA
GA 30342
41
GA 30309
41
NAME
HAAS, JOSEPH ARTHUR HABACHY, JEANETTE SHENOUDA HABER, JEROLD ALAN HABER, MARK A HABERMAN, GEORGE G HABERMAN, MICHAEL ALLEN HABERSTROH, WILLIAM DAVID HABURCHAK, DAVID RICHARD HACKNEY, WENDELL OLIVER HADDAD, LESTER M JR HADDAD, NADIM S HADDOX, JAMES DAVID HADER, JOAN ELLEN HADLEY, ELIZABETH L HADLEY, PHILLIP EARL HADSELL, MICHAEL JOHN HAFNER, DAVID HOWELL HAGEDORN, CURT H. HAGEN, ARTHUR RONNIE HAGER, CHRISTOPHER HAGLER, JAMES RALEIGH HAGLER, JENNIFER DUKE HAGLER, MARY ANNE TYLER HAGLER, WILLIAM SCHWEIGERT HAGOOD, MURL FELTON HAGOOD, RICHARD MILLER HAGUES, MICHAEL DAVID HAHN, EDWARD E HAHN, PAUL YONGJIN HAID, REGIS WILLIAM, JR HAILE, KENNETH LEE JR HAILEY, CHENAULT WILLIAM HAIM, KEVIN HAJEK, PHILLIP DAVID HAJJEH, RANA AHMAD HAJMURAD, M RAMZY M SALEH HAJOSY, ELAINE LANGDON HAJOSY, LOUIS S JR HAJOSY, RALPH WARREN HAKIM, FAEZ HALDEMAN, LARRY WILLIAM HALE, ANGELA JANINE HALE, BRIAN DOUGLAS HALE, CONSTANCE MEYER HALEY, JAMES PATRICK HALEY, WILLIAM EDWARD HALICZER, ABRAHAM T. HALKOS, ALEXANDER ANTHONY HALL, DAVID EUGENE HALL, DAVID LEE HALL, DAVID PARKS HALL, DAVID RAYMOND HALL, DENNIS EDWARD HALL, EDWARD LEE JR HALL, FRENESA KAYE HALL, GAIRY FITZROY HALL, GEORGE WILLIAM HALL, JAMES DAVID
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
018382 DECATUR UROLOGICAL CLINIC, 428 WINN COURT
DECATUR
GA
029178 * 2200 WHITEHALL DRIVE
MARIETTA
GA
018383 5667 PEACHTREE DUNWOODY RD, BLDG 2 SUITE 220
ATLANTA
GA
030080 29 UPPER RIVERDALE RD SW, SUITE 140
RIVERDALE
GA
012167 511 ARLINGTON ROAD
SAVANNAH
GA
016607 3193 HOWELL MILL ROAD, SUITE 302
ATLANTA
GA
027383 2131 FOUNTAIN DRIVE, SUITE 200
SNELLVILLE GA
030081 346 OLD SALEM WAY
MARTINEZ
GA
024684 730 PEACHTREE STREET NE, SUITE 915
ATLANTA
GA
015775 1623 FOXHALL ROAD
SAVANNAH
GA
037554 1111 EISENHOWER COURT
AUGUSTA
GA
034604 1925 PADDOCK COURT
LAWRENCEVILLE GA
036536 6865-E GLENLAKE PARKWAY
ATLANTA
GA
012775 119 UPPER RIVERDALE RD, PO BOX 779
RIVERDALE
GA
020111 2855 CANDLER ROAD, SUITE 16
DECATUR
GA
031602 1120 15TH STREET
AUGUSTA
GA
027822 140 VANN STREET, SUITE 340
MARIETTA
GA
037227 EMORY UNIV - DIGESTIVE DISEASES, PO DRAWER AL
ATLANTA
GA
010179 3010 HAMPTON AVE, SUITE 6
BRUNSWICK
GA
034844 1056 NIMBLEWOOD WAY
STONE MOUNTAIN GA
017024 PO BOX 436
BUENA VISTA GA
029662 3685 LAWRENCEVILLE HIGHWAY, SUITE 100
LAWRENCEVILLE GA
017817 999 HIGHLAND AVENUE
AUGUSTA
GA
007492 95 COLLIER RD NW, SUITE 3000
ATLANTA
GA
011353 790 CHURCH STREET EXT, SUITE 500
MARIETTA
GA
011354 140 VANN STREET, SUITE 310
MARIETTA
GA
023977 1251 SMITH ROAD
FORTSON
GA
016074 11705 MERCY BLVD, SAINT JOSEP,H I S HOSPITAL
SAVANNAH
GA
037228 1070 COLQUITT AVE NE
ATLANTA
GA
037229 EMORY CLINIC - NEUROSURGERY, 1327 CLIFTON RD, NE
ATLANTA
GA
020723 P.O. BOX 3333
MARIETTA
GA
007804 478 PEACHTREE, N.E., SUITE 711-A
ATLANTA
GA
036768 6635 CUMMING HIGHWAY
CANTON
GA
035890 1105 PALMYRA ROAD
ALBANY
GA
034992 2999 CRAVEY COVE
ATLANTA
GA
021704 1810 MULKEY ROAD, SUITE 205
AUSTELL
GA
009150 513 EAST 9TH STREET
ROME
GA
009151 PO BOX 2639, 311 REDMOND ROAD
ROME
GA
008453 1725 CARVER ROAD
GRIFFIN
GA
017925 PO BOX 71085
ALBANY
GA
021511 54 TOWER ROAD
MARIETTA
GA
037230 111 SADDLE RUN CT
MACON
GA
034149 3213 BURGUNDY ROAD
DECATUR
GA
035891 3213 BURGANDY RD
DECATUR
GA
036769 330 TURNER MCCALL BLVD, SUITE 301
ROME
GA
020543 3222 SHRINE ROAD, SUITE A
BRUNSWICK
GA
029663 5515 SAPELO TRAIL
NORCROSS
GA
013188 2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
035647 PEDIATRICS DEPT - EMORY UNIV, 2040 RIDGEWOOD DRIVE, N ATLANTA
GA
038791 741 PEACHTREE HILLS CIRCLE
ATLANTA
GA
005764 RT 2, BOX 1659
CHICKAMAUGA GA
036167 2437 CASTLEWOOD DRIVE
AUGUSTA
GA
022150 225 SUSSEX COURT
ROSWELL
GA
020724 PO BOX 520
THOMASVILLE GA
035892 488 GWINNETT DRIVE
LAWRENCEVILLE GA
035063 160 CHEROKEE ROSE LANE
FAIRBURN
GA
009320 1660 MULKEY ROAD, SUITED
AUSTELL
GA
034845 71 CECIL DRIVE
MARIETTA
GA
30030-1799 52
30066
26
30342
46
30274-2616 52
31406
26
30327
33
30278
25
30907
17
30308
31406
08
30904
03
30243
03
30328
52
30274
36
30034
01
30912-2700 03
30060
41
30322
11
31523-2201 46
30088-2329 31
31803
10
30244-4107 32
30904
10
30309-1735 27
30090-3301 11
30060
15
31808
31419
31
30307
36
30322
44
30061
36
30308
11
30114
03
31708
28
30345
17
30001
52
30161
03
31642-639 03
30223
28
31708
31
30060
34
31210
33
30033
52
30033
03
30165-2747 15
31520
17
30092
03
30033
05
30322
32
30305
10
30707
40
30904
03
30075
27
31799
41
30245
17
30213-3459 17
30001
36
30068
40
Page No. 86
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HALL, JAMES ROLAND JR HALL, JOHN COOPER HALL, JOHN EDWARD HALL, KEITH BARTON HALL, LEE HARTLEY HALL, MICHAEL ANTHONY HALL, SANDRA JACKSON HALL, STANLEY W JR HALL, THOMAS M HALL, VAUGHAN DABNEY HALL, WILBUR DALLAS JR HALL-BOYER, KATHRYN LOUISE HALLECK, SYLVIA MARIE HALLENBORG, BRUCE P HALLISEY, JOHN WILLIAM HALLOWES, WILLIAM CANNON, JR HALLUM, ALTON VENSON JR HALPER, JAROSLAVA TAUSINGER HALPER, ROBERT M HALPERN, ROBERT LEWIS HALTIWANGER, EARL HALTIWANGER, STEVEN GEORGE HALTOM, THOMAS LAMB HALWIG, JOHN MICHAEL HAM, OSCAR EMERSON JR HAM, ROBERT CORNEALIUS, JR HAM, WILLIAM LEONARD HAMES, CURTIS G HAMES, CURTIS GORDON JR HAMFF, LEONARD HARVEY HAMILL, RANDY LEE HAMILTON, CHARLES HARRY HAMILTON, DOUGLAS HOWARD HAMILTON, JAMES GREGORY, JR. HAMILTON, MARK ERROLL HAMILTON, NEWELL M HAMILTON, SANDRA D HAMILTON, STEPHEN MARION HAMILTON, THOMAS ELSON HAMILTON, VIRGINIA HAMKI, MOHAMAD ALI HAMMAD, WA'EL DAVID HAMMAMI, AMIR HAMMERS, YUKI AKAMATSU HAMMESFAHR, JAMES FREDERIC HAMMOND, DEWEY III HAMMOND, WILLIAM J HAMMOND-WICKFALL, DEBORAH FAY HAMMONDS, RICHARD LEE HAMMONDS, WILLIAM D HAMNER, LEWIS HERSCHEL, 111 HAMPTON, FRANK LIVINGSTON HAMPTON, SARAH WALKER HAMVAS, RANIA KOUATLI HAMWAY, DOUGLAS WILLIAM HANAFI, MAGO! M HANCHETT, DONALD JAMES HANCHEY, ROBERT EDWIN
020112 009508 008952 023291 026290 023057 018501 013528 005324 027557 010181 037823 016356 018663 027823 035893 009830 028563 018384 035260 012707 026292 028779 027558 010556 033098 029984 005004 022348 004691 036168 010557 038005 029179 025167 009025 013970 036770 006913 006316 037555 018808 027727 033978 020113 021367 019166 021991 009153 014053 030781 030082 033591 036771 024431 019269 022557 038006
949 SPRINGDALE ROAD NE 960 JOHNSON FERRY RD. 970 ML KING JR DR NW PO BOX 13771 3160 VISTA CIR 10410 ABERCORN EXT STE A-4, 550 FAIRBURN RD. 1103 VERNON 301 W MONTGOMERY ST 33 CHESTNUT STREET 1100 PARKER PLACE 200 NESBIT LAKE CT 1523 BEECH VALLEY WAY 100 GALLERIA PARKWAY, SUITE 610 415 EISENHOWER DRIVE, SUITE 5 640 CARLTON DRIVE 3193 HOWELL MILL RD N.W., SUITE 323 U OF GA, DEPT. OF VET. PATHOLOGY 1984 PEACHTREE RD, NW, SUITE 505 95 COLLIER RD NW, SUITE 3000 5925 RIVERWOOD DRIVE NW 1700 EAST PARK AVE 2926 ASHEBROOKE DRIVE 1700 HOSPITAL SOUTH DRIVE, SUITE 404 #4 JACKSON BOULEVARD 653 MONTCLAIR DRIVE 770 PINE ST, SUITE 210 P.O. BOX 308 P.O. BOX 1039 77 EAST ANDREWS DRIVEN W, UNIT #330 612 BARNETT WAY PO BOX 77148, MIDTOWN STATION 1824 VILLAGE MILL RD PO BOX 1050 4751 OUTER BANK DRIVE 2601 PARKWOOD DRIVE RT 1 BOX 304-B 95 COLLIER RD NW, SUITE 3000 276 HURRICANE SHOALS RD. 204 W CHEROKEE AVENUE 404 NOBEL RIDGE DRIVE 285 BOULEVARD, SUITE 235 1393 OAKRIDGE CIRCLE 1342 EMORY ROAD 1440 N RIVERSIDE CIRCLE 40 TURN BULL DRIVE BOX 929, APOLLO DRIVE 730 PEACHTREE ST NE, SUITE 1067 4760 AUSTELL ROADS W THE EMORY CLINIC SC-2, 1327 CLIFTON ROAD, NE 905 AMSTERDAM AVE NE 5470 MARTHA BERRY HWY, NE 805 N WILEY AVENUE, BOX 708 4551 RUTHERFORD DRIVE PO BOX 508, 217 N BROAD STREET 5615 ERROL PLACE NW 5776 ALBANS CIRCLE PO BOX 625
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
MACON
GA
SAVANNAH
GA
ATLANTA
GA
LAGRANGE
GA
MILLEDGEVILLE GA
ELBERTON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
AUGUSTA
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
VALDOSTA
GA
MARIETTA
GA
AUSTELL
GA
SAVANNAH
GA
MACON
GA
MACON
GA
CLAXTON
GA
CLAXTON
GA
ATLANTA
GA
EVANS
GA
ATLANTA
GA
DUNWOODY
GA
CLARKESVILLE GA
NORCROSS
GA
BRUNSWICK
GA
HULL
GA
ATLANTA
GA
LAWRENCEVILLE GA
CARTERSVILLE GA
DUNWOODY
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
ROME
GA
FITZGERALD GA
ATLANTA
GA
AUSTELL
GA
ATLANTA
GA
ATLANTA
GA
ARMUCHEE
GA
DONALSONVILLE GA
MARIETTA
GA
WINDER
GA
ATLANTA
GA
LITHONIA
GA
ALBANY
GA
30306
03
30342
17
30314
32
31416
17
31204-1960 36
31419
08
30331
32
30240
27
31061-3327 33
30635
10
30324
17
30350-1175 08
30306
01
30339
23
31406
27
30909
03
30327
15
30602
31
30309
36
30309-1735 27
30328
52
31602
33
30068
08
30001
17
31499-3501 23
31210
03
31201
05
30417
01
30417
10
30305
17
30809
31
30357-1148 17
30338-5139 10
30523
10
30092
01
31520
32
30646
01
30309-1735 27
30245
10
30120
PH
30338
01
30312
32
30033
30306
31
30328
28
30161
10
31750
10
30308-1263 17
30001
01
30322
03
30306
15
30105
00
31745
17
30062
10
30680
17
30327
15
30058
17
31702
44
Page No. 87
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HANCOCK, CARL V JR HANCOCK, CHARLES EMERSON HANCOCK, CHARLES IRVIN HANCOCK, JOHN PHILIP HANCOCK, MICHAEL PERRY HAND, ROBERT ALDRIDGE HAND, WILLIAM LEE HANDELMAN, WILLIAM NATHAN HANDELSMAN, STUART HANDY, JOHN R HANDY, KENDALL MERTON HANES, JOHN DAVID HANES, OTTIS EUGENE HANEY, MICHA~L JOE HANEY, MICHAEL LEE HANKEY, DANIEL D HANKS, JEFFERSON DANIEL JR HANKS, WILLIAM JOSEPH HANLON, CHRISTOPHER JOHN HANLY, MARK GERRARD HANNA, JAMES DAVID HANNA, KAREN ZBOYOVSKY HANNAN, JOSEPH THOMAS HANNASCH, JAMES DONALD HANNAY, KEITH EDWIN HANRAHAN, GARY ALLAN HANSARD, DEBORAH I. HANSEN, ANNE VENABLE EDMUNDS HANSEN, KEITH ALLEN HANSEN, RICHARD DANIEL HANSON, MARK CHRISTOPHER HANSON, THOMAS ANDREW HANSON, VICTOR ARTHUR HANZEL, DOUGLAS ALAN HANZLICK, RANDY LEE HAQ, FAYYAZ UL HAQUE, ABULKALAM WAHIDUL HARAKAS, ANDREW PETER HARASYM, MYRON HARASZTI, ALEXANDERS HARASZTJ, ROSALIE BAAN HARBAUGH, NORMAN ROSS, JR HARBEN, ALAN MAYNARD HARBIN, ANTHONY RAY HARBIN, BANNESTER LESTER JR HARBIN, BUFORD GOODWIN HARBIN, JAMES DOUGLAS HARBIN, ROBERT LESTER HARBIN, STACY LENN HARBIN, THOMAS SHELOR, JR. HARBIN, WILLIAM PICKENS, II HARBOUR, JOHN H HARDCASTLE, WILLIAM RALPH HARDEMAN, FRANK JR HARDEN, ELMER H JR HARDEN, LEWIS B HARDEN, TIMOTHY JR. HARDEN, WILLIAM E
010949 033979 010183 038506 023978 009510 009833 020439 021512 012325 031933 013753 005586 013896 018900 006818 013042 033980 031603 035181 036393 036538 025759 026125 025760 033981 023292 037557 036772 024152 030469 015938 033913 031755 020317 037558 016534 032393 034605 010022 010755 032201 029664 029665 010184 013971 038507 019053 023059 017194 018385 008666 012914 005143 017571 030083 006914 006650
1950 PALMYRA ROAD
ALBANY
GA
PO BOX 2968
THOMASVILLE GA
300 BLVD NE, BOX 403
ATLANTA
GA
1132 KIRK PLACE
AUGUSTA
GA
RR 2 BOX 550
VIENNA
GA
3543 INTERLACHEN ROAD
MARTINEZ
GA
5233 ANTELOPE LANE
STONE MOUNTAIN GA
BOX 69, 777 HEMLOCK STREET
MACON
GA
960 JOHNSON FERRY ROAD NE, SUITE 444
ATLANTA
GA
841 CHAFEE AVE
AUGUSTA
GA
5695 BAHIA MAR CIRCLE
STONE MOUNTAIN GA
1070 BALMORAL ROAD NE
ATLANTA
GA
1510 MOORINGS WAY
CUMMING
GA
3004 SECOND ST. SE.
MOULTRIE
GA
114 MIMOSA DRIVE
THOMASVILLE GA
3645 NORTHSJDE DR NW
ATLANTA
GA
39 HUNTINGTON ROAD SW.
ROME
GA
102 SHANNON CHASE DR
UN ION CITY GA
100 10TH STRET NW
ATLANTA
GA
C/0 PATHOLOGY DEPT, MEDICAL COLLEGE OF GA
AUGUSTA
GA
MED COL OF GEORGIA, CK278
AUGUSTA
GA
6 ST JOSEPH'S MED OFFICE PARK, 11700 MERCY BLVD
SAVANNAH
GA
1575 OLD ALABAMA ROAD, SUITE 204
ROSWELL
GA
3310 HIGHGATE HILLS DRIVE
DULUTH
GA
3 PROFESSIONAL COURT
ROME
GA
430 LINDBERGH DR., APT C-2
ATLANTA
GA
132 OLE HICKORY TRAIL
CARROLLTON GA
690 MONTCLAIR DR
MACON
GA
3562 CARNOUSTIE COURT
MARTINEZ
GA
478 PEACHTREE STREET, N.E., SUITE 107-A
ATLANTA
GA
448 EMORY DRIVE
ATLANTA
GA
3408 SASANQUA DRIVE
AUGUSTA
GA
605 GREYSTONE PARK, N.E.
ATLANTA
GA
5354 REYNOLDS STREET, SUITE 401
SAVANNAH
GA
GRADY MEMORIAL - ANATOMIC PATH, 80 BUTLER STREET, SE ATLANTA
GA
132 CARLYLE LAKE
DECATUR
GA
6090 HEARDS CREEK DR NW
ATLANTA
GA
PO BOX 9456
COLUMBUS
GA
2328 WILLIAMS ST
AUGUSTA
GA
1135 EAGLES LANDING PKY
STOCKBRIDGE GA
1135 HUDSON BRIDGE ROAD, SUITE 3-4
STOCKBRIDGE GA
1901 CENTURY BLVD., NE, SUITE #20
ATLANTA
GA
1441 CLIFTON RD NE, ROOM 404
ATLANTA
GA
PO BOX 2623, 1525 CHATTANOOGA ROAD
DALTON
GA
1825 MARTHA BERRY BLVD
ROME
GA
1825 MARTHA BERRY BLVD
ROME
GA
1811 CANTERBERRY DR
DALTON
GA
1825 MARTHA BERRY BLVD, HARBIN CLINIC
ROME
GA
50 CHESTNUT STREET
ELBERTON
GA
95 COLLIER RD NW, SUITE 3000
ATLANTA
GA
314 EAST 4TH ST
ROME
GA
3277 CRAGGY POINT NW
ATLANTA
GA
487 WINN WAY, SUITE 103
DECATUR
GA
3025 BULL ST
SAVANNAH
GA
29 SW UPPER RIVERDALE RD, CLAYTON MEDICAL CENTER #110 RIVERDALE
GA
3704 PEBBLE BEACH DRIVE
AUGUSTA
GA
PO BOX 1573
MCDONOUGH GA
3020 SHRINE ROAD
BRUNSWICK
GA
31701
52
31799
28
30312
46
30909
10
31092
30907
31
30087
53
31208-6000 17
30342
17
30904
17
30087
15
30319
36
30131-8590 17
31768
41
31792
27
30305
17
30165
36
30291-1856 17
30309
17
30912
31
30912
22
31419
05
30076
17
30136
08
30161
10
30305
32
30117
31210-4432 53
30907
15
30308-3106 17
30307
17
30909
00
30324
41
31405
17
30335-3801 31
30033
17
30328
36
31908-9456 28
30904
33
30281-5085 41
30281
10
30345
32
30322
38
30722
15
30165
41
30161
34
30720
15
30165-1698 27
30635
02
30309-1735 27
30161
36
30339
12
30030
41
31405
01
30274
33
30907
00
30253-1573 12
31520
36
Page No. 88
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HARDIN, AMY JEAN PETKOFF
035307 504 KNOLL POINTE
HARDIN, ELLINGTON LANSDEL
032919 PO BOX 1069
HARDIN, FREDERICK FERDINAND 009321 105 COLLIER ROAD NE, SUITE 4070
HARDIN, JOHN AVERY
013504 MCG, DEPT OF MEDICINE, Bl W-548E
HARDIN, VIRGIL MATTHEW
009156 49 CONIFER CIRLCE
HARDING, SUSAN MILDRED
031013 P.O. BOX 148
HARDISON, CARY DON
014813 130 CRABAPPLE WAY
HARDISON, JOSEPH E
009157 3671 PRESTWICK DRIVE
HARDMAN, JOHN BARNETT
012477 87 WEST WESLEY ROAD, N.W.
HARDMAN, WILLIAM J JR
008781 740 PRINCE AVE
HARDMAN, WILLIAM JACKSON
037559 2600 GLENROSE HILL
HARDY, LINDA BODENHAMER
025168 3633 WHEELER ROAD, SUITE 110
HARDY, WALLACE E
011358 5 LAVISTA-PERIMETER OFFICE PARK, SUITE 101
HARGETT, DAVID
023165 301 COLUMBIA ROAD
HARGREAVES, HILARY KAY HARGRETT, ALONZO MCKEE
021241 1206 OAK DALE ROAD
013464 * 124 E. CHERRY STREET, P.O. BOX 1237
HARJEE, GULSHAN SADRUDDIN
026865 2675 NORTH DECATUR ROAD, SUITE 414
HARKER, LAURENCE ARDELL
031756 DEPT OF HEMATOLOGY/ONCOLOGY, EMORY UNIV - DRAWER AR
HARKINS, GEORGE LEO
020115 P. 0. BOX 609 SUITE A, 9280 GA HWY 5
HARKINS, TIMOTHY JAMES
038793 704 - B BREEDLOVE DRIVE
HARKRIDER, FRANKLIN DOUGLAS 018666 6525 COX DRIVE
HARLAN, TIMOTHY SHANNON
036540 3330-B W. SHADOWLANE AVE., NE
HARLEY, EUGENE LINCOLN
010339 696 CONCORD ROADS E
HARLIN, JOYCE ANN
015261 4413 WHITE BIRCH POINT
HARMON, DORALEA R
009990 505 MAPLE DR, PO BOX 523
HARMON, JAMES CHRISTOPHER
023363 P.O. BOX 927
HARMON, JOHN DOUGLAS
021992 805 HEARD AVENUE
HARNED, ROGER KENT
032576 2846 DRESDEN SQUARE DRIVE
HAROLD, GREGORY SCOTT
022774 938 CARROLL STREET, PO BOX 1588
HARP, JOYCE BEATRICE
030471 70 MADDOX DRIVE
HARPE, CAROL ANNE
026126 755 MT VERNON HIGHWAY, SUITE 350
HARPER, ANDREW SCOTT
031937 NEWTON-ROCKDALE SURGICAL SPEC, 1372 WELLBROOK CIRCLE
HARPER, AUBREY KENNETH
021707 777 HEMLOCK ST, BOX 83
HARPER, BRENDA SHERRYE
031938 3845 FOREST CREEK WAY
HARPER, BYRON F JR
005326 2741 BAYNARD STREET, SUITE B
HARPER, BYRON FLETCHER, Ill 028780 2741 BAYARD STREET, SUITE B
HARPER, CHARLES RICHARD
014370 PO BOX 20787, ATLANTA AIRPORT
HARPER, CHARLES RICHARD, II 031757 2696 PEACHTREE WALK
HARPER, FITZCLARENCE NATHANIEL 036773 1012 CARRIAGE PLACE COURT
HARPER, HARRY T III
011359 820 ST SEBASTIAN WAY, UNIV MEDICAL CTR #2-A
HARPER, HENRY WILBUR JR
008458 742 CAPTAIN KELL DRIVE
HARPER, HERBERT SHERMAN
008111 1430 HARPER STREET, BLDG C, SUITE 2
HARPER, JAMES EDWARD
026866. 5287 KELLEY'S MILL CIRCLE
HARPER, JAMES KELLER, III
028274 993 JOHNSON FERRY ROAD, BLDG F, SUITE 320
HARPER, JENNIFER MADGE
031014 448 BECKWITH CT
HARPER, JOHN THOMAS
014504 340 BOULEVARD NE, SUITE 608
HARPER, KENNETH EARL
025983 440 CHAPTER BLVD,, SUITE 2202
HARPER, MERIDITH
014505 PO BOX 1366
HARPER, ROBERT MILLS
021708 900 CAMPBELL HILL ST
HARPER, ROBERT WILLIAM 11
021514 3624 J DEWEY GRAY CIRCLE, SUITE 220
HARPER, WILLIAM FERREL
010950 2101 PALMYRA RD
HARPER, WILLIAM MADISON IV 020726 1021 TALBOTTON ROAD
HARRELL, JAMES AUVRY
026782 422 CONNELL ROAD, APT F-8
HARRELL, LINDA JOAN
028411 RT 1, BOX 378
HARRELL, SUSAN W
033100 960 JOHNSON FERRY ROAD, SUITE 500
HARRINGTON, GREGORY SCOTT
031540 3961 CARSON CUTOFF
HARRINGTON, LLOYD MILTON
028412 P.O. BOX 11123
HARRIS, BRIAN KEITH
037824 523 PHEASANT RUN DR
WOODSTOCK
GA
CLARKESVILLE GA
ATLANTA
GA
AUGUSTA
GA
AUGUSTA
GA
QUITMAN
GA
ALPHARETTA GA
TUCKER
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
AUGUSTA
GA
TUCKER
GA
BLAKELY
GA
ATLANTA
GA
JESUP
GA
DECATUR
GA
ATLANTA
GA
DOUGLASVILLE GA
MONROE
GA
FLOWERY BRANCH GA
ATLANTA
GA
SMYRNA
GA
GAINESVILLE GA
VIDALIA
GA
CORNELIA
GA
AUGUSTA
GA
ATLANTA
GA
PERRY
GA
ATLANTA
GA
ATLANTA
GA
CONYERS
GA
MACON
GA
MARTINEZ
GA
EAST POINT GA
EAST POiNT GA
ATLANTA
GA
DULUTH
GA
DECATUR
GA
AUGUSTA
GA
MACON
GA
AUGUSTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
DOUGLAS
GA
MARIETTA
GA
AUGUSTA
GA
ALBANY
GA
COLUMBUS
GA
VALDOSTA
GA
DAHLONEGA
GA
ATLANTA
GA
MARTINEZ
GA
MACON
GA
EVANS
GA
30188
32
30523
08
30309
06
30912-3100 37
30909
24
31643
17
30201
17
30084
17
30305
33
30601
15
30341
31
30901
30084
15
31723
17
30307
31
31545
01
30033
17
30322
16
30133
32
30655
15
30542
08
30305
17
30082
17
30506
36
30474-3711 10
30531
30904
30
30341
36
31069
10
30309
17
30328
33
30207
41
31208
15
30907
32
30344
17
30344
17
30320-9990 01
30136
17
30033
03
30902
05
31204
03
30901
32
30088
17
30342
25
30314
25
30312
46
31210-4889 41
31533
15
30060
06
30909
17
31701
41
31904
52
31602
36
30533-9724 15
30342
32
30907
10
31212
08
30809
10
Page No. 89
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HARRIS, CHARLES RUSSELL JR 019692 5669 PEACHTREE DUNWOODY RD NE, ST JOSEPH DR'S BLDG #1 ATLANTA
GA
HARRIS, D QUILLIAN III
014506 316 SUNSET CIRCLE
MOULTRIE
GA
HARRIS, DARRYL R
032920 4605 GUILFORD FOREST DRS W
ATLANTA
GA
HARRIS, DAVID FREDERICK
033592 801 WEST GORDON STREET
THOMASTON
GA
HARRIS, DAVID MICHAEL
031015 819 CHURCH STREET
ROYSTON
GA
HARRIS, EVA MAE
021516 2613 DANFORTH LN
DECATUR
GA
HARRIS, GILBERT DWANE
014371 300 HAWTHORNE LANE
ATHENS
GA
HARRIS, HARVEY ALAN(ASSOC. PHY 037825 2300 MANCHESTER EXPY, ST FRANCIS MED. PK #D
COLUMBUS
GA
HARRIS, HENRY WALKER
010059 2860 CROMWELL DRIVE
COLUMBUS
GA
HARRIS, HERSCHEL B JR
003266 1121 BRITTAIN ESTATES DRIVE
WATKINSVILLE GA
HARRIS, JACK ALLAN
029879 800 E. DOYLE
TOCCOA
GA
HARRIS, JAMES HERMAN
038244 9105 NESBIT LAKES DR
ALPHARETTA GA
HARRIS, JIMMY GILBERT
015262 140 WAVERLY WAY NE
ATLANTA
GA
HARRIS, JOHN ALDRIDGE
016357 11702 MERCY BLVD.
SAVANNAH
GA
HARRIS, JULIAN LYNN
034847 3805 MARHAM PARK CIRCLE
LOGANVILLE GA
HARRIS, MARK ELLIOTT
032202 2000 PALLIFAX DRIVE
ATLANTA
GA
HARRIS, MARK IRWIN
030084 4500 NO SHALLOWFORD ROAD, SUITE 200
ATLANTA
GA
HARRIS, MAURICE DANIEL
020118 2675 NORTH DECTUR ROAD, SUITE 200
DECATUR
GA
HARRIS, PATRICE ANNETTE
038794 525 RIMINGTON LANE
DECATUR
GA
HARRIS, PAUL HOWARD HARRIS, ROBERT ALAN
028414 756 BYRNWYCK ROAD
021159 * 1311 VERNON NORTH DRIVE
ATLANTA
GA
DUNWOODY
GA
HARRIS, RONALD DAVID
015708 PO BOX 748
JESUP
GA
HARRIS, RONALD WOLF
019832 P.O. BOX 813
SWAINSBORO GA
HARRIS, STERLING ADAIR, JR 024257 130 HIGH RIDGE DRIVE
ATHENS
GA
HARRIS, TERRANCE MITCHELL
033101 3222 SHRINE ROAD, SUITE A
BRUNSWICK
GA
HARRIS, THOMAS A
005144 5684 REDCOAT RUN
STONE MOUNTAIN GA
HARRIS, WAYNE BERNARD
034150 4745 OLD COURTRYSIDE CIRCLE, S
STONE MOUNTAIN GA
HARRIS, WESLEY WAYNE
006651 819 CHURCH STREET
ROYSTON
GA
HARRIS-MERRITT, WILMA JEAN 032577 1542 CANBERRA DR
STONE MOUNTAIN GA
HARRIS-MOORE, KAREN VIRGINIA 031016 125 HIGHVIEW TRACE
FAYETTEVILLE GA
HARRISON, A NEIL
025761 2131 FOUNTAIN DRIVE, SUITE 200
SNELLVILLE GA
HARRISON, CHARLES ELBERT JR 009161 35 COLLIER RD NW, SUITE 350
ATLANTA
GA
HARRISON, CLYDE C JR
007810 127 ROUNTREE ROAD
RIVERDALE
GA
HARRISON, DAVID GLENN
033348 DRAWER LL, DEPT. OF MED, EMORY UNIVERSITY
ATLANTA
GA
HARRISON, DONALD
018496 910 BEAST 70TH STREET
SAVANNAH
GA
HARRISON, EMERSON EARL
030316 490 PEACHTREE STREET NE, SUITE 250-B
ATLANTA
GA
HARRISON, EUGENE ORVILLE
011652 755 COMMERCE DRIVE, SUITE 601
DECATUR
GA
HARRISON, GARY N
016244 204 NORTH COLLEGE STREET
STATESBORO GA
HARRISON, HAROLD.BRUCE
018027 836 ORANGE TERRACE
MACON
GA
HARRISON, HARVEY ROBERT
026544 993 JOHNSON FERRY RD NE STE D, SUITE 110
ATLANTA
GA
HARRISON, JACOB ROLAND JR
012480 1108 PROFESSIONAL BLVD, SUITE 1
DALTON
GA
HARRISON, JAMES HAROLD
005766 5669 PEACHTREE-DUNWOODY RD NE, SUITE 135
ATLANTA
GA
HARRISON, JOHN ROBERT
007495 5372 PEACHTREE RD
CHAMBLEE
GA
HARRISON, THOMAS SUMNER
025169 1073 WESTBROOKE WAY
ATLANTA
GA
HARRISON, WALTER E JR
007390 711 S MAIN ST
MOULTRIE
GA
HARRISON, WILLIAM VANBROOKS 008315 PO BOX 368, 100 PASSIEN CIRCLE
FOLKSTON
GA
HARRY, ROY THOMAS
028781 * PO BOX 55200
ATLANTA
GA
HARSCH, ALAN DAVID
035895 EMORY UNIV - PEDIATRICS, 2040 RIDGEWOOD DR, NE
ATLANTA
GA
HARSCH, JOHN ARTHUR
028566 808 COMMERCE BLVD, SUITED
RIVERDALE
GA
HARSHMAN, ROBERT STEVEN
025762 3050 MARGARET MITCHELL DRIVE, APT 7
ATLANTA
GA
HART, GEORGE RODNEY
033102 2499 PEACHTREE ROAD NE, APT 703
ATLANTA
GA
HART, MICHAEL HUGH
038247 105 CANTER CT
ROSWELL
GA
HARTLAGE, PATRICIA L
014815 MEDICAL COLLEGE OF GEORGIA, PEDIATRIC/NEUROLOGY DEPT. AUGUSTA
GA
HARTLEY, CHARLES BRYCE, II
028994 1700 HOSPITAL SOUTH DRIVE, SUITE 202
AUSTELL
GA
HARTLEY, DAVID PAUL
033349 675 OLD MUSE ROAD
CAROLLTON
GA
HARTLEY, JOHN HAROLD JR
009513 4200 NORTHSIDE PKY NW, BULDING 8
ATLANTA
GA
HARTLEY, MARK CHRISTOPHER
035064 3749 WEST LAKE DRIVE
AUGUSTA
GA
HARTLEY, SELWYN THOMAS JR
012218 4614 WINTHROP DRIVE
COLLEGE PARK GA
30342
17
31768
46
30331
08
30286
31
30662
10
30033-2214 12
30606
10
31904-6812 17
31906
36
30677
17
30577
27
30202-4028 31
30307
17
31419
17
30249
10
30307
44
30338
00
30033
05
30030
33
30319
08
30338-4213 01
31545
17
30401
36
30606
31520
17
30087
15
30083
17
30662
10
30088
17
30214
10
30278
25
30309
17
30274
41
30322-1100 05
31405
17
30308
49
30030
41
30458
17
31201
11
30342-1638 32
30721
15
30342
50
30341
10
30319
08
31768
01
31537
01
30308-5200 33
30322
53
30296-3319 17
30327
30305
10
30076-1013 32
30912
23
30001-8112 34
30117
33
30327-3052 47
30907
46
30337
08
Page No. 90
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HARTMAN, LAWRENCE PAUL
032396
HARTMAN, MICHAEL GLENN
033350
HARTMAN, PAUL VINCENT
D28416
HARTMAN, SANFORD S
016075
HARTMANN, ROBERT WALTER
031604
HARTNETT-GOODMAN, MARGARET MAR 034606
HARTNEY, THOMAS JAMES
026545
HARTNEY-VELAZCO, KATHLEEN JOAN 031256
HARTRAMPF, CARL R JR
007811
HARTZOG, CHARLES WAYNE, JR 038008
HARVEY, DAVID NESBIT III
010951
HARVEY, GARY NORMAN
020728
HARVEY, JAMES SPOTTSWOOD
017820
HARVEY, JOHN SUTTON
024946
HARVEY, MARK RAYMOND
033984
HARVEY, RICHARD LYNN
037827
HARVEY, SAMUEL STEVEN
036541
HARVIN, HARRY T., JR.
029666
HARWOOD, ROBERT ALEXANDER
019833
HASAN, SHAHED
029461
HASH, ROBERT BRUCE
036169
HASKINS, ARTHUR LYMAN
020440
HASKINS, DREWRY EDGAR III
019530
HASKINS, NOEL CLAYTON PURYEAR 030318
HASSAN, MAHER T
021160
HASSANYEH, AKRAM MAHMOUD
029881
HASSETT, RICHARD MICHAEL
029667
HASSINGER, DAWN DIANE
021709
HASSINGER, JOHN THOMAS
018148
HASTY, JEFFREY HARDING
021994
HASTY, LEWIS BAILEY
007686
HASTY, LISA ANNE
035648
HATCH, RICHARD
033103
HATCHER, CHARLES ROSS JR
007205
HATCHER, JAMES F JR
014634
HATCHER, ROBERT ANTHONY
011171
HATCHER, WALTER BENJAMIN
037560
HATCHETT, THOMAS LAWRENCE, JR 036984
HATFIELD, THEODORE RANDALL 020730
HATHCOCK, WILLIAM C
004864
HATLEY, ROBYN MAURICE
026299
HATMAKER, DAVID LARRY
026300
HATTAWAY, GARY LEE
016245
HATTAWAY, JAMES R
010952
HATTEN, TERESA LEE
031018
HAUCK, ALLENE.
003786
HAUENSTEIN, JULIA PLEDGER HODG 026301
HAUGEN, HARRY T
008316
HAUN, COSMO LEROY
011118
HAVENS, GLEN HAROLD
032748
HAVER, PAUL DAVID
031605
HAVERTY, JOHN RHODES
006915
HAVIG, MICHAEL TERRANCE
037440
HAVLIK, JOSEPH ANTHONY JR
030087
HAWASLI, MUHAMMAD HISHAM
023167
HAWK, JUDSON L JR
006652
HAWK, THOMAS HAROLD JR
019390
HAWKE, WENDY
027563
840 PINE STREET, SUITE 880
MACON
GA
2675 N DECATUR ROAD, SUITE 408
DECATUR
GA
1050 TANGLE CT
ATHENS
GA
2712 NORTH DECATUR ROAD
DECATUR
GA
P.O. BOX 7737
WARNER ROBINS GA
8109 CREEKWOOD CT
MIDLAND
GA
138 AVONDALE DRIVE
AUGUSTA
GA
3167 BAY VIEW DR
JONESBORO
GA
975 JOHNSON FERRY ROAD, SUITE 500
ATLANTA
GA
HUGHSTON SPORTS MED FOUND, INC
COLUMBUS
GA
116 S HOUSTON RD
WARNER ROBINS GA
907 E. 67TH STREET
SAVANNAH
GA
4015 S COBB DRIVE, SUITE 245
SMYRNA
GA
755 MT VERNON HIGHWAY, SUITE 520
ATLANTA
GA
512 WASHINGTON AVE
SANDERSVILLE GA
1381 TRAILS END DR
MACON
GA
2008 RICHMOND AVENUE
AUGUSTA
GA
72 PLAZA WAY
MARIETTA
GA
5775 PEACHTREE DUNWOODY ROAD, SUITE 210-B
ATLANTA
GA
325 NORTH MCINTOSH STREET
ELBERTON
GA
103 EVEREST DRIVE
THOMASTON
GA
3 COTESBY LANE THE LANDINGS
SAVANNAH
GA
110 CLEARVIEW DRIVE
RINGGOLD
GA
4111 KNOLLCREST CIRCLE NORTH
MARTINEZ
GA
993 JOHNSON FERRY ROAD, SUITE 230-F
ATLANTA
GA
P.O. BOX 856 405 CEDAR ST
METTER
GA
15 CAVENDER ST
NEWNAN
GA
195 MARK TRAIL
ATLANTA
GA
2675 N DECATUR ROAD, SUITE 502
DECATUR
GA
205 HAWKINS STORE RD, SUITE B-1
KENNESAW
GA
450 S. PEACHTREE PKWY, APT S-205
PEACHTREE CITY GA
1124 WESTBROOKE WAY
ATLANTA
GA
2047 CENTRAL AVE
AUGUSTA
GA
1365 CLIFTON RD NE, EMORY UNIV CLINIC
ATLANTA
GA
P O BOX 611
MILLEDGEVILLE GA
OB/GYN DEPT, 69 BUTLER ST SE
ATLANTA
GA
402 E. 52ND STREET
SAVANNAH
GA
PO BOX 638
DEMOREST
GA
PO BOX 31
PALMETTO
GA
7620 FULLER LOOP ROAD
DALLAS
GA
DEPT OF PED. SURGERY, BAN 8216 MCG
AUGUSTA
GA
1771 SIMONTON BRIDGE ROAD
WATKINSVILLE GA
1590 FORSYTH ST
MACON
GA
1950 PALMYRA RD
ALBANY
GA
RT 7 BOX 59
DUBLIN
GA
835 LULLWATER PARKWAY NE
ATLANTA
GA
2301 WRIGHTSBORO RD
AUGUSTA
GA
4650 FLAT SHOALS RD
UNION CITY GA
2935 THOMPSON MILL ROAD
GAINESVILLE GA
4419 DERWENT DRIVE
ROSWELL
GA
2205 BARNETT SHOALS RD
ATHENS
GA
3359 WOODHAVEN ROAD
ATLANTA
GA
241 CHELSEA DRIVE
DECATUR
GA
988 GRANTHAM WAY
MARIETTA
GA
1136 CLEVELAND AVE, SUITE 212
EAST POINT GA
1001 JOHNSON FERRY RD NE, SCOTTISH RITE CHILDRENS HOS ATLANTA
GA
740 PRINCE AVE
ATHENS
GA
2312 MERRYMOUNT DRIVEN W
SUWANEE
GA
31201
44
30033
44
30606
36
30033
37
31095
33
31820-9708 15
30907
17
30236
03
30342
47
31909
28
31088
32
31405
01
30080
10
30328
41
31082
17
31210
41
30904
03
30060
15
30342
36
30635
17
30286
08
31411
15
30736
08
30907
36
30342
47
30439
41
30263
23
30328
17
30033
41
30144-1513 32
30269
15
30319
09
30904
15
30322
40
31061
10
30303
32
31405
36
30535
15
30268
QC
30132
30
30912-4070
30677
10
31201
46
31701
52
31021
17
30307
41
30904-6296 33
30291
10
30506
36
30075
33
30605
10
30305
32
30030
28
30064
17
30344
05
30342-1600 32
30601
41
30174
17
Page No. 91
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HAWKINS, CHARLES EDWARD, IV HAWKINS, FURMAN EVERETTE, JR. HAWKINS, JACK M HAWKINS, JENNIFER NELL HAWKINS, JOHN CHARLES HAWKINS, KATRINE R HAWKINS, MICHAEL LAWRENCE HAWKINS, PHYLLIS HAWKINS, PRESTON PEARLE HAWN, SUSAN LEA HAWTHORNE, DAYLE C HAY, SAMUEL H HAYES, CHARLOTTE ASHLEY HAYES, DORIAN HAYES, ELOISE JOINER HAYES, LANEAU HAYES, LORRIE BETH HAYES, MARK ALAN HAYES, ROBERT PRESTON BUSHONG HAYES, THOMAS EUGENE HAYES, THOMAS WILLIAM HAYES, WILLIAM HENRY HAYGOOD, EDYTH C HAYMORE, JAMES MONROE III HAYNES, MICHAEL STEWARD HAYNES, PATRICIA RITCHIE HAYNES, RALEIGH ROGERS HAYNES, RALPH LEWIS HAYNES, SHARON KAY MARLOW HAYNES, WILLIAM BRYCE, JR HAYS, JAMES CHRISTOPHER HAYS, WILLIAM ALTON JR HAYSMAN, MELVIN LEE HAYWOOD, MARK GLENN HAZLEHURST, WILLIAM D HEACOCK, DON STEPHAN HEAD, CLARENCE ALVIN HEAD, DOUGLAS LAMAR JR HEADLEY, WILLIAM MCKENDREE HEALEY, KENNETH WENDELL HEAPE, DAVID EDWARD HEARD, JOHN PHINAZEE HEARD, WILLIAM CAUSEY HEARIN, WILLARD CLIFTON, III HEATH, CLARK WRIGHT JR HEATH, DIANE LINDA HEATON, JAMES LANIER HEATON, RICHARD LEONHARDT HEBEL, GAIL SUZETTE HECHT, ALAN HECHT, CHERYL LYNN HECHT, HOWARD L HEDAYA, ELLIS VICTOR HEDGIS, NICK JAMES HEDRICK, MARK RAYMOND HEFFNER, LEONARD THOMPSON JR HEGE, DARVIN LEE HEHN, RUDOLF JAKOB
030088 3707 TRUMPINGTON LANE 028996 3969 S COBB DRIVE, SUITE 205 010561 456 E PACESFERRY ROAD 023168 520 CHARTER BLVD, SUITE 100 019693 682 HEMLOCK STREET, SUITE 490 004412 PO BOX 518, 131 PEACHTREE CIR 012483 TRAUMA/CRITICAL CARE, MED COLLEGE OF GA.-#BA4411 029882 4410 GOODFELLOWS CT 023169 101 RUNNYMEDE ROAD 037562 9401 FAIRFIELD PARKWAY 022237 COBB COUNTY BOARD OF HEALTH, 402 ROOSEVELT CIRCLE 007041 150 GLENWOOD ROAD 037828 1209 N. DECATUR LANE 020925 2393 FLINTLOCK DRIVE 031019 PO BOX 328 023366 PO BOX 650 032579 1895 OLDE VILLAGE RUN 036985 2727-F WOODCREST DRIVE 024259 ST. FRANCIS MED. PARK-BLD H, 2300 MANCHESTER EXPWY. 012170 PO BOX 5398 017055 1812 N lEE AVENUE 011364 2121 WARM SPRINGS ROAD 023170 3876 NORTHSIDE DR, #27-E 009721 ROUTE 4, BOX 4167 020544 3623 J DEWEY GRAY CIRCLE, SUITE 100 018071 ATLANTA WOMEN'S OB-GYN, 2001 P'TREE ROAD, N.E. - STE 023171 1602 MADISON AVE 013974 250 RIVERWOOD COURT 028818 176 KATIE ST 035897 11909-A MCAULEY DRIVE 027565 3200 DOWNWOOD CIRCLE, SUITE 200 012220 PO BOX 712 014507 5400 WATERS AVE. 035898 1760 HIGHGROVE CLUB DRIVE 004133 3270 VISTA CIR 037564 1736 COLUMBINE ROAD 034154 6011 ROCKY SHOALS CT 005006 PO BOX 591 009164 PO BOX 656 024689 203 WOODPARK PLACE, A200 034360 4391 FORREST DRIVE 005591 9355 ST GEORGEN COMMON 017197 *P.O. BOX 993 023604 696 PIKE STREET, SUITE 350 011365 AMERICAN CANCER SOCIETY, 1599 CLIFTON ROAD 035439 1535 REGENCY WALK DRIVE 031257 PO BOX 2689 028927 209 GREEN STREET 033985 1724 JOHNSON ROAD, JOHNSON ESTATES 035440 2212 MERRYMOUNT DRIVE 034155 ATLANTA GYN ASSOC - SUITE 115, 2550 WINDY HILL ROAD 012254 5667 P'TREE-DUNWOODY RD 020733 25 PRESCOTT STREET NE 037232 2406 PERSIMMON RD 036774 THE EMORY CLINIC, 1365 CLIFTON ROAD NE 015780 1365 CLIFTON RD NE, EMORY UNIVERSITY CLINIC 017757 2150 PEACHFORD ROAD, SUITE P 026302 210 WEST HANSELL ST.
ALBANY
GA
SMYRNA
GA
ATLANTA
GA
MACON
GA
MACON
GA
SYLVANIA
GA
AUGUSTA
GA
TUCKER
GA
GRIFFIN
GA
JONESBORO
GA
MARIETTA
GA
TOCCOA
GA
ATLANTA
GA
STONE MOUNTAIN GA
GRACEWOOD
GA
HIAWASEE
GA
DUNWOODY
GA
AUGUSTA
GA
COLUMBUS
GA
FT OGLETHORPE GA
TIFTON
GA
COLUMBUS
GA
MACON
GA
DANIELSVILLE GA
AUGUSTA
GA
ATLANTA
GA
TIFTON
GA
ATLANTA
GA
TEMPLE
GA
SAVANNAH
GA
ATLANTA
GA
ATHENS
GA
SAVANNAH
GA
ALPHARETTA GA
MACON
GA
MILLEDGEVILLE GA
TUCKER
GA
THOMASTON
GA
MILLEDGEVILLE GA
WOODSTOCK
GA
MARTINEZ
GA
DULUTH
GA
DUBLIN
GA
LAWRENCEVILLE GA
ATLANTA
GA
DECATUR
GA
BLAIRSVILLE GA
WARNER ROBINS GA
ATLANTA
GA
SUWANEE
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
THOMASVILLE GA
31707
31
30080
41
30305
33
31210
06
31201
05
30467
10
30912
41
30084
33
30223
30236
10
30060
10
30577
17
30306
36
30087
36
30812
10
30546
30338
17
30909
05
31904
30742
41
31794
30
31904
31
31210-2400 01
30633
01
30909-6553 34
30309
15
31794
01
30328
34
30179
10
31419-1709 46
30327
27
30603
33
31404
04
30201
27
31204-1962 RE
31061
11
30084
03
30286
01
31061
41
30188
01
30907
17
30136
10
31040
30
30245
30329
54
30033
17
30513
10
31093
15
30306
15
30174
17
30067
13
30342
46
30308
23
30904
10
30322
46
30322
53
30338
33
31792-6648 10
Page No. 92
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HEIDARY, DARIUSH H
018668 2 WHEELER STREET
HEIGERICK, GLENN CRAIG
024947 656 INDIAN TRAIL
HEILMAN, DAVID WEEKS
017614 * 838 MENTELLE AVE NE
HEIMAN, HARRY JAY
032203 2520 WINDY HILL ROAD, SUITE 301
HEIN, DAVID EDWARD
006014 980 JOHNSON FERRY ROAD NE, SUITE 820
HEIN, DOUGLAS PAUL
025763 BOX 828
HEINDEL, N HADLEY, I I I
031939 15 CAVENDER ST
HEINE, DAVID WAYNE
030616 3222 SHRINE ROAD, SUITE B
HEINE, ERIC ALAN
033836 CARROLLTON EMERGENCY PHYSICIANS, 205 HICKORY CHASE
HEISLER, JEAN ANN ELLER
035065 2371 LENORA ROAD
HEISLER, MICHAEL BERNARD
035650 2371 LENORA ROAD
HEISS, KURT FREDERICK
034610 6088 MILLSTONE RUN
HEJKA, ANTHONY GERARD
033351 ST JOSEPH'S HOSPITAL, 11705 MERCY BLVD
HELD, GORDON ROYSE
031258 PO BOX 1264
HELFAND, RITA FAY
038249 3453-Q N DRUID HILLS RD
HELLENGA, IRVING DALE
006819 TOCCOA CLINIC
HELLER, JOE W.
028998 P. 0. BOX 53789
HELLER, JOHN G
031940 EMORY CLINIC SPINE CENTER, 2165 N DECATUR ROAD
HELLING, ERIC ROBERT
036775 3214 COLLEGE AVE
HELLWEGE, MICHAEL ALLEN
030090 1701 WATSON BLVD.
HELMICK, CHARLES GARDINER, III 023458 1301 N MORNINGSIDE DRIVE
HELMKEN, MELANIE BEARDEN
033524 CANDLER PROF BLDG, SUITE 315, 5354 REYNOLDS ST
HELRICH, ALAN JAY
026547 130 CRESTRWICKE TRACE
HELTON, DAVID GORDON
027568 109 PROFESSIONAL PLACE
HELTON, TIMOTHY DAVID
029669 1121 JOHNSON FERRY ROAD, SUITE 300
HELTON, WILLIAMS
006015 522 WASHINGTON AVE
HEMMER, JOHN L JR
014917 675 WHITE SULPHUR ROAD
HEMPEL, LOUIS EDWARD
033106 1901 CENTURY BLVD NE, #20
HEMPHILL, EDWARD STILES
030091 HUGHSTON SPORTS MEDICINE, P.O. BOX 9517
HEMPHILL, JOHN MICHAEL
022414 4600 WATERS AVENUE, SUITE 200
HENDEE, ARMAND ELKIN
005853 1365 CLIFTON ROAD NE, DEPT OF GYNECOLOGY
HENDEL, OSCAR FERDINAND
038250 136 CARLYLE LK
HENDERSON, ALBERT EBEN
024948 820 ST SEBASTIAN WAY, SUITE 5-E
HENDERSON, AMBER MILLETTE HAYN 035900 1722 LOVELY LANE
HENDERSON, AUDREY MARIA
029884 36230J DEWEY GRAY CIRCLE, SUITE 113
HENDERSON, BARRY MERLE
016246 50 PLAZA WAY STE B
HENDERSON, BRADLEY ELDER
030617 211 CHICOPEE DRIVE
HENDERSON, CHARLES ARTHUR
019391 2001 PEACHTREE ROAD, N.E., SUITE 525
HENDERSON, CHARLES T
006746 737 CAMPBELL HILL ST NW
HENDERSON, JOHN MCKENZIE
025765 2300 MANCHESTER EXPWY, #F-3
HENDERSON, KENNETH C
016925 777 HEMLOCK ST
HENDERSON, PETER LOUIS, JR. 027386 3226 F HAMPTON AVENUE
HENDERSON, RANDAL H.
026303 ATLANTA ONCOLOGY ASSOC, 1000 JOHNSON FERRY RD NE
HENDERSON, ROBERT J JR
008462 102 SHORE RUSH CIRCLE
HENDERSON, SCOTT DAVID
026548 3151 ST. IVES COUNTRY CLUB PKY
HENDERSON, WARREN JASPER JR 020734 303 SMITH STREET
HENDI, SAMIR ABDEL-HAMID
017056 7766 CAMBRIDGE COURT
HENDLER, DAVID NORMAN
026549 912 BEVINGTON WAY
HENDLEY, JOHN E
009514 BOX 510
HENDLEY, ROBERT LLOYD
014154 11050 CRABAPPLE ROAD
HENDRICH, JULIA ELLEN
031758 788 SPRINGBROOK LANE
HENDRICKER, GARY IRVIN
029670 BOX 477 5 E ALABAMA STREET
HENDRICKS, EDWIN PATTON JR 022153 P.O. BOX 669
HENDRIX, ARTHUR MONTGOMERY JR 021161 465 WEST CLOVERHURST AVENUE
HENDRIX, CLARENCE
028569 PO BOX 418
HENDRIX, LYNN EZELL
023981 PATHOLOGY DEPARTMENT, 1968 P'TREE ROAD, N.E.
HENDRIX, MAECENAS BENTON
022415 1920 WARM SPRINGS ROAD
HENDRIX, NANCY CELESTE
020735 1010 PRINCE AVENUE
SAVANNAH
GA
LILBURN
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
JESUP
GA
NEWNAN
GA
BRUNSWICK
GA
CARROLLTON GA
LOGANVILLE GA
LOGANVILLE GA
ST MOUNTAIN GA
SAVANNAH
GA
BLAIRSVILLE GA
DECATUR
GA
TOCCOA
GA
FORT BENNING GA
DECATUR
GA
COLUMBUS
GA
WARNER ROBINS GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
CARROLLTON GA
MARIETTA
GA
SANDERSVILLE GA
GAINESVILLE GA
ATLANTA
GA
COLUMBUS
GA
SAVANNAH
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
TUCKER
GA
AUGUSTA
GA
MARIETTA
GA
MARIETTA
GA
ATLANTA
GA
MARIETTA
GA
COLUMBUS
GA
MACON
GA
BRUNSWICK
GA
ATLANTA
GA
ST SIMON ISLE GA
DULUTH
GA
LAGRANGE
GA
JONESBORO
GA
MARIETTA
GA
MILLEN
GA
ROSWELL
GA
EVANS
GA
TALLAPOOSA GA
DEMOREST
GA
ATHENS
GA
LITHIA SPRINGS GA
ATLANTA
GA
COLUMBUS
GA
ATHENS
GA
31405
40
30247
17
30308-1612 08
30067
10
30342
11
31545
28
30263-1931 30
31520
17
30117
08
30249
10
30249
17
30087
41
31420-0129 31
30512
41
30033
32
30577
10
31905
01
30033
28
31907
10
31093
00
30306
31405-6007 15
30319
30117
15
30068
10
31082
01
30501
46
30345
32
31995-3199 28
31403
23
30322
13
30033-4615 03
30901
22
30084-7026 03
30910
10
30060
08
30060
28
30309
16
30060
41
31904
01
31201
21
31520
41
30342
36
31522-1419 53
30136
30240
17
30236
08
30068
30442
01
30075
27
30809
10
30176
17
30535
10
30606
08
30057
34
30309
31904-8000 28
30606
32
Page No. 93
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HENDRIX, RONNIE EUGENE
024690
HENDRIX, STEPHEN GREGORY
023459
HENDRIX, VERNON JOHNSTON, III 033837
HENDRY, CHARLES HADDOCK
010422
HENEISEN, JACK DAVID
022780
HENGEL, RICHARD LOVELL
038010
HENINGER, WENDELIN MARIE
034608
HENLEY, CHAPIN
012484
HENLEY, DONALD JAMES
024432
HENLEY, ROBERT LEE, JR
036542
HENNECKEN, JOHN FRANCIS MICHAE 035901
HENNESSY, DANIEL JAMES
020121
HENNIGAR, RANDOLPH ALEXANDER 036776
HENNING, KEVIN SCOTT
036986
HENRIKSEN, JENS DAVID
020122
HENRY, GEORGE MADISON
010955
HENRY, JOHN DUNKLIN, JR
030474
HENRY, STEVEN ALONZO
028570
HENRY, THOMAS REID
038795
HENRY, WAIGHTS G III
012105
HENSLEE, STEVEN LLOYD
029464
HENSLEY, CONLEY DAVID
032398
HENSLEY, EDGAR RANDOLPH
008790
HENSON, DANIEL MARK
025173
HENSON, JOHN TAYLOR
029885
HENSON, PAULE JR
009515
HERBERT, JOHN GOSS
010566
HERBERT, SARAH ELISABETH
030092
HERBERT-CARTER, JANICE
033594
HERD, HALM JR
013140
HERD, PAUL ALLAN
020736
HERMAN, CHESTER JOSEPH
034849
HERMAN, ELIZABETH JANE
038012
HERMAN, HOWARD KENNETH
036777
HERMAN, STEPHEN MICHAEL
021520
HERMAN, WILLIAM HUDSON
035651
HERMANN, ROBERT C
023982
HERMON!, YITZCHAK
033352
HERNANDEZ, FERNANDO O GARCIA 011870
HERNANDEZ, ISMAEL CALEB
019167
HERNANDEZ, RAUL J
011552
HERNDON, CHARLES HALL JR
013818
HERNDON, EMILY JEAN NGO
035902
HERNDON, KATHRYN ELAINE
032749
HERON, SEAN PATRICK
033353
HERRBERG, JEFFREY JOSEPH
028275
HERREN, JOSEPH NED
021714
HERRERA, PASCUAL
012326
HERRIN, EUGENE VAN LANDINGHAM 011369
HERRIN, STEVE JOHNSON
026304
HERRING, CARL JOSEPH
031941
HERRING, DAVEY DONALD
022369
HERRING, JOHN STEPHEN JR
014057
HERRING, LORI MELISSA
034156
HERRING, PAUL MALCOLM
038511
HERRINGTON, BOBBY LOUIS
031942
HERRINGTON, RUSSELL PRUITT 031261
HERRINGTON, WILLIAM TERRY
028571
3331 WINDERMERE STREET
COLUMBUS
GA
#5 MEDICAL ARTS CENTER
SAVANNAH
GA
199 14TH ST NE, APT #2803
ATLANTA
GA
3540 COCHISE DRIVE NW
ATLANTA
GA
PO BOX 1399, 4 CHERRY OAK PLAZA
RINCON
GA
1151 ROSEDALE DRIVE
ATLANTA
GA
1160 ORME CIR NE
ATLANTA
GA
540 CHARTER BLVD, SUITE 200
MACON
GA
5102 PAULSEN STREET, APT 2
SAVANNAH
GA
11 STONEWOOD COURT
COLUMBUS
GA
615 SPYLGASS RD
MARTINEZ
GA
3280 HOWELL MILL ROAD, #101
ATLANTA
GA
2720 RIVERFRONT DR
LITHONIA
GA
6454 GEORGIAN WAY
COLUMBUS
GA
312 EAST LAKE AVENUE, SUITE 116
ROSSVILLE
GA
2436 WESLEYAN DRIVE NORTH
MACON
GA
4936 GASKIN WALK
MARIETTA
GA
1136 CLEVELAND AVE, SUITE 514
EAST POINT GA
5032 TRAIL RIDGE WAY
DUNWOODY
GA
790 CHURCH STREET EXT., SUITE 500
MARIETTA
GA
P.O. BOX 8441
COLUMBUS
GA
1232 14 TH ST, NW
CAIRO
GA
P.O. BOX 669
WAYNESBORO GA
710 BROAD ST., S.E.
GAINESVILLE GA
710 BROAD STREET
GAINESVILLE GA
1109 BURLEYSON DRIVE
DALTON
GA
3400 PEACHTREE RD, SUITE 915
ATLANTA
GA
EMORY CLINIC SECTION OF PYSYO, 1365 CLIFTON ROAD NE ATLANTA
GA
175 15TH STREET, N.E., APT 419
ATLANTA
GA
5686 KENNEDY RD
SUWANEE
GA
77 COLLIER RD NW, SUITE 2060
ATLANTA
GA
3890 LAKE FORREST DR
ATLANTA
GA
1262 WILDCLIFF PARKWAY
ATLANTA
GA
6525 PROFESSIONAL PLACE, SUITE C
RIVERDALE
GA
209 HOVER CREEK ROAD
SAVANNAH
GA
5372 REDFIELD DRIVE
DUNWOODY
GA
55 S. MEDICAL DR. SUITE 240
MARIETTA
GA
601A PROFESSIONAL DRIVE, SUITE 370
LAWRENCEVILLE GA
1011 N. HOUSTON DRIVE
WARNER ROBINS GA
26 RAMSGATE ROAD
SAVANNAH
GA
353 PARKWAY DRIVE, NE, SUITE 101
ATLANTA
GA
1104 PROFESSIONAL BLVD
DAL TON
GA
1143 ALPHARETTA STREET
ROSWELL
GA
743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
1563 KAY LANE
ATLANTA
GA
2330 OAKWOOD WAY
SMYRNA
GA
11 JOHN MADDOX DRIVE
ROME
GA
222 CHEROKEE STREET
MARIETTA
GA
740 PRINCE AVE
ATHENS
GA
1185 CONVERSE DRIVE
ATLANTA
GA
ROME NEUROSPINAL CENTER, PC, 304 SHORTER AVENUE SUITE ROME
GA
440 CHARTER BLVD, SUITE 2202
MACON
GA
540 CHARTER BLVD, SUITE 300
MACON
GA
3546 PEBBLE BEACH DR
AUGUSTA
GA
2185 THORN CLIFF DRIVEN E
ATLANTA
GA
PO BOX 1848
HINESVILLE GA
RT 1 BOX 260C
PORTAL
GA
103 MITCHELL SHOALS COURT
ATHENS
GA
31909
17
31405
01
30309-3643 36
30339
33
31326
10
30306-3964 10
30306-3656 33
31210
13
31499
31904
08
30907
05
30327
27
30058-8522 31
31909
10
30741
35
31210
33
30068
10
30344
17
30338-4102 23
30090
41
31908
27
31728
10
30830
10
30505
17
30505
17
30720
52
30326
33
30322
33
30309
17
30174
32
30309
17
30342
39
30329
10
30274
NB
31419
17
30338
17
30060
30245
10
31093
10
31419
01
30312
03
30720
46
30075
10
30503
03
30306
49
30080
08
30165-1499 17
30060
41
30601
15
30324
01
30165
44
31210-4889 41
31210
25
30907-9520 41
30345
27
31313
17
30450
10
30606
36
Page No. 94
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HERRMANN, CAROLL
033987 1062 OXFORD RD
HERRON, JAMES G
012798 1102 EAST LAMAR STREET, PO BOX 668
HERRON, MICHAEL ANTHONY
038797 7124 SOUTHLAKE PARKWAY APT N-8
HERRON, WILLIAMS JR
014508 * 1938 PEACHTREE RD NW, SUITE 404
HERSCH, STEVEN MEL
029672 1452 WINSTON PLACE
HERSH, BRADLEY STUART
030093 CDC 1600 CLIFTON ROAD, MSES
HERSH, THEODORE
015942 1365 CL! FTON RD
HERSHATTER, BRUCE WARREN
029465 RADIATION/ONCOLOGY DEPT, 315 BOULEVARD NE
HERSHKOWITZ, LESLIE LYNN
036669 P O BOX 748
HERSKOWITZ, !AN CAIN
034157 820 ST. SEBASTIAN WAY, SUITE 7A
HERSKOWITZ, LOUIS JACK
020546 1790 MULKEY RD., SUITE 1
HERTEL, JOACHIM ERICH WILHELM 035903 6290 KEG CREEK DRIVE
HERTELL, JOSEPH ALAN
007631 * 3833 ROSWELL ROAD, N.E., SUITE 103
HERWALDT, BARBARA LOUISE
034611 510 COVENTRY ROAD, APT 7C
HERZOG, LONNIE
025174 5669 PEACHTREE DUNWOODY RD, SUITE 315
HERZWURM, PAUL JAMES
037831 5909 SHERBORNE DRIVE
HERZWURM, SANDRA DAWN HUDSON 031945 5909 SHERBORNE DRIVE
HESLA, JOHN STEWART
037566 SECTION OF OB/GYN, 20 LINDEN AVE NE
HESS, DAVID CHARLES
028784 434 WEXFORD COURT
HESTER, JAMES KELLY
028785 1090 - 5TH STREETS E
HESTER, JESSEE DRAKE
013529 PO BOX 2338, 15 HOSPITAL PARK
HESTER, JOHN WILLIAM
026867 217 OLD STONE RD
HESTER, THOMAS RODERICK JR 012106 PACES PLASTIC SURGERY, 3200 DOWNWOOD CIR NW STE 600
HESTER, THOMAS WILLIAM
023983 TWO PEACHTREE STREET, 4TH FLOOR
HESTERBERG, RAYMOND CHESTER, J 035068 3020 NORTH DOUBLEGATE DRIVE
HETHERINGTON, THOMAS AVERY 013283 503 EISENHOWER DRIVE, PO BOX 14444
HEWAN-LOWE, KARLENE OPAL
022781 DEPT OF PATHOLOGY, 80 BUTLER ST SE
HEYLIGER-THOMAS, CLAUDETTE ANN 036174 5451 FIELDGREEN DRIVE
HIBLER, ROBERT DOUGLAS
035265 4794 TERRACE GREEN TRACE
HICKLIN, MARTIN DALE
023173 5671 BAHIA MAR CIRCLE
HICKS, JOHN WILFORD JR
010423 4500 SOUTH MAIN ST
HICKS, LOY G JR
006420 PO BOX 45, DOCTORS BUILDING
HICKS, WALTER LYNN JR
018902 P. 0. BOX 1956
HICKS, WATERS MERRILL, JR
038251 114 MIMOSA DR
HICKS, WINNIE CLAIRE
029466 BOX 997
HIERN, BARRIE CHRISTOPHER SR 014374 PO BOX 6205
HIGGINBOTHAM, JAMES CRAIG
028786 C/0 MEMORIAL HOSPITAL, 1500 SHOTWELL STREET
HIGGINS, ROBERT GEORGE
029185 725 DENMEAD ML
HIGH, THOMAS JOSEPH
026128 960 JOHNSON FERRY ROAD, #440
HILDERBRAND, CHARLES PAINE 033108 * 5344 FIELDGREEN DR
HILL, BOBBY WAYNE
019698 4045 LINDLEY CIRCLE
HILL, CHARLES SMITH
026307 4171 SNAPFINGER WOODS DR
HILL, EUGENE AUGUST
010956 975 JOHNSON FERRY ROAD NE, SUITE 240
HILL, JAMES WAYNE
022418 715 JESSE JEWELL PARKWAY, SUITE 201
HILL, JOHN BUNN JR
012487 740 PRINCE AVE
HILL, JULIUS N III
011955 353 PARKWAY DRIVE NE, SUITE 101
HILL, ROBERT SANDIFER
014274 1503 WINTER ST
HILL, ROGER EARL
028277 833 CAMPBELL HILL ST., SUITE 121
HILL, SUSAN CLAIRE
028787 5669 PEACHTREE-DUNWOODY ROAD, SUITE 275
HILL, THOMAS GLENN Ill
012488 5071 SNAPFINGER WOODS DRIVE
HILL, VAN ERIC
033109 588 PARK AVE SE
HILL, WALTER JAMES
009835 1293 PEACHTREE STREET NE, SUITE 717
HILLIARD, GEOFFREY WILLIAM 036988 105 COLLIER ROAD NW, SUITE 5040
HILLIARD, KATHARINE ARNOLD 024949 1924 CLAIRMONT ROAD, SUITE 200
HILLSON, WILLIE J
020737 1327 TROUP STREET
HILLYER, CHRISTOPHER DEHL!
033110 1118 REDFIELD TERRACE
HILSMAN, THOMAS AGNEW
015591 2201 DAWSON ROAD
HILTON, JACK GRANT
035441 800 FIRST STREET, SUITE 300
ATLANTA
GA
AMERICUS
GA
MORROW
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MONROE
GA
AUGUSTA
GA
AUSTELL
GA
APPLING
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
COLUMBUS
GA
COLUMBUS
GA
ATLANTA
GA
MARTINEZ
GA
CAIRO
GA
MOULTRIE
GA
VILLA RICA GA
ATLANTA
GA
ATLANTA
GA
ALBANY
GA
SAVANNAH
GA
ATLANTA
GA
STONE MOUNTAIN GA
STONE MOUNTAIN GA
STONE MOUNTAIN GA
ACWORTH
GA
CLARKSVILLE GA
BRUNSWICK
GA
THOMASVILLE GA
JESUP
GA
ROME
GA
BAINBRIDGE GA
MARIETTA
GA
ATLANTA
GA
STONE MOUNTAIN GA
POWDER SPRINGS GA
DECATUR
GA
ATLANTA
GA
GAINESVILLE GA
ATHENS
GA
ATLANTA
GA
AUGUSTA
GA
MARIETTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
DUNWOODY
GA
ALBANY
GA
MACON
GA
30306
32
31709
17
30260
17
30309
33
30033
23
30333
17
30322
11
30312-1200 36
30655
05
30901
17
30001
06
30802
17
30342
11
30030
53
30342
17
31909
28
31909
32
30308
15
30907
23
31728
17
31776-2338 15
30180
30327-1624 47
30303
33
31707
45
31416
36
30335
31
30088
32
30088
10
30087
30101
12
30523
10
31521
17
31792-6605 17
31545
10
30162-6205 03
31717
10
30067
08
30342
30088
53
30073
01
30035
27
30342
15
30505
15
30601
15
30312
03
30904
41
30060
10
30342
17
30035
00
30312
17
30309
33
30309
47
30033
33
30904
17
30338
17
31707
10
31201
16
Page No. 95
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HILTON, MICHAEL CLARK
033111 1938 PEACHTREE ROAD, N.W., SUITE 505
ATLANTA
GA
HIMOT, EDWARD DAVID
018388 790 CHURCH ST. EXT. N.E., SUITE 470
MARIETTA
GA
HINES, GAYLE F.
025617 1989 TALL TREE DR NE
ATLANTA
GA
HINES, JENNIFER GUEST
032400 30 WARREN STREET SE
ATLANTA
GA
HINES, RANDALL STUART
035653 763 AUMOND RD.
AUGUSTA
GA
HINES, ROBERT CARAWAY
010958 126 HEAD AVENUE
TALLAPOOSA GA
HINES, SARAH NORMA HUIE
035654 763 AUMOND RD.
AUGUSTA
GA
HINKLE, JAMES EMRYS HINKSON, SHARON MARIA
015592 5315 N. POWERS FERRY RD.
019954 * 700 S. ENOTA DR., N.E., SUITE 202
ATLANTA
GA
GAINESVILLE GA
HINMAN, ALAN RICHARD
034612 2194 CREEK PARK ROAD
DECATUR
GA
HINRICHS, MARC BRIAN
018029 RADIOLOGY ASSOCS OF WEST GA, 210 BATTLE ST PO BOX 13 LAGRANGE
GA
HINSON, WARREN ANTHONY
020318 SUITE 201; BUILDING D, 5064 ROSWELL RD, NE
ATLANTA
GA
HINTON, GOLDEN SANDERS
006917 957 BAXTER ST
ATHENS
GA
HINZ, THOMAS WALTER
023462 70 TOWER RD
MARIETTA
GA
HIPKENS, JAMES HENRY
026553 771 VIRGINIA CIRCLE NE
ATLANTA
GA
HIROMOTO, JESUS HIROMOTO
017978 2704 NOAK STREET, BLDG L
VALDOSTA
GA
HIRSCH, GLENN MARK
035266 2550 WINDY HILL ROAD, #312
MARIETTA
GA
HIRSCH, ROBERT JOSEPH
022238 1121 JOHNSON FERRY ROAD, SUITE 150
MARIETTA
GA
HIRSH, EUGENE HAROLD
017825 5669 PEACHTREE DUNWOODY RD, SUITE 270
ATLANTA
GA
HIRSH, MURRAY DAVID
028009 13-A JOHN MADDOX DRIVE
ROME
GA
HIRT, ALFREDO
011763 490 PEACHTREE ST NE
ATLANTA
GA
HISSAM, JAMES EDWIN
018670 11702 MERCY BLVD, SUITE 2A
SAVANNAH
GA
HITCH, WILLIAM STROUD
011372 7001 HODGSON MEMORIAL DRIVE, SUITE 5
SAVANNAH
GA
HITSON, CHARLES DAVID
026554 231 GRAEFE ST
GRIFFIN
GA
HITT, WILLIAM ALEXANDER
010190 2483 DEMERE RD, SDUITE 102
ST SIMONS ISL GA
HITTEL, GLENN PAUL
034159 45 TIMBERLANE COVE
CARTERSVILLE GA
HIXON, CLARENCE ROY
037233 4580 APT N VALLEY PKWY
SMYRNA
GA
HIXON, RUFUS LESTER, III
036989 1018 MAGNOLIA DRIVE
AUGUSTA
GA
HIXSON, GORDON LAWRENCE, JR. 024262 755 COMMERCE DRIVE, SUITE 205
DECATUR
GA
HLEAP, DAVID
015195 140 MARY ALICE PARK ROAD, BOX 14
CUMMING
GA
HO, CHEN-KUNG
017199 MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK ST. HOSPJTA MACON
GA
HO, RAYMOND CHIHTA
016927 631 E. FORSYTH ST., P.O. BOX 248
AMERICUS
GA
HOADLEY, JEFFREY SCOTT
037567 2012 BRIAN WAY
DECATUR
GA
HOAG, JOEL BENJAMIN
016611 PO BOX 7448
WARNER ROBINS GA
HOBBS, CALVIN LEON
026783 1903 WRIGHTSBORO ROAD
AUGUSTA
GA
HOBBS, ELGIN, JR.
029886 MEDICAL COLLEGE OF GEORGIA, AF-143
AUGUSTA
GA
HOBBS, JOSEPH
017105 MCG DEPT OF FAMILY MEDICINE, ROOM EG 305
AUGUSTA
GA
HOBBY, CHARLES F
011957 2704 NOAK ST BLDG D
VALDOSTA
GA
HOBBY, HENRY MCCAGER
017391 RT#4, BOX 279A
TOCCOA
GA
HOBBY, LOVIC WORTH
008116 35 COLLIER ROAD NW, SUITE 485
ATLANTA
GA
HOBSON, GERALD J
012921 203 WOODPARK PLACE, SUITE B-102
WOODSTOCK
GA
HOCHGELERENT, EDA LOUISE
017200 4310 RAJNTREE LANEN W
ATLANTA
GA
HOCKENBERRY, JAMES HOWARD
030095 ROUTE 6, BOX 298
EASTMAN
GA
HODAKOWSKI, GEORGE TADEUSZ 036990 2318 GABLES DRIVE
ATLANTA
GA
HODDESON, ROBERT B
030477 2675 NORTH DECATUR ROAD, SUITE 307
DECATUR
GA
HODGES, CHARLES AUGUSTUS JR 008468 SOUTH GA MEDICAL CTR, PO BOX 1727
VALDOSTA
GA
HODGES, CHARLES HUBERT JR
008117 918 S BROAD ST
THOMASVILLE GA
HODGES, ELAINE SHAW
031024 1211 CEDAR RIDGE DR
GREENSBORO GA
HODGES, FRED BARRY, III
013754 1434 BROADRICK DRIVE
DALTON
GA
HODGES, HUGH OSCAR
013045 173 HIGHLAND DRIVE, FAMILY PHYSICIANS
WINDER
GA
HODGES, JOHN RICHARD, JR
036175 820 ST SEBASTIAN WAY, SUITE 5-B
AUGUSTA
GA
HODGES, MALCOLM RAWLINGS
007393 777 HEMLOCK ST, ACC BOX 154
MACON
GA
HODGES, WAYNE
029887 PO BOX 15478
SAVANNAH
GA
HODGINS, PAUL
036991 3275 S. FLOWERS, APT. L
ATLANTA
GA
HOELDTKE, KIM CHARLENE MANIGAU 037234 420 ARLINGTON DRIVE
HINESVILLE GA
HOELDTKE, NATHAN JOHN
037235 420 ARLINGTON DRIVE
HINESVILLE GA
HOFER, LLOYD MARTIN
036176 140 CLOISTER DRIVE
PEACHTREE CITY GA
HOFF, JAMES GEORGE
037568 1627 MONCRIEF CIRCLE
DECATUR
GA
30309
33
30060
22
30324-2723 38
30317
17
30909
15
30176
10
30909
03
30327
03
30501
10
30033
53
30241
36
30342
33
30606
27
30060-6983 36
30306
31602
44
30067
10
30068
15
30342
11
30161
03
30308
52
31419
10
31406
40
30223-4295
31522
10
30120
10
30082
41
30904
32
30030
36
30130
10
31208
32
31709
32
30033
41
31095-7448 46
30904
25
30912
08
30912
10
31602
36
30577
31
30309
47
30188
27
30327
22
31023
00
30319
41
30033
30
31603
03
31792
52
30642
10
30720
46
30680
10
30901
11
31208
10
31416
10
30341
26
31313
10
31313
15
30269
53
30033
05
Page No. 96
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HOFF, ROBERT D
02278.4 755 MT VERNON HWY,# 530
HOFFA, DANNY EDWARD
024437 DEPT. OF PATHLOGY, 200 INDUSTRIAL BLVD.
HOFFLER, ERIC WYCKLIFFE
032752 123 KATHI AVE
HOFFMAN, ALLEN MAXWELL
024822 833 CAMPBELL HILL STREET, SUITE 112
HOFFMAN, FRANK
005146 4849 PAULSEN STREET, SUITE 300
HOFFMAN, IVAN BRUCE
036396 4053 LA VISTA ROAD, SUITE 200
HOFFMAN, JAMES CECIL JR
011120 RADIOLOGY DEPT., EMORY UNIVERSITY HOSPITAL
HOFFMAN, JEFFREY GREGG
033355 3203 LENOX ROAD, N.E., APT. 36
HOFFMAN, JOEL A
037833 4270 COURAGEOUS WAY
HOFFMAN, JOHN MALCOLM
037834 4211 CONWAY VALLEY RD
HOFFMAN, JOSEPH IRVINE JR
014636 2950 STONE HOGAN ROAD, SW
HOFFMAN, KATHRYN ANN
013142 PO BOX 2231
HOFFMAN, MARK DISMAS
032582 1494 REAGAN CIRCLE
HOFFMAN, MARY JACQUELINE
038799 1858 THOMPSON BRIDGE RD, APT 405
HOFFMAN, MICHAEL ALAN
032583 960 JOHNSON FERRY ROAD SUITE 243
HOFFMAN, WAYNE KENNETH
028279 PO BOX 6187
HOFFMAN, WILLIAM HUBERT
026555 DEPT OF PEDS MC G
HOFFMANN, SUSAN ELIZABETH
038512 INTERNAL MEDICINE ASSOCIATES, 820 ST. SEBASTIAN WAY,
HOGAN, JASPER THOMAS JR
005331 PO BOX 6557
HOGAN, MICHAEL GRAHAM
031440 610 PEACHTREE PKY, SUITE A
HOGAN, WILLIAM FRANCIS SR
021244 401 EAST JACKSON STREET, SUITE C
HOGG, JOHN STEWART HOGSETTE, GERALD BYRON
034613 1772 WROCK SPRINGS RD, NE
005147 * 209 MIMS ROAD, PO BOX 179
HOGUE, REBECCA MANNING
038800 4 RIVERS BEND CT
HOGUE, WILLIAM LARRY
010197 1125 TROUPE STREET, PO BOX 3845
HOLBERT, KENNETH LEO
034851 130 LAUREL HILL DRIVE
HOLBROOK, STEPHEN ERIC
031441 2231 KODIAK DRIVE
HOLBROOK, WILLIAM H JR
010960 845 PINEKNOLL DR
HOLCOMB, ROBERT PERRY
030096 140 VANN STREET, SUITE 350
HOLCOMBE, JOHN LYNDON, JR.
027388 PO BOX 166
HOLCOMBE, ROBERT HAMPTON
026556 21 RIVER PLACE DRIVE SW
HOLDEN, JEANNINE THERESE
038801 1641 CLIFTON TERRACE, NE
HOLDREDGE, TIMOTHY STEPHEN 034363 1087 SEVERN DR.
HOLLADAY, AILEEN O'NEILL
033597 952 JIMSON DRIVE
HOLLADAY, DAVID A
033356 1317 MILSTEAD AVE
HOLLADAY, WILLIAM EDWARD
007689 787 CAMPBELL HILL ST
HOLLAND, BERNARD C JR
004743 450 E. PACES FERRY ROAD, N.E.
HOLLAND, ELIZABETH ANN
035444 1984 PEACHTREE ROAD NW, SUITE 505
HOLLAND, HENRY KENT
034614 1370 N DECATUR ROAD, NE
HOLLAND, NED WILSON, JR.
024263 2077 TRAIL MARK DR.
HOLLAND, WALLACE EARL, JR. 024438 RT 2, BOX 15,, BELFAST ESTATES
HOLLAND, WILLIAM R
015163 5354 REYNOLDS STREET, SUITE 505
HOLLEY, JACOB HARVEY
009837 214 CHERRY ST PO BOX 657
HOLLEY, JEFFREY NEAL
038013 220 CHADWICK CIR
HOLLIDAY, PETER OSBORNE III 026557 420 CHARTER BLVD., SUITE 402
HOLLIFIELD, MICHAEL ALTON
032206 ROUTE 3 BOX 3384
HOLLIGER, EDWARD HENRY, IV 035905 3226 DESHONG DRIVE
HOLLIGER, ELIZABETH MARIE BRAU 036397 3226 DESHOG DRIVE
HOLLIMAN, HENRY D JR
004032 PO BOX 18712
HOLLIS, CHARLES D JR
005856 425 THIRD AVENUE, SUITE 300
HOLLIS, DAN STEPHEN
018498 P.O. BOX 7008
HOLLOMAN, JEFF JOE HOLLOWAY, ALFRED MORGAN
007045 1216 BRIGHTWOOD DRIVE
010568 * 204 CHEROKEE RD
HOLLOWAY, EMORY WILLIE JR
009170 130 IDLE HOUR DRIVE
HOLLOWAY, HAROLD EARL
013327 45111 FALKIRK TERRACE
HOLLOWAY, JOHN TEDDY
016077 ROUTE 1 BOX 247
HOLLOWAY, KELVIN JEROME
024823 3511 FOX HOUND RUN
HOLLOWAY, REGINA EOWINNA LORRE 034852 DAHLONEGA FAMILY PRACTICE, 1025 TIPTON DRIVE
ATLANTA
GA
DUBLIN
GA
FAYETTEVILLE GA
MARIETTA
GA
SAVANNAH
GA
TUCKER
GA
ATLANTA
GA
ATLANTA
GA
ALPHARETTA GA
ATLANTA
GA
ATLANTA
GA
LA GRANGE
GA
CONYERS
GA
GAINESVILLE GA
ATLANTA
GA
MARRIETTA
GA
AUGUSTA
GA
AUGUSTA
GA
MACON
GA
CUMMING
GA
THOMASVILLE GA
ATLANTA
GA
SYLVANIA
GA
SAVANNAH
GA
AUGUSTA
GA
SMYRNA
GA
ATLANTA
GA
ELBERTON
GA
MARIETTA
GA
DALLAS
GA
ROME
GA
ATLANTA
GA
EVANS
GA
CONYERS
GA
CONYERS
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
RICHMOND HILL GA
SAVANNAH
GA
DONALSONVILLE GA
MACON
GA
MACON
GA
CLAYTON
GA
ST MOUNTAIN GA
STONE MOUNTAIN GA
ATLANTA
GA
ALBANY
GA
COLUMBUS
GA
SAVANNAH
GA
THOMASTON
GA
MACON
GA
LITHONIA
GA
HOBOKEN
GA
LI THON IA
GA
DAHLONEGA
GA
30328
17
31021
31
30214-1635 32
30060
31405
30
30084
33
30322
36
30324
30
30202
30
30327
53
30331
46
30241-2231 35
30207
28
30501
31
30342
10
30067-0187 10
30912
30910
17
31208
41
30131-6822 28
31792
47
30324
36
30467
41
31406
15
30914-3845 36
37167
08
30345
08
30635
36
30060
41
30132
10
30165
30307
31
30809
17
30208
31
30207
36
30060
11
30305
33
30309
36
30306
53
30033
31324
17
31405
46
31745
01
31210
10
31210
44
30525
10
30087
28
30087
08
31126-0712 52
31701
17
31908-7008 27
31406
10
30286
10
31210
36
30058
10
31542
PH
30058
04
30533
10
Page No. 97
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HOLLOWAY, ROBERT JOHN HOLLOWAY, SHARON ELIZABETH HOLLOWELL, JOSEPH GURNEY, JR HOLMAN, MICHAEL STEWART HOLMAN, RONALD EDWARD HOLMBERG, SCOTT DEWEY HOLMES, DEAN LEE HOLMES, ELIZABETH HOLMES, HAMILTON EARL HOLMES, JOSEPH B. HOLMES, KEITH DEAN HOLMES, ROBERT HICKS HOLMES, WILLl~M CARL HOLSTON, FRANCIS MARION HOLT, ARTHUR ROLAND, JR HOLT, PHILIP JEFFREY HOLTON, BENJAMIN ROYCE HOLTZ, NOEL HOLTZCLAW, JAMES FREDERICK HOLWERDA, DENNIS LEWIS HOLZBERG, MARK JAY HOLZWARTH, MONICA ELLEN HOM, STEVEN GEORGE HOMEYER, CHRISTOPHER CULLEN HOMLAR, MARJORIE L HONABLUE, VALRIE MAE BIGGS HONARVAR, SAMAD HONEYCUTT, WAYNE THOMAS HONG, CHEUK YOUNG HONG, HOWARD Y. HONIG, ERIC G HOOD, CYNTHIA RUTH HOOD, DANNIS EDWARD HOOD, E. WALTER HOOD, EDWARD DUPONT HOOD, HERB LEON HOOD, MARION GERALD HOOD, RENWICK CARLISLE HOODA, $UDERSHAN KUMAR HOOKER, BRYAN DOUGLAS HOOKS, DAVID RAY HOOKS, VENDIE HUDSON, Ill HOOPER, DWIGHT EDWARD HOOPES, JEFFREY RICHARD HOOSE, KENNETH ARTHUR JR HOOTS, ANTHONY VON HOOVER, ROBERT STEVEN, JR HOOVER, SHERMAN HAYES HOPE, THOMAS D HOPKINS, CHARLES THOMAS JR. HOPKINS, JOHN THOMAS HOPKINS, KATHARINE LEE HOPKINS, LINTON COOKE III HOPKINS, PHILIP BIRD HOPKINS, RALPH D JR HORAN, JOHN MARCELLUS HORAN, LEO GALLASPY HORD, ALLEN HENRY
031263 034364 010341 026558 030618 029000 009840 013334 012107 013335 032753 020319 009841 009172 031760 023367 037569 015543 035906 029470 029001 037570 031610 024264 012725 037835 016361 038802 038803 029471 016362 036993 035267 008797 009359 010802 015594 024265 021521 032586 037571 017026 036779 019055 010962 033114 038014 031443 021522 022788 023463 038804 014127 031611 012396 030097 011765 027828
901 PLYMOUTH RD NE EGLESTON CHILDREN'S HOSP, 1405 CLIFTON RD 3762 GLENEAGLES LANE 818 ST SEBASTIAN WAY, SUITE 104 CLARK-HOLDER CLINIC, 303 SMITH STREET 552 CLIFTON ROAD, N.E. 541 WMONTGOMERY ST., SUITE 171 MERION GRADY MEMORIAL HOSPITAL, 80 BUTLER STREET, S.E. 171 MERION 800 - 1ST STREET - SUITE 100, PO BOX 4508 5307 BROOKE RIDGE DRIVE 740 PRINCE AVE 3225 WYCLIFFE WAY 2000 10TH AVENUE, REG. MED. PLAZA, SUITE 370 2040 RIDGEWOOD DRIVE 1365 CLIFTON RD NE 522 NORTH AVE. 906 EAST 68TH STREET ALBANY PEDIATRICS, P.C., 1801 PALMYRA ROAD 478 PEACHTREE STREET, SUITE 607A 3 PACES WEST TERRACE 71 WINDING ROADS W 2410 CHEROKEE ROAD 755 MOUNT VERNON HWY, NW, STE 310 5570 LAKE FORREST DRIVE 465 BEAVER RUIN RD 7 WOODBRIDGE DRIVE 203 NAPA DRIVE DEPT OF ANESTHESIOLOGY, 1000 JOHNSON FERRY ROAD NE 1512 REGENCY WALK DR 1573 POPLARWOOD LN 228 NAPA DRIVE 5667 PEACHTREE DUNWOODY, SUITE 160 RICHMOND HILL FAM MED CENT, PO BOX 1389 PO BOX 1227 2950 STONE HOGAN RD SW, SUITE 3-B 696 PIKE STREET, SUITE 350 511 NORTH COBB ST. 6510 BROOKLINE COURT 133 OLD LAKE ROAD 820 ST. SEBASTIAN WAY, SUITE 7-C 165 BRAMBLEBUSH CHASE P. 0. BOX 1326 2675 N DECATUR RD,# 607 425 - 3RD AVE, SUITE 510 6108 SLOAN PL 680 HUNTWICK PLACE 389 MULBERRY STREET, SUITE 200 717 SOUTH EIGHT STREET 130 SAN MARINO COURT 3457-R N DRUID HILLS RD 1365 CLIFTON RD, NEUROLOGY DEPT. 2200 CENTURY PARKWAY, SUITE 700 P.O. BOX 2417 515 EMORY CIRCLE NE 10 TOPSAIL COURT 2160 PONCE DE LEON AVE
ATLANTA
GA
ATLANTA
GA
TUCKER
GA
AUGUSTA
GA
LA GRANGE
GA
ATLANTA
GA
MILLEDGEVILLE GA
ST SIMONS IS GA
ATLANTA
GA
ST SIMON !SLD GA
MACON
GA
DUNWOODY
GA
ATHENS
GA
STONE MOUNTAIN GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
SAVANNAH
GA
ALBANY
GA
ATLANTA
GA
ATLANTA
GA
ROME
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
LILBURN
GA
EVANS
GA
AUGUSTA
GA
ATLANTA
GA
DECATUR
GA
LAWRENCEVILLE GA
AUGUSTA
GA
ATLANTA
GA
RICHMOND HILL GA
ALBANY
GA
ATLANTA
GA
LAWRENCEVILLE GA
MILLEDGEVILLE GA
CUMMING
GA
GUYTON
GA
AUGUSTA
GA
FAIRBURN
GA
ALBANY
GA
DECATUR
GA
ALBANY
GA
ATLANTA
GA
ROSWELL
GA
MACON
GA
GRIFFIN
GA
COLLEGE PARK GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
GAINESVILLE GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
30306
01
30322
32
30084
00
30901
05
30240
27
30307
17
31061
10
31522
11
30335-3801 46
31522
0
31208
30
30338
31
30601
41
30087
41
31901
33
30322
23
30307-1013 08
30060
23
31405
46
31701
32
30308
06
30327
32
30165
31
30904
30328-4278 36
30342
33
30247
30
30809
34
30909
10
30042
01
30033
34
30243-4254 03
30909
41
30342
17
31324
10
31702-1227 03
30331
15
30245
31061
12
30130
17
31312
-10
30910
41
30213
15
31702
11
30030-6125 05
31701
40
30329
17
30075-4348 17
31201
23
30223
01
30349
30033
36
30322
23
30345
41
30503
36
30307
00
31411
05
30307
03
Page No. 98
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HORDER, MARY H
015382 2200 FOUNTAIN DRIVE
HORECKI, RICHARD JOSEPH
029473 5505 PEACHTREE DUNWOODY RD NE, SUITE 650
HORMES, JOSEPH TALIATH
029674 522 NORTH AVE N \.J
HORN, WARREN B
021719 123 BENT TREE DRIVE
HORNBACK, WILLIAM L III
020741 1493 KENNEDY RD.
HORNEY, JOHN THADDEUS
014637 1061 \.JEST PACES FERRY RD.
HORNSTEIN, STEPHEN LINDY
013357 5667 P'TREE DUNWOODY RD. BLDG 2, SUITE 160
HOROWITZ, ALYSSA GRACE
036178 1708 CALIBRE WOODS DR
HOROWITZ, LONNY EVAN
025696 1360 CENTER DRIVE, SUITE 100
HORO\.JTIZ, IRA ROBERT
036179 3899 \.J NANCY CREEK CT NE
HORSBURGH, CHARLES ROBERT
036994 3746-S ASHFORD DUNWOODY ROAD,N.E
HORSEMAN, ROBERT \.J
010963 P.O. BOX 261
HORSLEY, WILLIAM STEWART
033840 1533 TAMARACK TRAIL
HORSTEMEYER, DEREK LEE
032587 353 PARKWAY DRIVE NE, SUITE 101
HORTENSTINE, JAY STONESS
027068 715 JESSE JEWELL PK\.JY,SE, SUITE 104
HORTMAN, HOBART C JR
005334 19 ROCKRIDGE RD
HORTON, MARLEY G JR
012923 231 FALLIGANT AVE
HORTON, PHILIP ANDREW
030481 618 SA\.JGRASS DRIVE
HORTON, WILLIAM CARL
030098 2165 N DECATUR ROAD
HORVATH-DORI, SANDRA ANNE HOSFORD, JAMES MICHAEL
038805 2614 BOWDOIN DRIVE
015477 * 1216 SHERWOOD PARK DRIVE
HOSFORD, SARAH LYNN
032209 285 BOULEVARD NE, SUITE 430
HOSKER, MARKS.
029187 4659 STEPPING STONE LANE
HOSTETLER, JOHN STUART
035907 6285 DON HASTINGS DRIVE, SUITE A
HOSTETTER, JAMES MANUEL, JR. 027829 3280 HOWELL MILL RD NW, SUITE 111
HOTHEM, ARDEN L
018389 1296 SIMS STREET, N.E., SUITE B
HOTZ, JAMES ALLEN
018908 1614 LYNWOOD LANE
HOUGH, PATRICIA LYNN
035657 1329 GLENN AVENUE
HOUGHTON, KENNETH SINCLAIR, JR 037836 1206 \.JILLIVEE DRIVE
HOUGHTON, RODNEY ADAM
038015 RR 1 BOX 571
HOULDITCH, GEORGES III
017979 4522 HOLLY FOREST DRIVE
HOUPT, JEFFREY LYLE
025769 EMORY UNIV. SCHO. OF MED., 1440 CLIFTON ROAD-\.JHSCAB
HOUSE, FREDERICK C
012490 3646 WHEELER ROAD, SUITE 1-A
HOUSE, JOHN CLIFFORD
011959 173 HIGHLAND DRIVE
HOUSE, ROBERT 0
018031 P.O. BOX 1727
HOUSER, FRANK M JR
011374 THE EMORY CLINIC, 1365 CLIFTON ROAD NE
HOUSER, FRANK MILLARD
003901 781 SPRING ST
HOUSER, JOHN WESLEY III
019056 PO BOX 70843
HOUSMAN, KEITH ALAN
033115 411 EAST 45TH STREET
HOUSSAMI, YAZAN
028011 600 PROFESSIONAL DRIVE, SUITE 110
HOUSTON, BRUCE GORDON
033116 810 - 13TH STREET, SUITE 103
HOUSTON, G COURTNEY
018675 401 E JACKSON ST, SUITE B
HOUSTON, JOSEPH SAMUEL
008798 1215 LAKE DRIVE
HOWARD, ADAM BENNET
036995 42 SYCAMORE STATION
HOWARD, ANGUS COLLIN
030099 2852 LA VISTA COLONY COURT
HOWARD, ANTHONY LEWIS
034616 104 LEWIS STREET
HOWARD, DENNIS ROBERT
025618 * 6981 THOMASTON ROAD
HOWARD, ERNEST LEE, II
029003 315 BOULEVARD N.E., SUITE 432
HOWARD, HILTON KIT
027069 980 JOHNSON FERRY ROAD, SUITE 220
HOWARD, JAMES A
016078 960 JOHNSON FERRY RD, SUITE 400
HOWARD, LEONARD FREDERICK
022789 PO BOX 1728
HOWARD, MATTHEW T
011960 2315 CENTRAL AVE.
HOWARD, STEPHEN
021162 4 MISTY RIDGE
HOWARD, THOMAS JACK
006019 843 CHAFEE AVENUE
HOWARD, WILLIAM RICHARD JR 017528 2704 N. OAK STREET, B-2
HO\.JDIESHELL, THOMAS RAY
029676 602 CYPRESS POINT COURT
HOWELL, CHARLES GORDON JR
016248 DIV. PEDIATRIC SURGERY MED, COLLEGE OF GEORGIA
HOWELL, DOUGLAS EDWARD
016249 33 UPPER RIVERDALE RD SW, #112
SNELLVILLE GA
ATLANTA
GA
MARIETTA
GA
ATHENS
GA
Tl FTON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
ATLANTA
GA
EVANS
GA
DECATUR
GA
ATLANTA
GA
GAINESVILLE GA
ROME
GA
SAVANNAH
GA
MARTINEZ
GA
DECATUR
GA
AUGUSTA
GA
GAINESVILLE GA
ATLANTA
GA
KENNESAW
GA
RIVERDALE
GA
ATLANTA
GA
GAINESVILLE GA
ALBANY
GA
AUGUSTA
GA
DECATUR
GA
RABUN GAP
GA
GAINESVILLE GA
ATLANTA
GA
AUGUSTA
GA
WINDER
GA
VALDOSTA
GA
ATLANTA
GA
MACON
GA
MARIETTA
GA
SAVANNAH
GA
LAWRENCEVILLE GA
ALBANY
GA
THOMASVILLE GA
VALDOSTA
GA
DECATUR
GA
DECATUR
GA
SWAINSBORO GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DOUGLAS
GA
AUGUSTA
GA
ATLANTA
GA
AUGUSTA
GA
VALDOSTA
GA
MARTINEZ
GA
AUGUSTA
GA
RIVERDALE
GA
30278
15
30342-1713 17
30060
23
30606
03
31794
28
30327
11
30342
17
30329
15
30338
17
30319-4803 15
30319
17
30809
03
30033
40
30312
03
30505
52
30161
15
31410-2196 10
30907
17
30033
46
30907
17
30501
32
30312
15
30144
08
30274
53
30327-4111
30501
11
31707
17
30904
33
30033
03
30568-9764 33
30507
08
30322
33
30909
04
30680
01
31603
01
30322
PH
31201
11
30007-083 10
31405
03
30245
23
31701
10
31792
41
31601
33
30030
17
30033
00
30401
17
31210-6614 10
30312
38
30342
25
30342
33
31533
10
30904
32
30327
33
30904
12
31602
06
30907
41
30912
32
30274-2617 41
Page No. 99
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HOWELL, EDGAR VASTON JR
007818
HOWELL, ELIZABETH FULTON
030100
HOWELL, EVELYN JANE
036780
HOWELL, MARY FRANCES ROBERSON 035658
HOWELL, RAY LA SHUNT
034161
HOWELL, ROBERT LAWSON
037236
HOWELL, SAMUEL MONROE Ill
018909
HOWELL, TOMS JR
006426
HOWELL, WILLIAM HARVEY
005601
HOWELL, WILLIE REE ALLEN
027830
HOWINGTON, JERRY WAYNE
011961
HOWLAND, NANCI RACHEL
037837
HOWLAND, WILLIAM SLOCUM JR 011375
HOY, JEFFREY MALCOLM
037838
HOY, STANLEY LAWRENCE
029677
HOYT, SARA ANN L
008263
HSU, GEORGE Y
017692
HSU, KRISTINE WENSHENG
038016
HSU, LEWIS LI-YEN
038806
HUBBARD, CHARLES N
017203
HUBBARD, DAVID S
006918
HUBBARD, DONALD E
007212
HUBBARD, GEORGE BAKER JR
017393
HUBBARD, HELENE RABENA BRANNEN 034162
HUBBARD, JAMES A
010570
HUBBARD, JOHN DAVID
030787
HUBBELL, DAV[D DONALD
033358
HUBBELL, ROBERT WALLACE
007500
HUBBERT, LEROY KARL
035659
HUBBUCH, SEBASTIAN OTTO
023990
HUBBY, FRANK BENEDICT
016928
HUBER, ANDREAS ROBERT
034618
HUBER, DOUGLAS CRAWFORD
010965
HUBER, JAMES DAVID
021720
HUBER, JANET BOYD
021721
HUBER, MARY LISA
036399
HUBER, ROBERT ANDREW
030101
HUBER, STEPHEN CRANE
025177
HUBERDEAU, RENE MARC
023609
HUBRICH, LEON R
017693
HUCKABY, CALTON BRUCE
018910
HUCKABY, KEITH BARNES
027573
HUDAK, WAYNE ANDREW
033988
HUDDLESTON, JOHN F
032211
HUDDLESTON, KATHRYN WELCH
031944
HUDGINS, PATRICIA ANN
030482
HUDGINS, ROGER JAMES
030483
HUDGINS, WILLIAM BAIRD
006772
HUDSON, CARLTON B
011871
HUDSON, CECIL CLIFFORD
011378
HUDSON, JACK
006427
HUDSON, JAMES BLOOMER
009724
HUDSON, JOHN A
018154
HUDSON, JOSEPH GERALD
028790
HUDSON, MARK C
038807
HUDSON, RICHARD ALLEN
030102
HUDSON, RONALD MERCER
015384
HUDSON, TERRY MACK
032858
3280 HOWELL MILL ROAD NW, SUITE 229
ATLANTA
GA
41-A LENOX POINTE NE
ATLANTA
GA
1150 S. MILLEDGE AVE.
ATHENS
GA
1120 AZALEA DRIVE
AUGUSTA
GA
1021 OAKPOINTE PLACE
DUNWOODY
GA
4840 TOPEKA COURT
DUNWOODY
GA
962 JOE FRANK HARRIS PARKWAY, SUITE 104
CARTERSVILLE GA
730 PEACHTREE ST NE, SUITE 100
ATLANTA
GA
MEDICAL ARTS CENTER - SUITE 103, 962 JOE FRANK HARRIS CARTERSVILLE GA
4257 CAVE SRINGS ROAD SW
ROME
GA
1125 TROUPE STREET
AUGUSTA
GA
2253 LATTIMORE FARM PLACE
KENNESAW
GA
3250 HOWELL MILL RD NW, SUITE 207
ATLANTA
GA
1407-D DRUID VALLEY DR
ATLANTA
GA
32 CANNON DRIVE
RINGGOLD
GA
15 WESTOVER DRIVE
ROME
GA
PO BOX 30467
SEA ISLAND GA
2306 THE OAKES
CLARKSTON
GA
4784 SPRINGFIELD DRIVE
DUNWOODY
GA
CARROLLTON ORTHOPEDIC CLINIC, 148 CLINIC AVENUE
CARROLLTON GA
1977 STARF!RE DRIVE NE
ATLANTA
GA
2001 PEACHTREE ROAD, N.E., SUITE 510
ATLANTA
GA
2012 10TH AVE.
COLUMBUS
GA
205 MANSFIELD DRIVE
HAWKINSVILLE GA
401B SOUTH MADISON STREET
ALBANY
GA
1150 S. MILLEDGE AVENUE, SUITE 4
ATHENS
GA
3969 S COBB DR, SUITE 102
SMYRNA
GA
2193 N DECATUR RD
DECATUR
GA
1709 VININGS TRAIL
SMYRNA
GA
1906 WARM SPRING ROAD
COLUMBUS
GA
5354 REYNOLDS ST, SUITE 335
SAVANNAH
GA
WOODRUFF MEMORIAL BLDG, 1639 PIERCE DRIVE
ATLANTA
GA
8954 HOSPITAL DRIVE, SUITE 105-B
DOUGLASVILLE GA
1301 WELLBROCK CIRCLE
CONYERS
GA
1301 WELLBROCK CIRCLE
CONYERS
GA
3227 HABERSHAM RD
ATLANTA
GA
25 PRESCOTT STREET NE, SUITE 2401
ATLANTA
GA
717 - 20TH STREET, PO BOX 2787
COLUMBUS
GA
CLARK HOLDER CLINIC, 303 SMITH STREET
LAGRANGE
GA
1000 HAWTHORNE AVE
ATHENS
GA
836 ORANGE TERRACE
MACON
GA
215 EAST GORDON STREET
THOMASTON
GA
3780 HOLCOMB BRIDGE ROAD, SUITE F
NORCROSS
GA
EMORY UNIVERSITY SCHOOL OF MEDIC, 20 LINDEN AVENUE, N ATLANTA
GA
2115 PONCE DE LEON AVE, N.E.
ATLANTA
GA
3833 BYRNWYCK PL NE
ATLANTA
GA
5455 MERIDIAN MARK ROAD, SUITE 540
ATLANTA
GA
500 IRVIN COURT, SUITE C-240
DECATUR
GA
110 WALESKA RD
CANTON
GA
2260 SIMONTON BRIDGE ROAD
WATKINSVILLE GA
2730 PEACH ORCHARD RD.
AUGUSTA
GA
2120 GARDNER STREET
AUGUSTA
GA
800 SPRING STREET
MACON
GA
ST JOSEPH'S MED PK, S-3-C, 34 FORD AVE
RICHMOND HILL GA
708 - 14TH AVE NW
CAIRO
GA
155 NORTH AVE NE
ATLANTA
GA
THE COLUMBUS CLINIC, 610 - 19TH STREET
COLUMBUS
GA
490 RIVERH!LL DR
ATLANTA
GA
30327
47
30324
33
30605
33
30904
15
30338
15
30338
47
30120
11
30308
26
30120
01
30161
30904
36
30144
17
30327
46
30329
16
30736
17
30165
32
31561
31
30021
33
30338
32
30117
46
30345
17
30309
15
31901
27
31036
32
31701
15
30605
33
30080-6313 38
30033
17
30080
15
31904
05
31405
10
30322
17
30134
31
30207
17
30207
17
30305
33
30308
17
31994-3899 36
30240
30610
28
31201
11
30286
17
30092
13
30308
25
30307
21
30319-1658 36
30342
44
30030
17
30114
36
30677
33
30906
03
30904
17
31201
17
31324-9250 01
31728
10
30308
01
31901
10
30328
36
Page No. 100
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
HUDSON, VALERA LUCILE HUDSON, VICKI LAVERNE HUDSON, WALTER LLOYD, JR. HUDSON, WILLIAM HOWARD HUDSON, WILLIAM MANCHESTER HUDSON, WILLIAM STUART, JR HUELSNITZ, ROGER WAYNE HUFF, GAREY H HUFF, LINDA SHERYL WALLACE HUFF, PHILIP GWYNN HUFF, PRENTIS BAKER HUFF, THOMAS ALLEN HUFFMAN, GALEN CARL HUFFNAGLE, MILFORD JAMES, II HUFFNAGLE, VERA HENTOSH HUG, CARL CASIMIR JR HUGGINS, MICHELLE ALLISON HUGGINS, SARAH CATHERINE HUGHES, BRIAN JOSEPH HUGHES, DONNA RAE HUGHES, GREGORY GEORGE HUGHES, HARRY FRANCIS HUGHES, JAMES MITCHELL HUGHES, JOE LEONARD HUGHES, JOHN DOUGLAS HUGHES, JOHN L HUGHES, KERRY COURTNEY HUGHES, LORIE LANE HUGHES, MELISSA JANE SAMMONS HUGHES, RONALD MITCHELL HUGHES, SHEILA LOUISE HUGHSTON, JACK CHANDLER HUGULEY, CHARLES MASON, JR HUIE, RALPH A JR HULL, DAVID STITZ HULL, JAMES D III HULL, ROBERT JOSEPH HULLQUIST, CLAUDE GARY HULSE, EDWIN THOMAS HULSE, JAMES EDWARD, III HULSEY, JOE MAXWELL, III HULSEY, WAYNE GARY HUMPHREY, KIMBERLY MICHELLE HUMPHREYS, JOHN L JR HUMPHRIES, ARTHUR LEE JR HUMPHRIES, CHARLIE JR HUMPHRIES, CYNTHIA EVETTE P. HUNG, HING YEE HUNGERPILLER, JEANNE MAROTTA HUNGERPILLER, JOHN COLIN HUNT, ANDREW DICKSON HUNT, JACK RONALD HUNT, JESSEL HUNT, JOHN BUTLER HUNT, THOMAS JEFFERSON HUNTER, CLARENCE JOHN, JR. HUNTER, CONWAY WALTER JR HUNTER, JENNIFER ELAINE
030622 2010 SUMMER RIDGE DRIVE
AUGUSTA
GA
035660 330 GLENWOOD AVES E
ATLANTA
GA
012925 * 5652 C BEALLWOOD CONNECTOR
COLUMBUS
GA
017015 820 ST SEBASTIAN WAY, SUITE 8
AUGUSTA
GA
025619 601 PROFESSIONAL DRIVE, SUITE 370
LAWRENCEVILLE GA
030484 126 HICKORY STREET
DECATUR
GA
030103 BOX 951
NASHVILLE
GA
017665 63 WEST CANDLER STREET
WINDER
GA
029889 RADIOLOGY - HENRY GEN HOSPITAL, 1133 EAGLE'S LANDING STOCKBRIDGE GA
026872 2500 HOSPITAL BLVD, SUITE 250
ROSWELL
GA
0075D1 2622 MERCEDES DR NE
ATLANTA
GA
009523 3314 CRANE FERRY ROAD
AUGUSTA
GA
013631 PO BOX 2
METTER
GA
035661 527 FAIRFIELD WAY
EVANS
GA
036781 527 FAIRFIELD WAY
EVANS
GA
015173 1873 KAHAHWA DRIVE
STONE MOUNTAIN GA
034368 3589 DYER PARKE LANE
MARIETTA
GA
023611 6267 MEMORIAL DRIVE, SUITE B
STONE MOUNTAIN GA
031029 323 WASHINGTON AVE
SAVANNAH
GA
029678 870 CRESTMARK DRIVE, SUITE 101
LITHIA SPRINGS GA
034619 1108 MELROSE DRIVE
CLARKSTON
GA
035269 3923 J DEWEY GRAY CIRCLE# 309
AUGUSTA
GA
03259D 824 W PONCE DE LEON
DECATUR
GA
011122 1136 CLEVELAND AVE, SUITE 614
EAST POINT GA
038253 2402-E DUNWOODY CROSSING
ATLANTA
GA
008799 DEPT OF PHYCHIATRY, 1515 POPE AVE
AUGUSTA
GA
D31763 1705 COLLINES AVENUE
ATLANTA
GA
035070 1365 CLIFTON ROAD NE
ATLANTA
GA
036996 619 - 13TH AVE EAST
CORDELE
GA
010194 PO BOX 986
TIFTON
GA
038515 727 DOUBLE CHURCHES RD
COLUMBUS
GA
005951 6262 HAMILTON RD
COLUMBUS
GA
005721 2660 PEACHTREE ROAD NE, UNIT 16G
ATLANTA
GA
005336 * 1256 BRIARCLIFF RD., NE
ATLANTA
GA
012045 123 REED CREEK ROAD
MARTINEZ
GA
020548 SUITE C, 6043 PRESTLEY MILL ROAD
DOUGLASVILLE GA
034854 3451A NORTH DRUID HILLS
DECATUR
GA
038516 4514 KINVARRA CIRCLE
MABLETON
GA
019701 TRI COUNTY PROF OFF BLDG, SUITE 400, 102 GROSS CRESCE FT OGLETHORPE GA
029679 2040 RIDGEWOOD DR NE
ATLANTA
GA
028173 DEPT OF RADIOLOGY, 675 WHITE SULPHUR RD
GAINESVILLE GA
014275 695 MCDANIEL STREET
MONROE
GA
034369 3605 JOHN CARROL DRIVE
DECATUR
GA
012328 615 PEACHTREE ST, N.E., SUITE 1213
ATLANTA
GA
008318 DEPT. OF SURGERY, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
015675 PO BOX 1713
ALBANY
GA
025179 PO BOX 5D2
FAYETTEVILLE GA
017616 1415 DARTMOUTH ROAD
COLUMBUS
GA
031985 403 HERB RIVER DRIVE
SAVANNAH
GA
033600 505 EISENHOWER DRIVE
SAVANNAH
GA
026308 201 HERMITAGE WAY
ST SIMONS ISL GA
024951 610 19TH ST, DOCTORS HOSPITAL CAMPUS
COLUMBUS
GA
007503 122 MACKAY DRIVE
BRUNSWICK
GA
017828 2704 NORTH OAK ST, BLDG M
VALDOSTA
GA
007821 571 S 9TH STREET
GRIFFIN
GA
026873 PO BOX 1488 21 LESTER RD
STATESBORO GA
006921 302 PLANTATION CHASE
ST SIMONS ISL GA
038809 2310 SPRINGHOUSE LANE APT H
AUGUSTA
GA
30904
32
30312
17
31904
32
3D901
28
30245
05
3003D
33
31639-0951 10
30680
10
30281
36
30078
30345-3946 RE
30907
09
30439-0002 33
30809
10
30809
23
30087-2126 03
30060
17
30083
10
31405
01
30057
23
30021
30909
23
30030
17
30344
46
30338
41
30912-3800 33
30331
33
30319
36
31015
32
31793
27
31904
10
31909
46
30305
17
30306
17
30907
27
30134
41
30033
10
30059
08
30742
27
30307-1028 32
30501-2599 36
30655
36
30034
32
30308
27
30912
49
31702
15
28302-0502 36
31904
31
31406
36
31406
41
31522
32
31901-1528 17
31525
08
31602
12
30223
41
30458
32
31522
01
30907
21
Page No. 101
NAME
HUNTER, JOHN GREENLEAF HUNTER, JOHN WESLEY, JR HUNTER, MARY TERESA DEAN HUNTER, RICHARD G HUNTER, ROBERT LEE JR HUNTER, STEPHEN BRADFIELD HUNTER, STEPHEN CORNELIUS HUNTLEY, WILLIAM WAYNE HUPMAN, AARON JOHN HURAYT, ANDREW JOSEPH HURD, RICHARD A JR HURD, THOMAS E. HURFORD, DENNIS MICHAEL HURLEY, DONALD PATRICK HURLEY, GAIL L. HUROWITZ, AARON MORRIS HURST, JAMES BONOTHOE HURST, JOHN WILLIS JR HURST, JOHN WILLIS, SR. HURT, SUSAN CAROL HURTEAU, JOHN EVERETT HURWITZ, DAVID PHILIP HURWITZ, EUGENE STANLEY HUTCHENS, WAYNE GOODE HUTCHESON, MORRIS WILLIAM HUTCHINGS, WALTER STEPHEN HUTCHINGS, WARREN STANLEY HUTCHINGS, WILLIAMS. 11 HUTCHINS, JULIAN C HUTCHINS, SONJA SUZZETE HUTCHINSON, AMY KATHLEEN HUTCHINSON, CHARLES LAMBDIN HUTCHINSON, JOSEPH RB JR HUTCHINSON, LESLIE JULIAN HUTCHINSON, PAUL JR HUTCHINSON, WILLIAM LANE JR HUTSON, MARK WOODWARD HUTTENBACH, DIRK ERIK HUTTO, MARK CRATON HUTTO, ROBERT LESLIE HUYNH, MINHTHO HUYNH, TONG MINH HWANG, MOO OH HWANG, SANDY TSAO-WEI HWANG, STEVE KYOUS!CK HYACINTHE, MICHELINE HYDE, AMY LOUANNE HYDRICK, JOHN THOMAS HYLAND, JOHN SUMNER HYLAND, LYNN JAMES HYLAND, VIRGINIA BIRNBACH HYMES, LEONARD CURTIS
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
036184 EMORY UNIV DEPT OF SURG, H124C, 1364 CLIFTON RD, NE 031444 90 BELMONT CR 025985 2445 LAKE TERRACE 012714 27301 PLANTATION DRIVE NE 022158 3640 CHURCHWELL COURT NE 030788 2199 FORESTGLADE DR 012492 PO BOX 9517 029680 303 SMITH STREET 021523 354 ARCADO ROAD, SUITE 2 015196 PO BOX 211849 011962 3400 A STATE BRIDGE ROAD, SUITE 450 027070 364 BATTLE WOODS TRAIL 035445 2994 ARBOR CHASE 038517 HUGHSTON CLINIC & FOUNDATION, 6262 HAMILTON 018990 PO BOX 8081
017205 * 849 PEACHTREE ST NE, SUITE 101
009848 PO BOX 1089 014921 95 COLLIER ROAD NE, #2075 005015 DEPT OF CARDIOLOGY, 1462 CLIFTON ROAD NE STE 301 027832 3250 HOWELL MILL ROAD NW, SUITE 201 017206 2325 PRINCE AVE 036997 3453-R NORTH DRUID HILL RD 024694 1062 OXFORD ROAD NE 031765 2161 SCENIC HIGHWAY, P.O. BOX 525 013047 5613 COLONIAL DRIVE 034857 800 FIRST STREET, SUITE 210 034858 215 SPRING HILL COURT 025180 800 FIRST STREET, #210 PO BOX 4987 018677 414 SCOTTS WAY 030623 7256 WATERS EDGE DRIVE 036185 124 HIBERNIA AVE 022567 205 HAWKINS STORE ROAD, APT B-1 012329 2197 KODIAK DRIVE, N.E. 034620 3064 SUPERIOR DRIVE 013978 225 TERRELL DRIVE 019703 2801 NORTH DECATUR ROAD, SUITE 190 035908 1875 CENTURY BLVD, SUITE 150 013903 833 CAMPBELL HILL ST NE, SUITE 440 021010 2150 PEACHFORD RD., SUITE B 034370 425 THIRD AVE, SUITE 550 019886 4124 BENT WILLOW DRIVE 020172 5372 GAULEY RIVER DRIVE 037237 649 CROWN POINT DRIVE 036782 3271-X FLOWERS ROAD SOUTH 021723 PO BOX 590 036186 1462 N. CROSSING CIR 038518 1304 BRIARCLIFF GABLES CIRCLE 012493 601 A PROFESSIONAL DRIVE, SUITE 330 035909 1301 WELLBROCK CIRCLE 017395 1001 THORNTON RD, SUITE 203 035910 1301 WELLBROCK CIRCLE 022001 2040 RIDGEWOOD DRIVE NE
ATLANTA
GA
ATLANTA
GA
EAST POINT GA
ATLANTA
GA
TUCKER
GA
STONE MOUNTAIN GA
COLUMBUS
GA
LAGRANGE
GA
LILBURN
GA
MARTINEZ
GA
ALPHARETTA GA
MARIETTA
GA
ATLANTA
GA
COLUMBUS
GA
ATHENS
GA
ATLANTA
GA
MILLEDGEVILLE GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
DECATUR
GA
ATLANTA
GA
SNELLVILLE GA
SAVANNAH
GA
MACON
GA
MACON
GA
MACON
GA
AUGUSTA
GA
STONE MOUNTAIN GA
DECATUR
GA
KENNESAW
GA
ATLANTA
GA
DACULA
GA
ATHENS
GA
DECATUR
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
ALBANY
GA
LILBURN
GA
STONE MOUNTAIN GA
MARTINEZ
GA
ATLANTA
GA
RIVERDALE
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE GA
CONYERS
GA
LITHIA SPRINGS GA
CONYERS
GA
ATLANTA
GA
30322
41
30311
10
30344
17
30324
3
30084
31
30087
31
31908-9517 28
30240
23
30247
10
30917
33
30338
46
30064
03
30033
15
31908
10
30603
10
30308
10
31061
31
30309
17
30322
05
30327
06
30606
47
30033
17
30306
04
30278
03
31406
32
31208-4987 10
31210
10
31208-4987
30909-3135 01
30087
35
30030
27
30144
32
30345
30
30211
26
30606
36
30033
15
30345
32
30090-5801 33
30338
33
31701
36
30247
01
30087
10
30907
31
30341
32
30274-0590 41
30329
41
30329
32
30245
15
30207
17
30057
41
30207
10
30322
32
IATRIDIS, ARISTIDIS IFILL, GORDON GREGORY LEO
1-
036998 1700 HOSPITAL SOUTH DRIVE, SUITE 202 034859 PO BOX 190
Page No. 102
AUSTELL
GA 30001
34
HARDWICK
GA 31034
33
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
IHENACHO, NICHOLAS KEMDI
038149
IKEDA, ROBIN MICHIKO
038256
IKOKU, ENO NNENNA
030942
IMHOFF, JOHN EDWIN
023995
IMHOFF, LYNNE HENSON
023996
IMMERMANN, GERALD
026133
INDECH, CHRISTINE DALE VARNEY 029474
INDERBITZIN, LAWRENCE BEN
028013
INGLIS, ERVINE JR
006310
INGRAHAM, RODDY PAUL
013979
INGRAM, JAMES THOMAS
033118
INGRAM, RICHARD L
026563
INGRAM, ROLAND,H JR
012047
INGRAM, WALTER LEE
031766
INGVOLOSTAD, JAMES PAUL
037239
INHULSEN, CHRISTOPHER RODERICK 020743
INMAN, JOHNS JR
005152
INMAN, JOHN STEPHEN III
026564
INMAN, WILLIAM OLIVER JR
006311
INNES, BRUCE JEREMY
022239
INSLEY, ROBERT G.
028791
INTAPHAN, LILLETTE A.
033601
INTHACHAK, NIRANDR
020744
INTRONA, ROBERT PAULS.
024267
IONNO, JOSEPH ANTHONY
029005
IQBAL, AMJAD
020280
IRBY, STEVEN MARK
025181
IRBY, WILLIAM CURTIS
030105
IRELAND, STANLEY MARK
029682
IRELAND, THOMAS ASHBY
026134
IRONS, RICHARD RAYMOND
037573
IRWIN, KATHLEEN LOVELL
027391
IRWIN, WALTER GORDON
013566
ISA, ARNALDO
038257
ISAACSON, IRA JAY
021404
ISALES, CARLOS MIGUEL
038018
!SELE, ANTHONY FRANK JR
013634
ISENBERG, SIDNEY
005338
ISENSTEIN, DOUGLAS ANDREW
025770
ISKANDER, KARIM NAGUIB
017207
ISLEY, ROBERT ARNOLD
022421
ISRAEL, NOEL RAYMUND BINARAO 035911
ISRAEL, PHILIP ZACH
009527
ISSHAK, GEORGE
023369
ITKIN, ERNEST LOUIS
014186
IVANOVIC, ZORAN
024592
IVERY, DONNA GAYLETTE
038520
IVEY, RICHARD KEVIN
034371
!WINSKI, HENRY JOHN
033119
IYER, KAMAL S
021163
IYER, SHYAM S
018156
507 LAKE POINT PL 175 15TH ST NE, APT 301 7256 IVERSON TRAIL 6 TOWER MEDICAL PARK, 3215 SHRINE ROAD 3020 SHRINE ROAD 5579 MABLETON PARKWAY 3642 CEDAR CORNERS PLACE 5119 CHASTLETON DRIVE 80 LINDLEY AVE 702 MINERAL SPRINGS RD. 619 DIXIE STREET 301 MEDICAL DR 550 PEACHTREE STREET NE 200 26TH ST NW 105 COLLIER RD NW, #5020 P. 0. BOX 26 414 - 5TH AVE 414 FIFTH AVE. 18 ST. ANDREWS DRIVE, PO BOX 13152 770 PINE STREET SUITE 350 3620 HARRIS ROAD 682 HEMLOCK ST, STE 240 PO BOX 1077 2306 WILLIAM STREET CENTRAL STATE HOSPITAL, REGIONAL PSYCHIATRIC DIV. 261 MEDICAL WAY# B 405 CHAMPIONS VIEW DRIVE 4451 PAULSEN STREET CHATTANOOGA VALLEY RD HWY 2A 4539 LEONORA DRIVE 102 WHITE OAK TRAIL 2475 CIRCLEWOOD ROAD 116 CADE STREET 414 RIMINGTON LN EMORY UNIV HOSP DEPT OF ANESTHES, 1364 CLIFTON RD NE MCG, DEPT OF INT MED, 1120 15TH ST 2103 CHATHAM DRIVE 44 25TH ST NW 2361 HENRY CLOWER BLVD, SUITE B PO BOX 578, 909 LAFAYETTE ROAD 2500 BANGOR COURT 2819 HOLLYWOOD DR 702 CANTON ROAD NEWTON-ROCKDALE SURGICAL SPEC, 1372 WELLBROCK CIRCLE 833 CAMPBELL HILL STREET, SUITE 230 514 GOLFVIEW DR 418 GEORGIA AVENUE 2211 BIRNAM PLACE 272 HILLBROOK DRIVE 707 WOODGATE COURT 707 WOODGATE COURT
STONE MTN
GA
ATLANTA
GA
LI THON IA
GA
BRUNSWICK
GA
BRUNSWICK
GA
MABLETON
GA
NORCROSS
GA
STONE MOUNTAIN GA
MARIETTA
GA
DALTON
GA
CARROLLTON GA
LAGRANGE
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MONTEZUMA
GA
ALBANY
GA
ALBANY
GA
JEKYLL ISLAND GA
MACON
GA
WAYCROSS
GA
MACON
GA
DOUGLAS
GA
AUGUSTA
GA
MILLEDGEVILLE GA
RIVERDALE
GA
ALPHARETTA GA
SAVANNAH
GA
FLINTSTONE GA
TUCKER
GA
PEACHTREE CITY GA
ATLANTA
GA
HARTWELL
GA
DECATUR
GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
ATLANTA
GA
ATLANTA
GA
ROSSSVILLE GA
SNELLVILLE GA
DECATUR
GA
MARIETTA
GA
CONYERS
GA
MARIETTA
GA
PEACHTREE CTY GA
ATLANTA
GA
AUGUSTA
GA
MARTINEZ
GA
AUGUSTA
GA
AUGUSTA
GA
30088-4506 17
30309-3567 17
30058
17
31520
31520
03
30059
30
30092
28
30087
53
30064
10
30720
32
30117
41
30240
30365
30309-1940
30309
15
31063
01
31701
15
31701
31527
10
31201
48
31501
17
31201
17
31533
36
30904
31062
33
30274-2522 32
30201
01
31405
00
30725
10
30084
17
30269
53
30345
01
30643
17
30030-2125 33
30322-0001 03
30912
09
31707
31
30309
33
30278
17
30741
15
30278
32
30033
32
30060
41
30207
41
30090
40
30269-1218
30312
15
30904
41
30907
46
30909
10
30909
03
JABLOW, MITCHELL ALVIN JACKSON, BILLIE JEAN LUKE JACKSON, BILLY JOE JR
-J-
013399 030791 008121
3641 CLUBLAND DRIVE
420 CHARTER BLVD, SUITE 201
743 SPRING STREET NE, r O BOX 1865
Page No. 103
MARIETTA
GA 30068
10
MACON
GA 31210
06
GAINESVILLE GA 30503
03
NAME
JACKSON, CHARLES EDWARD JR JACKSON, EDGAR NEWTON JACKSON, EUGENE HOOKS JACKSON, GAIL COLE JACKSON, GORDON WALKER JACKSON, HAROLD DAMON JACKSON, HENRY C JACKSON, HENRY CALVIN JR JACKSON, JAMES DARBY JACKSON, JAMES G III JACKSON, JAMES RANDALL, JR. JACKSON, JAMES WILLIAM JACKSON, JAMES WILLIAM, JR JACKSON, JOANNE VOGEL JACKSON, JOSEPH GRAYBILL JACKSON, JOSEPH LAWRENCE JACKSON, KECIA STRAWTER JACKSON, KEITH RICHARD JACKSON, MARK WILLIAMS JACKSON, MICHAEL JOSEPH JACKSON, OSCAR DUNWOODY JACKSON, RALPH ABRAHAM JACKSON, REBECCA THORNTON JACKSON, RONALD LEE JACKSON, RUDOLPH ELLSWORTH JACKSON, THOMAS WADE JACKSON, THOMAS WAYNE JACKSON, TIMOTHY DALE JACKSON, WILLIAM HENRY JACOB, WILLIAM MITCHELL JACOBS, CECIL F JACOBS, IAN NEAL JACOBS, IVEY JACOBS, JULIAN JACOBS, LANE KNOX JACOBS, LEE DAVID JACOBS, LEON DAVIS JACOBS, LOUIS HOWARD JACOBS, LOUIS JERRY JACOBS, NORMAN F JR JACOBS, STEVEN KENNETH JACOBS, WARREN D JACOBS, WILLIAM CARLISLE JACOBSON, DAVID HARVEY JACOBSON, DAVID JAY JACOBSON, KURT EDWARD JACOBSON, MICHAELS JACOBSON, STUART MARK JACOBSON, TERRY ALLEN JACOBSON, WENDY NAN JACOBY, BRADLEY GLENN JACQUES, MIMI ANNE JAEGER-LEE, DOROTHY S JAFFE, HAROLD WILLIAM JAFFE, STEVEN L JAG!ELLA, VALERIE JEANNE C. JAGIELLA, WACLAV J JAGO, KENNETH STANLEY
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
014513 015563 022793 020860 006658 032591 005153 020320 030485 011963 038412 013048 034372 033360 030792 013980 038978 027575 029683 038019 030793 022794 038521 034860 009528 009726 025184 036784 035913 022159 006659 035447 006660 008474 033989 028283 010576 027576 008475 015943 031031 014638 018679 021405 019393 024953 034163 034164 037575 038811 027835 015988 007691 016615 013905 028575 012627 029476
3115 DEHAVILAND DRIVE
COLUMBUS
GA
21 EIGHT STREET, N.E.
ATLANTA
GA
FAMILY MED &OBSTETRICS, 208 MC DONALD AVE
CUTHBERT
GA
GRACEWOOD ST. SCH. & HOSPITAL
GRACE WOOD
GA
1779 LINCOLN CIRCLE
MACON
GA
2801 N DECATUR ROAD, SUITE 180
DECATUR
GA
PO BOX 308
MANCHESTER GA
3230 SKINNER MILL ROAD
AUGUSTA
GA
710 BROAD ST, SE
GAINESVILLE GA
1521 ANTHONY RD.
AUGUSTA
GA
PO BOX 93
TATE
GA
8610 KENT DRIVE
SAVANNAH
GA
929 ADAIR AVE, NE
ATLANTA
GA
132 WOODSHYRE COURT
LAWRENCEVILLE GA
6331 OLD FORSYTH ROAD
MACON
GA
PO BOX 609
WAYNESBORO GA
808 TREE CREST PARKWAY
DECATUR
GA
THE MEDICAL QUARTERS STE 201, 5555 PEACHTREE DUNWOOD ATLANTA
GA
SECTION OF GASTROENTEROLOGY, 1120 - 15TH ST - CJ-340 AUGUSTA
GA
1120 E 66TH, APT 34
SAVANNAH
GA
500 GORDON AVE
THOMASVILLE GA
6025 THOMPSON MILL RD
HOSCHTON
GA
907 POINT COMFORT RD
MARTINEZ
GA
1020 NEW HOPE ROAD
ATLANTA
GA
PROFESSOR, DEPT OF PEDIATRICS, 720 WESTVIEW DRIVES WATLANTA
GA
320 W 9TH ST
ROME
GA
3324 CRANE FERRY ROAD
AUGUSTA
GA
610 CARLYLE LAKE
DECATUR
GA
4611 SHEFFIELD DRIVE
EVANS
GA
P. 0. BOX 1607
GRIFFIN
GA
BOX 90
PORTAL
GA
1365 CLIFTON ROAD NE
ATLANTA
GA
RT 2, BOX 86A4
ALMA
GA
1670 CLAIRMONT ROAD, N.E.
DECATUR
GA
2375 LAVISTA ROAD NE
ATLANTA
GA
3355 LENOX ROAD, NE, SUITE 1000
ATLANTA
GA
403 LI STER ST
WAYCROSS
GA
1984 PEACHTREE ROAD, N.W., SUITE 505
ATLANTA
GA
169 ADMIRALTY WAY, NW
MILLEDGEVILLE GA
2712 NORTH DECATUR RD
DECATUR
GA
1459 MONTREAL ROAD, SUITE 502
TUCKER
GA
3580 PIEDMONT RD NE, SUITE 220
ATLANTA
GA
285 BOULEVARD, N.E., SUITE 435
ATLANTA
GA
2801 N. DECATUR ROAD, SUITE 350
DECATUR
GA
993-F JOHNSON FERRY RD., NE, SUITE 360
ATLANTA
GA
PO BOX 9517
COLUMBUS
GA
5671 PEACHTREE DUNWOODY RD, SUITE 400
ATLANTA
GA
5475 HAMPSTEAD WAY
DULUTH
GA
1722 TROTTERS LANE
STONE MOUNTAIN GA
1215 CLIFTON ROAD, NE
ATLANTA
GA
4140-D TATE STREET NE
COVINGTON
GA
5474 MT VERNON WAY
DUNWOODY
GA
1631 FLYWAY DRIVE
MARIETTA
GA
3525 EVANS RIDGE DRIVE
ATLANTA
GA
6667 VERNON WOODS DR, SUITE B-20
ATLANTA
GA
35 COLLIER RD NW, SUITE 650
ATLANTA
GA
101 JOHN MADDOX DRIVE
ROME
GA
1320 OAKSIDE DRIVE, SUITE 102
CANTON
GA
31909
01
30309
15
31740
10
30812-1299 32
31211
15
30033
17
31816
10
30909
17
30505
10
30910-0799 28
30177-0093 17
31406
41
30306
17
30243
32
31210
36
30830
10
30035
32
30342
01
30912-3120 17
31404
15
31792
15
30548-1733 08
30907
17
30331
33
30310
32
30165-2799 15
30907
12
30033
28
30809
08
30224
36
30450
08
30322
30
31510
11
30033
16
30329-3346 17
30326
17
31501
27
30309
36
31061
33
30033
17
30084
44
30305
33
30312
17
30033
09
30342
.15
31908
28
30342
27
30136
36
30087
17
30307
33
30209
27
30338
32
30068-1622 33
30341
17
30328
33
30309
30165
01
30114
10
Page No. 104
Composite State Board of Medical Examiners. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
JAIN, LUCKY JAIN, PRAVIN KUMAR JAMES, CLYATT WENDELL, JR JAMES, CORNELIUS ROHAVEN, JR JAMES, FLOYD JAMES, JACK DONALD JAMES, LILLAS L JAMES, MARK EDWARD JAMES, PLAS TERRENCE JAMES, ROBYSINA LOUISE JAMES, VICKIE ANN JAMES, W. STEEN DIX JAMES, WALTER SCOTT JR JAMES, WALTER SIMEON JAMIESON, PETER MERRILL JAMISON, GREGORY MARTIN JANHO, RAJAE ABDELNOUR JANIKOWSKI, MARY DARIN JANKO, GARY STEVEN JANN, BRIGITTE B JANN, WILLIAM KENNETH JR JANSEN, DONALD E. JANSEN, ROBERT DAVID JANSSEN, ERIC WILFRED JANSSEN, ROBERT SHERWOOD JANTER, THOMAS B JANUARY, BRUCE EDWARD JAO, ANGELITO HENRITO-K. JARDINA, PHILIP MICHAEL JARMAN, ROBERT HARTE JARRARD, GEORGE TRUETT JR JARRARD, MARY BESS JARRARD, WILLIAM HOWELL, JR. JARRELL, FLOYD C JR JARRELL, HAROLD GEORGE JARRELL, HAROLD GEORGE, JR JARRELL, RICHARD CARL JARRELL, ROBERT JUDSON JARRELL, TODD SPRY JARRETT, DAVID BERNARD JARRETT, DIANE DICKINSON JARRETT, EUGENE C III JARRETT, JEFFREY ROSS JARRETT, PAUL JEFFREY JARRETT, ROBERT AUGUSTUS JARRETT', WALTER ALLEN JARRETT, WILLIAM H II JARVIS, REYNOLDS GRACY JARVIS, WILLIAM ROBERT JASON, JANINE MARIA JAUDON, BENJAMIN HERCULES JR JAUL, DANIEL ADAM JAVED, TARIQ JAY, JOHN LAURENCE JAYA PRAKASH, BANGARU JAYARAJ, HARIYEBBE C JEANS, PARK CHALMER, JR JEFFREY, DANAE MARIE
038813 030794 010201 030626 011229 015479 009530 027577 032756 029684 031032 028419 009993 031948 033602 034374 035272 037840 022568 016750 021406 029478 027578 034375 031949 012715 037241 029685 008806 020321 011382 029191 029686 005339 006021 033121 033364 007824 026565 030324 029893 010202 029687 023069 038260 026310 011230 018912 027393 027208 020631 033841 034376 033603 025986 020746 007947 020446
2773 RANGEWOOD DRIVE, NE 840 PINE STREET, SUITE 700 OCCUPATIONAL HEALTH CENTER, 3780 EISENHOWER PARKWAY EISENHOWER ARMY MED CTR, BOX 122 PO BOX 1740, NW GEORGIA PATHOLOGIST ASSOC 1380 B MILSTEAD AVENUE 645 FIRST ST 475 BREAKWATER TERRACE ATLANTA MEDICAL ASSOC, 100 - 10TH STREET NW 4036 STEPHENS MILL RUN NE 146 SYLVAN DR 212 CHATTAN TRAIL 5775 GLENRIDGE DR NE# C 2001 PEACHTREE ROAD NE, #430 4484 N. SHALLOWFORD ROAD, SUITE 300 8095-A ROSWELL ROAD 18 NORWOOD PLACE 7108 SOUTH WIND COURT 5667 PEACHTREE DUNWOODY ROAD, SUITE 285, BLDG II 1441 CLIFTON RD, CTR FOR REHAB MEDICINE 1901 CENTURY BLVD STE 20 PO BOX 421369 790 CHURCH ST., EXT. N.E., SUITE 470 6479 N BRANCH COURT 852 CASTLE FALLS DR 3040 RIVERNORTH PKWY 3842 CEDAR WOODS WAY 333 ALCOVY STREET, P.O. BOX 1089 711 CHURCH ST 7 MARSH HAVEN LANE 15 CAVENDER ST, PAPP CLINIC 293 MCWHORTER DRIVE EYE PHYSICIANS' PROF ASSOC, 626 FIRST STREET 2828 TECHWOOD DRIVE 2000 HAMILTON RD MOULTRIE ANES. CONSULTANTS PC, P.O. BOX 2069 10 HUNTINGTON RD, SW BOX 726 2737 -A WARM SPRING RD 1721 PRINCE AVENUE 3832 FOXFORD DRIVE SOUTHWESTERN STATE HOSPITAL, P.O. BOX 1378 1521 17TH AVENUE 124 HOSPITAL DRIVE 2781 LOG CABIN DR, #B ATHENS, OB/GYN, 740 PRINCE AVE 95 COLLIER RD NW, SUITE 3000 MEDICAL COLLEGE OF GEORGIA, DEPT. OF MEDICINE 827 WEST PONCE DE LEON 827 W. PONCE DE LEON 3007 2ND STREET SE 1018A ALBION AVENUE 776 CANTON ROAD 3131 NORTH DRUID HILLS ROAD, APT 9104 6555 PROFESSIONAL PL, SUITE C 1205 RUSSELL PARKWAY, PO BOX 6297 PO BOX 1309 514 WHITFIELD AVE.
ATLANTA
GA
MACON
GA
MACON
GA
FT GORDON
GA
DALTON
GA
CONYERS
GA
MACON
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
JACKSON
GA
PEACHTREE CITY GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
DUNWOODY
GA
SAVANNAH
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE GA
MONROE
GA
DECATUR
GA
SAVANNAH
GA
NEWNAN
GA
ATHENS
GA
MACON
GA
COLUMBUS
GA
COLUMBUS
GA
MOULTRIE
GA
ROME
GA
BUCHANAN
GA
COLUMBUS
GA
ATHENS
GA
ATLANTA
GA
THOMASVILLE GA
COLUMBUS
GA
WARNER ROBINS GA
SMYRNA
GA
ATHENS
GA
ATLANTA
GA
AUGUSTA
GA
DECATUR
GA
DECATUR
GA
MOULTRIE
GA
ATLANTA
GA
MARIETTA
GA
DECATUR
GA
RIVERDALE
GA
WARNER ROBINS GA
EVANS
GA
SAVANNAH
GA
30345-1530 32
31201
03
31206
10
30905
41
30722
31
30207
15
31201
11
30087
33
30309
28
30342-3882 46
30233-1551 10
30269
32
30328-5380 32
30309
34
30338
41
30350
10
31406
08
31909
17
30342
50
30322
38
30345
32
30342
05
30060
17
31904
28
30329
23
30328
32
30244
27
30655
17
30030
17
31411-2718 03
30263
17
30606
17
31201
01
31906
27
31993
15
31776-2069 03
30161
03
30113
36
31904
30606-6009 33
30340
31
31799
32
31901
01
31088
46
30080-7046 08
30601
30309-1735 27
30912
17
30030
32
30030
32
31768
17
30307
32
30060
44
30033
41
30274-2519 11
31095-6297 17
30809-1309 27
31406
17
Page No. 105
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
JEFFRIES, BARRY FREDERICK
023070 340 PONCE DE LEON, PO BOX 1007
DECATUR
GA
JEFFRIES, MARTIN DAVID
026875 2575 JOLLY ROAD
COLLEGE PARK GA
JEFFRIES, RHONDA DETERT
023370 6667 VERNON WOODS DRIVE, NE, SUITE B45
ATLANTA
GA
JENKINS, ALBERT DANIEL JP 013400 2945 STONE HOGAN ROAD, SUITE 201
ATLANTA
GA
JENKINS, ALMA FAYE
022240 285 BOULEVARD NE, SUITE 440
ATLANTA
GA
JENKINS, BEN HILL
007071 *PO BOX 1225
ST. MARY'S GA
JENKINS, CHARLES ADRON
017831 PO BOX 811, 807 S ISABELLA STREET
SYLVESTER
GA
JENKINS, FRANCIS HUGH III
025988 ATHENSD PULMONARY & ALLERGY, 489 N. MILLEDGEVILLE AVE ATHENS
GA
JENKINS, JAMES HOYT
007693 695 GLENRIDGE CLOSE DRIVE
ATLANTA
GA
JENKINS, JEFFREY STEVEN
030627 * 2000 - 10TH STREET, SUITE 100
COLUMBUS
GA
JENKINS, LONNIE CHARLES
017209 1156 HESS DRIVE
AVONDALE ESTAT GA
JENKINS, MARK GUERRY
031770 4750 WATERS AVE, SUITE 302
SAVANNAH
GA
JENKINS, MORRIS LITTLE
021528 109 HOSPITAL DR
CALHOUN
GA
JENKINS, WALTER THOMAS
015385 1211 SHERWOOD PARK
GAINESVILLE GA
JENKINSPILCHER, DREAMA SUE 031951 697 WILLIVEE DR
DECATUR
GA
JENKS, BETHANNE FOLEY
020550 878 ARTWOOD ROAD NE
ATLANTA
GA
JENKS, ROBERT ALLEN
035663 920 18TH STREET
COLUMBUS
GA
JENNART, FREDERICK WILLIAM 033365 212 HOSPITAL DRIVE, SUITE N
WARNER ROBINS GA
JENNINGS, CHARLES LESLIE
024594 1089 AVON AVENUE SW
ATLANTA
GA
JENNINGS, HENRY S JR
005156 1304 SPRINGDALE ROAD, NE
GAINESVILLE GA
JENNINGS, JANE LOUISE BLAKELY D11654 112 COUNTRY CLUB DRIVE
SAVANNAH
GA
JENNINGS, RANDALL WAYNE
037576 6201 RIVER ROAD, APT 106
COLUMBUS
GA
JENNINGS, RICHARD HUNTER III 026566 P.O. BOX 5398
FT OGLETHORPE GA
JENNINGS, ROBERT EUGENE
008477 155 MAXWELL ST
ARLINGTON
GA
JENNINGS, ROBERT MANSFIELD, JR 038522 NORTHEAST GA ORTHOPEDIC CLINIC, 650 BROAD ST, S.E. GAINESVILLE GA
JENNINGS, TIMOTHY RAY
038815 912 PINELAND AVE, APT 20
HINESVILLE GA
JENNINGS, WILLIAM D JR
006022 3055 WALTON WAY EXT
AUGUSTA
GA
JENSE, HOLLY GENE
028576 3468 STALLINGS ISLAND RD
MARTINEZ
GA
JENSEN, KEVIN LEE
028794 740 PRINCE AVENUE
ATHENS
GA
JENSEN, PETER EDWARD
029334 4324 DONERAIL
LI THON IA
GA
JERATH, RAVJNDER
019957 2100 CENTRAL AVE, SUITE 7
AUGUSTA
GA
JERATH, RITA
022937 1120 15TH STREET, MCG
AUGUSTA
GA
JERATH, VEENA U.
022938 1109 MEDICAL CENTER DRIVE, SUITE 2-A
AUGUSTA
GA
JERDAN, MYLES SIDNEY
030796 900 CAMPBELL HILL ST
MARIETTA
GA
JESSEE, SALLEY S
016252 5064 ROSWELL RD NE, SIOTE D-201, HARDEMAN SQUARE
ATLANTA
GA
JESTER, MARK ANDREWS
031450 7 JOHN MADDOX DRIVE
ROME
GA
JEZEWSKI, DON JULE
025509 1145 BATTLEFIELD PARKWAY
FT OGLETHORPE GA
JHEE, THOMAS SEUNGNAM
020447 * 5715 BUFORD HWY #201
ATLANTA
GA
JHOCSON, ANTONIO LIM
028577 P.O. BOX 518
CLAXTON
GA
JIONA, ANDREE MARIE ALICE
029007 5707 FOREST LAKE DRIVE
TIFTON
GA
JOE, CLARENCE
019888 2422 CAMELOT DRIVE
AUGUSTA
GA
JOE, PAUL
022423 601 BELGRAVE LANE
TUCKER
GA
JOEL, JEAN KATHRYN
034093 4000 STOVALL TER NE
ATLANTA
GA
JOEL, KENNETH HOWARD
027837 470 SASSAFRAS LANE
ROSWELL
GA
JOEL, MALCOLM DAVID
018033 1136 CLEVELAND AVENUE, SUITE 118
EAST POINT GA
JOFFE, ALAN LOUIS
021164 960 JOHNSON FERRY ROAD, SUITE 430
ATLANTA
GA
JOHANSEN, JAY WILLIAM
036188 130 LAMBDIN LANE
ALPHARETTA GA
JOHARY, ALBERT FARAH
034862 3634 HENLEY PARK CT
ATLANTA
GA
JOHN-SANCHEZ, FARES J
014249 2120 PROVIDENCE DRIVE
AUGUSTA
GA
JOHNS, ROBERT ALLEN II
022569 732 MONTANA ROAD, NW
ATLANTA
GA
JOHNSON, ALAN RICHARD
029688 RADIOLOGY ASSOC. OF THOMASVILLE, 113 W. HANSELL STREE THOMASVILLE GA
JOHNSON, ALICE OLGA
021248 5667 PEACHTREE DUNWOODY ROAD,# 310
ATLANTA
GA
JOHNSON, ALLYN C JR
006661 675 WHITE SULPHUR ROAD, SUITE 280
GAINESVILLE GA
JOHNSON, AMY ELIZABETH DECKER 037242 2231 DAVIS OAKS COURT
STONE MOUNTAIN GA
JOHNSON, ANDREA
034377 65 MOUNT VERNON CIRCLE
DUNWOODY
GA
JOHNSON, BRUCE WHEELER
024955 PO BOX 125, 109 HOSPITAL DRIVE
CALHOUN
GA
JOHNSON, CARL DAVID, III
028796 1824 LEE AVE
TIFTON
GA
JOHNSON, CECIL VIRLYN
006662 2151 PEACHFORD RD NE
ATLANTA
GA
30031-1007 36
30349
15
30328
30331
32
30312
11
31558
11
31791
17
30601
17
30328
15
31901
10
30002
17
31404
17
30701-2080 10
30501
15
30033
17
30307
32
31901-1524 41
31088
23
30310
01
30501
17
31410
31
31904
28
30742
31713
10
30501
46
31313
33
30909
41
30907
03
30601
01
30058
31
30904
15
30912
32
30909
44
30060
06
30342-2252 33
30165-1413 17
30742
30340
01
30417
17
31794
01
30904
36
30084
01
30342-3933 03
30076
08
30044
31
30342
15
30202
03
30340-4189 10
30904
31
30327
03
31792
36
30342
30505
17
30087
32
30338
15
30703-0125 10
31794-3693 10
30338
33
Page No. 106
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
JOHNSON, CHARLES EDWIN JR JOHNSON, CHARLES GARDEN JOHNSON, CHERIE JEANNE NEVARA JOHNSON, CLARENCE EMORY JR JOHNSON, CLARENCE M JOHNSON, CRAIG G. JOHNSON, DAVID EDWARD JOHNSON, DAVID MICHAEL JOHNSON, DAVID WALTER JOHNSON, FARRIS THOMAS, JR JOHNSON, GEORGE CROOM JOHNSON, GRADY HUGH JOHNSON, HOWARD MASON JOHNSON, J. STEVEN JOHNSON, JAMES HERBERT JOHNSON, JAMES TRIMBLE JOHNSON, JAY MAYROLD JOHNSON, JEFFERY IRWIN JOHNSON, JIMPSEY BURKE JOHNSON, JOE HARDY JOHNSON, JOEL MONROE JOHNSON, JULIUS T JOHNSON, KAREN MARIE JOHNSON, KATHLEEN LYNETTE JOHNSON, KENNETH ALLAN JOHNSON, KIMBALL ANNE JOHNSON, LEWIS DANIEL JOHNSON, LOUIS MALCOLM JOHNSON, MARK JOSEPH JOHNSON, MARTHA WILLIAMSON JOHNSON, MARTIN L JR JOHNSON, MARY MORRIS JOHNSON, MELBA CHEVELLE JOHNSON, MICHAEL REESE JOHNSON, MICHELE EMILY JOHNSON, MILES JOHNSON, MILTON IRVIN JR JOHNSON, NANCY ELLEN JOHNSON, NATHANIEL III JOHNSON, NORMAN JAMES JOHNSON, OTTO B JR JOHNSON, PAUL HARRIS JOHNSON, PETER CHARLES JOHNSON, RAY EDWARD JOHNSON, RAY LORING JOHNSON, RICHARD HARDIN JOHNSON, ROBERT EDWIN JOHNSON, ROBERT H JR JOHNSON, ROBERT WILLIAM JOHNSON, ROSALIE VOIGT JOHNSON, RUFUS JULIAN JOHNSON, SAMUEL OLIVER JOHNSON, SIDNEY PHILLIP JOHNSON, SYLVIA CLAYTON JOHNSON, THOMAS DEVANN JOHNSON, THOMAS VINCENT JOHNSON, VEDA CHARMAINE JOHNSON, WALTER EDWIN, JR
010204 3250 HOWELL MILL RD, SUITE 202
ATLANTA
GA
007504 217 MEDICAL WAY
RIVERDALE
GA
036189 619 BRAE BURN DRIVE 011965 840 PINE STREET SUITE 500, P.O. BOX 6317
MARTINEZ
GA
MACON
GA
009389 PO BOX 1830 029689 6363 ROSWELL ROAD NE
ST SIMMONS ISL GA
ATLANTA
GA
029335 1712 EAST BROAD AVE
ALBANY
GA
036190 619 BRAE BURN DRIVE
MARTINEZ
GA
036786 3109 RAMS GATE ROAD
AUGUSTA
GA
027580 700 SUNSET DRIVE, BLDG 500, SUITE 502
ATHENS
GA
024827 682 LANIER PARK DRIVE
GAINESVILLE GA
017459 227 INDUSTRIAL BOULEVARD
DUBLIN
GA
036402 MEDICAL CLINIC OF BLAKELY, 760 COLUMBIA ROAD
BLAKELY
GA
030487 116 MIMOSA DRIVE
THOMASVILLE GA
028797 THE COLUMBUS CLINIC, 610 - 19TH STREET
COLUMBUS
GA
006664 1715 DUNWOODY PLACE NE
ATLANTA
GA
030326 2640 HORSELEG CREEK RD.
ROME
GA
031614 3207 COUNTRY CLUB DRIVE
VALDOSTA
GA
010579 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA
025621 770 PINE STREET, SUITE 300
MACON
GA
030799 1007 GREENFIELD DRIVE, P.O. BOX 929
TIFTON
GA
006924 * 819 MILLEDGE ROAD
AUGUSTA
GA
035914 5063 BENT TREE LOOP
ST MOUNTAIN GA
032758 664 WILLOW KNOLL DRIVE
MARIETTA
GA
037577 506 CRESTVIEW DRIVE
STATESBORO GA
032213 1295 N MORNINGSIDE DRIVE NE
ATLANTA
GA
013637 2625 LANGLAND COURT
ATLANTA
GA
010805 3580 ATLANTA AVENUE
HAPEVILLE
GA
033605 872 EDGEWOOD AVE
ATLANTA
GA
017895 1715 DUNWOODY PLACE NE
ATLANTA
GA
007506 PO BOX 57
BOWDON
GA
020123 5555 PEACHTREE DUNWOODY ROAD, SUITE 337
ATLANTA
GA
037243 1511 OLYMPIAN WAY, SW
ATLANTA
GA
022795 2681 TWIN CREEK TRACE
MARIETTA
GA
027838 1600 MARTHA BERRY BOULEVARD
ROME
GA
038817 200 DARMOUTH PLACE, WEST
PEACHTREE CITY GA
009177 3017 STUART DRIVE
MACON
GA
036403 2659 VARNER DRIVE NE
ATLANTA
GA
032336 4578 VALLEY PKY APT H
SMYRNA
GA
014380 PO BOX 305
WATKINSVILLE GA
010970 104 FAIRVIEW PARK DRIVE
DUBLIN
GA
038818 4012 OAK PARK CIRCLE
ATLANTA
GA
034378 5415 POST ROAD PASS
STONE MOUNTAIN GA
017835 818 ST SEBASTIAN WAY, SUITE 404
AUGUSTA
GA
009178 * 4015 S. COBB DRIVE, S.E.
SMYRNA
GA
007337 4620 WIEUCA ROAD, N.E., UNIT# 35,
ATLANTA
GA
022570 1231 VISTA LEAF DRIVE
DECATUR
GA
016366 3410 WALTON WAY
AUGUSTA
GA
015209 818 ST SEBASTIAN WAY, SUITE 408
AUGUSTA
GA
009179 981 WALKER AVES E
ATLANTA
GA
008808 * 5667 PEACHTREE-DUNWOODY ROAD, SUITE 390, ST. JOSEPH D ATLANTA
GA
026137 3193 HOWELL MILL RD. NW, SUITE 323
ATLANTA
GA
010971 *PO BOX 775
HAZLEHURST GA
028515 3200 DOWNWOOD CIRCLE, SUITE 300
ATLANTA
GA
005857 425 THIRD AVENUE, SUITE 300
ALBANY
GA
033122 897 ST CHARLES AVE
ATLANTA
GA
029894 2934 CHERRY BLOSSOM LANE
EAST POINT GA
011966 1826 WALTON WAY
AUGUSTA
GA
30327
17
30274
10
30907
53
31208
46
31522
33
30328
33
31705
32
30907
10
30909
10
30606
10
30505
33
31021
10
31723-0547 10
31792
36
31901
10
30324-2703 27
30165
10
31602
17
30914-3845 36
31201
41
31793
41
30901
33
30083
33
30067
10
30458
28
30306
10
30345-1507 17
30354
26
30307
36
30324-2703 01
30108
01
30342
44
30310
32
30062
10
30165
30269
10
31204
10
30345
32
30082-4945 15
30677-0305 32
31021
17
30324
28
30088
15
30901
05
30080
33
30342
17
30033
35
30909
41
30910
12
30316
01
30342
17
30327
15
31539
01
30327
15
31701
05
30306
17
30344
32
30904
12
Page No. 107
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
JOHNSON, WESLEY FRANK JOHNSON, WILLIAM KENT JOHNSON, WILLIAM MICHAEL JOHNSON-BRACEY, CHERYL MARIE JOHNSON-JORDAN, DEBRA ELAINE JOHNSTON, BENJAMIN MAYS JOHNSTON, EDWIN DARGAN, JR. JOHNSTON, GEORGE A JOHNSTON, GEORGE A JR JOHNSTON, JACK HAMILTON JOHNSTON, JANICE WILSON JOHNSTON, JOSEPH FRANKLIN JOHNSTON, KIM WALDEN JOHNSTON, MATTHEW MURRAY JOHNSTON, RICHARD BOLES, III JOHNSTON, ROY DONALD JOHNSTON, THOMAS STEVAN JOINER, AIDA ESTER IRASTORZA JOINER, JAMES CLINTON III JOINER, THOMAS ALLEN JOLLES, ALAN MARK JOLLY, PRADEEP CHANDER JONAS, BETH LAURIE JONAS, OLLIVANT SOMMERSETT JONES, ALEXANDER P JONES, ALLEN WOODROW, JR JONES, ALMA R JONES, ALONZO EARL JONES, ARTHUR BENGREE, JR. JONES, BARRY NEILL JONES, BESSIE JUANITA CHAPMAN JONES, CHARLES LEE JONES, CHARLES MAX JONES, CHARLES SWIFT JR JONES, CHERYL ANNE FLETCHER JONES, DAVID CAMPBELL JONES, DAVID WAGNER JONES, DENNIS HARREL JONES, DONNA KENNEDY JONES, DONNA SUE JONES, DWIGHT EDWARD JONES, EDD COLBERT, III JONES, ELLIS LEROY JONES, ERNEST JOSEPH JONES, FOREST D JONES, FRANK DAVIS JONES, GARRIS TRIPPE JONES, GEORGE RANDALL JONES, GEORGE RICHARD JONES, GEORGE W JR JONES, GLYN EVAN JONES, HARVEY ARCHIBALD JONES, HENRY B JR JONES, HERBERT CHAPMAN JONES, HERBERT CORNELIUS JONES, HOWARD DOWLING JONES, HURLEY D JR JONES, JAMES KEATING
036404 037245 024442 037001 032592 018579 029691 006352 017460 016616 021407 012774 024443 030109 033606 034165 036191 036544 009180 022797 037002 022798 038819 023467 005091 032214 027581 036787 011554 012495 027839 012221 015107 019707 034865 031034 021408 026138 024279 029008 019959 033123 010207 014517 006024 032924 026567 010974 014059 009854 035184 025990 006227 038263 012173 025774 008482 031035
734 STONEMILL MANOR
LITHONIA
GA
BROWN RADIOLOGY, 1125 TROUPE ST PO BOX 3845
AUGUSTA
GA
2948 FOXHALL CIR.
AUGUSTA
GA
3320 GLENROSE TRAIL
ATLANTA
GA
235 RYAN ROAD
WINDER
GA
900 FIRST STREET, SUITE B
MACON
GA
5 RIVER VALLEY COURT
ROME
GA
900 FIRST STREET, SUITE B
MACON
GA
900 - 1ST STREET, SUITE A
MACON
GA
62 N MAIN ST
ELLIJAY
GA
1619 LADY MARION LANE
ATLANTA
GA
DEPT. OF ANESTHESIOLOGY, MEDICAL COLLEGE OF GEORGIA AUGUSTA
GA
840 PINE STREET, SUITE 880
MACON
GA
195 HAMPTON POINT DRIVE
ST SIMONS ISLA GA
3455 APT M NORTH DRUID HILLS RD
DECATUR
GA
4202 LOFTWOOD DRIVE
COHUTTA
GA
660 HILLANDALE CIR
MARIETTA
GA
2116 MCLENDON AVENUE
ATLANTA
GA
IRVIN WAY MED OFF BLDG SUITE 203, 2711 IRVIN WAY
DECATUR
GA
PO BOX 1326
ALBANY
GA
1362 RHODES ST, APT 1
COLUMBUS
GA
GA ONCOLOGY HEMATOLOGY CLINIC, 993-D JOHNSON FERRY RD ATLANTA
GA
215 LACKLAND COURT
ATLANTA
GA
2500 MELODY WAY
MILLEDGEVILLE GA
210 ROCK ST
GRIFFIN
GA
111 LISMORE DRIVE
LAGRANGE
GA
3738 CHATEQUGUAY DRIVE
DECATUR
GA
1841 SOUTH MAIN STREET
MOULTRIE
GA
730 PEACHTREE STREET, NE, SUITE 1070
ATLANTA
GA
2150 L PEACHFORD ROAD
ATLANTA
GA
1660 NEW HOPE ROAD S.W.
ATLANTA
GA
200 SOUTH ENOTA, SUITE 150
GAINESVILLE GA
35 COLLIER RD, SUITE 405
ATLANTA
GA
5770 POWERS FERRY ROAD, NW
ATLANTA
GA
425 3RD AVE, SUITE 100
ALBANY
GA
SAVANNAH ONCOLOGY CTR. 11, 310 EISENHOWER DRIVE
SAVANNAH
GA
2040 RIDGEWOOD DR NE
ATLANTA
GA
1503 WINTER STREET
AUGUSTA
GA
RR 2 BOX 655
ABBEVILLE
GA
1031 OAKDALE RD
ATLANTA
GA
550 FAIRBURN RD, SUITE B-1
ATLANTA
GA
PO BOX 929 - APOLLO DR
FITZGERALD GA
DEPT OF CARDIOVASCULAR SURGERY, 1365 CLIFTON ROAD NE ATLANTA
GA
1111 VELTRE CIRCLE, S.W.
ATLANTA
GA
2204 CREEK PARK RD
DECATUR
GA
425 THIRD AVENUE, SUITE 300
ALBANY
GA
1550 MARS HILL ROAD
WATKMINSVILLE GA
1462 MONTREAL RD, SUITE 318
TUCKER
GA
380 HOSPITAL DRIVE, SUITE 350
MACON
GA
100 - 10TH STREET NW
ATLANTA
GA
DEPT OF PLASTIC SURGERY, 25 PRESCOTT STREET NE
ATLANTA
GA
PO BOX 54801
MACON
GA
W. CLINTON STREET
GRAY
GA
214 CALGARY GLEN
AUSTELL
GA
2600 ML KING JR DRIVE SW, SUITE 302
ATLANTA
GA
1013 MOSS WAY
VALDOSTA
GA
3010 HAMPTON AVE
BRUNSWICK
GA
1555 DOCTOR'S DRIVE, SUITE 101
LAGRANGE
GA
30058
32
30914-3845 36
30907
34
30341
03
30080
15
31201
17
30165-8535 03
31201
10
31201
13
30540-5004 17
30309
15
30912-2700 03
31201
44
31522
00
30033
28
30710
36
30064
17
30307
03
30030
27
31702
08
31901
10
30342
17
30350
17
31061
30223
10
30240
10
30034
17
31768
05
30308
15
30338
33
30331
30501
32
30309
41
30327
17
31703
10
31406
36
30307-1028 32
30904
41
31001
08
30307
32
30331
22
31750
10
30322
40
30311
10
30033
32
31701
17
30677
10
30084
10
31201
27
30309
17
30308
47
31208
41
31032
10
30001
30
30311
30
31602
01
31523
17
30240
30
Page No. 108
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
JONES, JAMES MERRILL II
031036 3200 DOWNWOOD CIRCLE, SUITE 125
JONES, JAMES YOUNG
013050 ERIN OFFICE PARK
JONES, JEFFERSON CONWAY
026766 * 2000 - 10TH STREET, SUITE 100
JONES, JEFFERY EDWARD
033366 417 THIRD AVENUE, DEPT OF PATHLOGY
JONES, JEFFREY LEE
036546 4299 ALLENHURST DRIVE, NW
JONES, JERRY PERKINSON
033844 2682 HARVEST DRIVE
JONES, JESSE SHERWOOD JR
008484 1109 BURLEYSON ROAD
JONES, JO ANN DAVIS
027210 1136 CLEVELAND AVE, SUIE 611
JONES, JOHN PAUL
004517 2009 VINEVILLE AVE.
JONES, JONSEY JANE
024271 2675 NORTH DECATUR ROAD, SUITE 309
JONES, JOSEPH GREGORY
029009 856 FIRST STREET
JONES, KENNETH D
009182 2058 CENTRAL AVENUE
JONES, KENNETH EDWARD W
024000 3806 CLIFF CREST DRIVE
JONES, KENNETH WAYNE JR
031037 PO BOX 819
JONES, LI NOA SUE
030111 1514 E. EVANS STREET, P.O. BOX 1308
JONES, MACK ARTHUR
017572 730 PEACHTREE STREET, SUITE 1010
JONES, MARILAVINIA
036788 3060 KENNAN ROAD, PO BOX 492521
JONES, MARK MITCHELL
030488 2001 PEACHTREE ROAD, N.E., SUITE 630
JONES, MARVIN PAUL
029692 2201-B OSBORNE ROAD, PO BOX 1163
JONES, MARY BERNADEAN
016807 *PO BOX 155
JONES, MICHAEL DAVID
033607 175 DECATUR RD, SUITE B
JONES, MICHAEL TODD
038264 1580 DELIA DR
JONES, MITCHELL TAYLOR
035448 952 GLEN ARDEN WAY
JONES, NORMAN EARL
014639 PIEDMONT HOSPITAL, DEPT OF RADIATION THERAPY
JONES, PHILIP FRANK
013757 630 BYARS ROAD
JONES, RICHARD BIVINS
009532 755 MT VERNON HWY, SUITE 400
JONES, ROBERT CHANDLER
037003 3200 RIVERSIDE DR, SUITE 210
JONES, ROBERT DEWITT SINGLETON 030629 RR 1 BOX 1820
JONES, ROBERT EVANS
032925 5400 SUTLIVE ST. -SUITE ONE
JONES, ROBERT HOLMES
008812 420 CHARTER BLVD, SUITE 208
JONES, ROBERT PATRICK
031451 11702 MERCY BLVD 1-C, BOX 3
JONES, RUDOLPH W JR
005704 883 PINE STREET
JONES, SANDRA JO
034869 2600 MARTIN LUTHER KING JR DR SW, S-302
JONES, SAUNDERS JR
022241 PO BOX 200188
JONES, SIDNEY AMOS
036547 5140 E. PONCE DE LEON AVE, APT 0
JONES, STEVEN REECE
029694 MEDICAL COLLEGE OF GEORGIA, BP 3231
JONES, SUSAN LEIGH
031268 PO BOX 3400
JONES, TAN.YA YVONNE TOLER
028017 850 FOREST OVERLOOK DRIVE
JONES, TERESA ANN
037004 817 HICKMAN RD, APT B-39
JONES, THEODORE STEPHEN
022242 1336 PASADENA AVENUE
JONES, THOMAS CUNNINGHAM
021530 770 PINE ST, SUITE 500
JONES, THOMAS LANIER
036193 261 ALBERTA DRIVE, NE
JONES, TIMOTHY ALAN
029895 1141 HARTFORD TRAIL
JONES, TINA
029010 2697 SPRING ROAD
JONES, WANDRA LOUISE
031452 5205 PANOLA MILL DRIVE
JONES, WILLIAM BIRD
021167 660 A LANIER PARK DR,NE
JONES, WILLIAM TORRANCE
017758 NORTHLAKE STATION, P.O.BOX 907054
JONES, WIRT A JR
012717 478 PEACHTREE STREET, N.E., SUITE 1015-A
JONES, WOODFIN GRADY, JR.
030328 1051 TWIN LAKES ROAD
JONES, ZOE JANETTE
026314 1157 FORSYTH ST.
JONES-BAILEY, ALISE MARIE
034870 6 WIEUCA TRACE
JONES-FREEMAN, VALERIE TERESA 032926 WE CARE MEDICAL PRACTICE, PO BOX 7206
JONES-TAYLOR, CEDRELLA CAROL 026313 3699 HOFSTRA COURT
JORDAN, CARL RANKIN
006025 * 1627 MILLS BLANE BLVD.
JORDAN, CHARLES G JR
004259 LAKE ARROWHEAD 2027
JORDAN, DARRELL WILLIAM
029695 RT 4 BOX 385
JORDAN, JOSEPH LOUIS
022003 310 W GORDON AVE
JORDAN, QUINCY JEROME
033367 1057 MORNINGSIDE DRIVE
ATLANTA
GA
DUBLIN
GA
COLUMBUS
GA
ALBANY
GA
NORCROSS
GA
CONYERS
GA
DALTON
GA
EAST POINT GA
MACON
GA
DECATUR
GA
MACON
GA
AUGUSTA
GA
SMYRNA
GA
BALDWIN
GA
BAINBRIDGE GA
ATLANTA
GA
COLLEGE PARK GA
ATLANTA
GA
ST. MARY'S GA
NICHOLLS
GA
MCDONOUGH GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
MACON
GA
HAWKINSVILLE GA
SAVANNAH
GA
MACON
GA
SAVANNAH
GA
MACON
GA
ATLANTA
GA
CARTERSVILLE GA
STONE MOUNTAIN GA
AUGUSTA
GA
EATONTON
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
EVANS
GA
SMYRNA
GA
LITHONIA
GA
GAINESVILLE GA
GAINESVILLE GA
ATLANTA
GA
ATHENS
GA
MACON
GA
ATLANTA
GA
MACON
GA
DECATUR
GA
SAVANNAH
GA
WALESKA
GA
TIFTON
GA
ALBANY
GA
PERRY
GA
30327
16
31021
27
31901
10
31701
31
30092
10
30208
33
3D720
17
30344
06
31204
32
30033
31201
27
30904
33
30080
30511
10
31717
00
30308
12
30349
17
30309
30
31558
17
31554
10
30253-2098 10
30033-3372 36
30306
17
30309
36
31210
31
30328
17
31210-2515 10
31036-9731 28
31405
40
31210-4895 17
31419
32
31201
17
30311-1636 30
30120-9004 28
30083
17
30912
32
31024-3400 10
30331
10
30904
10
30306
53
31201
09
30305
17
30809
32
30080
17
30058
21
30505
52
30501
08
30308
27
30606
10
31201
05
30324
15
31209-7206 22
30034
17
31405-2955 41
30183
02
31794
15
31701
10
31069
53
Page No. 109
NAME
JORDAN, STEPHEN M JORDAN, THOMAS MCNEILL JORDAN, TODD HENRY JORDAN, TOMMY HENRY JORDAN, WILLIAM DANIEL JORDAN, WILLIAM DANIEL, JR JORDAN, WILLIS POPE III JORGENSEN, DANIEL MARTIN JOSE, JAMES JOSEPH, ALFRED JOSEPH, DANIEL MARK JOSEPH, FRANK ROBERT JOSEPH, FREDERIC BARRY JOSEPH, GREGORY JUSTIN JOSEPH, ISAAC V. JOSEPHSON, ALLAN MARK JOSEY, JOHN SPEIR JOSEY, WILLIAM ELLIS III JOSHI, DAKSH MADHUSUDAN JOSHI, HARSHVADAN PRADYUMN JOSHI, RAHUL NAVIN JOSHI, YOGESHKUMAR KANTILAL JOVE' , MAURICE JOVE, DONNA F JOVE, JULIO JOWERS, JONATHAN RONALD JOYCE, JOHN MARK JOYNER, DOUGLAS RAY JOYNER, EARL COLUMBUS JUDY, JIMMY CASH JUN, CHANNING S JUNCO, ANTHONY, JR JUNCOS, JORGE LUIS JUNE, PATRICIA LEE JUNG, HAEJA KIM JUNG, HEE CHANG JURADO, RAFAEL LEONARDO JURGENSEN, PAUL FRANCIS JURKIEWICZ, MAURICE JOHN JUSINO, JOHN CHRISTOPHER JUSTER, CINDY LEE JUSTICE, ALAN DEAN JUSTICE, EDGAR LOWELL JUSTICZ, ALEXANDER GEORGE
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
013200 030329 035915 013820 008487 037578 014519 037579 026568 007047 030112 023613 033993 033124 028285 028019 006665 006931 025357 035073 038526 016936 022799 011875 011876 010977 032593 031039 033776 013051 011555 038821 030113 017838 019960 019961 025877 013638 014060 028286 033368 032405 014520 031040
PO BOX 989
STATESBORO GA
5671 PEACHTREE-DUNWOODY ROAD, SUITE 550
ATLANTA
GA
130 GALESBURG DRIVE
LAWRENCEVILLE GA
664 LANIER PARK DR NE
GAINESVILLE GA
35 COLLIER ROAD N.W., SUITE 385
ATLANTA
GA
2896 PONDEROSA CIRCLE
DECATUR
GA
330 TURNER MCCALL BLVD, SUITE 301
ROME
GA
931 BRIARHILL LANE
ATLANTA
GA
5555 PEACHTREE DUNWOODY RD NE, SUITE 349
ATLANTA
GA
3343 SIR HENRY ST
EAST POINT GA
3706 ROBINSON WALK COURT
MARIETTA
GA
3193 HOWELL MILL ROAD #204
ATLANTA
GA
2469 HUNTING VALLEY DRIVE
DECATUR
GA
700 GREYSTONE PARK, N.E.
ATLANTA
GA
6555 PROFESSIONAL PL, SUITED
RIVERDALE
GA
3631 PEBBLE BEACH DRIVE
AUGUSTA
GA
3010 HAMPTON AVE
BRUNSWICK
GA
1365 CLIFTON RD, EMORY UNIVERSITY CLINIC
ATLANTA
GA
3861 GLENHURST DRIVE
SMYRNA
GA
COLUMBUS CANCER CENTER, 633-A 19TH STREET
COLUMBUS
GA
324 PEACHTREE HILLS CIRCLE
ATLANTA
GA
1810 MULKEY ROAD, SUITE 102
AUSTELL
GA
54 PARK LANE
ATLANTA
GA
157 THE PRADO NE
ATLANTA
GA
2801 N DECATUR ROAD, SUITE 200
DECATUR
GA
210 OAK ST
MARTINEZ
GA
509 PRINCETON WAY
ATLANTA
GA
234 TAYLOR STREET
AMERICUS
GA
667 SOUTH 8TH STREET
GRIFFIN
GA
PO BOX 14459
SAVANNAH
GA
PO BOX 519
EASTMAN
GA
40 CLARK TERRACE
SAVANNAH
GA
EMORY UNIV. SCHOOL OF MEDICINE, 6000 WOODRUFF MEM PO ATLANTA
GA
1317 S MAIN STREET
MOULTRIE
GA
251 MEDICAL WAY, SUITE B
RIVERDALE
GA
251 MEDICAL WAY, SUITE B
RIVERDALE
GA
575 HAWKEYE DRIVE
STONE MOUNTAIN GA
PO BOX 15238
SAVANNAH
GA
DEPT. OF SURGERY, 25 PRESCOTT STREET
ATLANTA
GA
4219 KNOLLCREST CIRCLE
MARTINEZ
GA
2477 PINE COVE DR
TUCKER
GA
682 HEMLOCK STREET, SUITE 290
MACON
GA
322 SOUTH MAIN ST
BLAKELY
GA
1014 VISTAVIA CR
DECATUR
GA
30458
17
30342
17
30244
10
30501
33
30309
50
30033
41
30165-2747 15
30324
32
30342
32
30344
32
30068
00
30327
30033
36
30324
36
30274-2519 05
30907
33
31520
27
30322
15
30080
17
31901
17
30305
15
30001
15
30309
01
30309
31
30033
46
30907
10
30307
33
31709
41
30223
17
31416
52
31023
41
31404
10
30322
23
31768
17
30274
04
30274
03
30083
01
31416-1938 17
30308
47
30907
08
30084
32
31201
17
31723
01
30033
08
-K-
KABBANI, AZMI AHMAD
031171 682 HEMLOCK STREET, SUITE 320
MACON
GA 31201
17
KABRAWALA, PRATIBHA B. MANDALA 028579 2210 ASHTON DRIVE
ROSWELL
GA 30076
32
KADIS, GERALD NEIL
020448 704 SOUTH BROAD STREET
THOMASVILLE GA 31792
44
KADREE, MARGARET ANTONIA VIDAL 037006 105 SILVER SPRINGS DRIVE
FAYETTEVILLE GA 30214
17
KADUM, FAREED ZAKEER
022993 958-A JOE FRANK HARRIS PKWY, SUITE 102
CARTERSVILLE GA 30120
15
KAESEMEYER, WAYNE HARRY
022800 1021 15TH STREET, SUITE 2
AUGUSTA
GA 30901
17
KAGAN, STEPHEN AARON
034381 2401 MELINDA DRIVE
ATLANTA
GA 30345
53
KAHAN, BERNARD B
029896 7 PIEDMONT CENTER, SUITE 407, 3525 PIEDMONT ROAD NE ATLANTA
GA 30305
33
KAHAN, JOEL
027290 3633 WHEELER ROAD, SUITE 110
AUGUSTA
GA 30909
33
KAHN, ERIC MARTIN
012174 5671 PEACHTREE DUNWOODY RD, SUITE 250
ATLANTA
GA 30342
40
Page No. 110
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KAHN, HENRY SLATER KAHN, JEFFREY ALEXANDER KAHN, LESLIE NANCY KAHN, NEIL ANDREW KAHN, S DAVID KAINE, RICHARD FREDERICK KAISER, RICHARD RALPH KAISER, ROBERT LINCOLN KAISER, WILLIAM JOSEPH KAJANI, MIRZA ALI KALATHOOR, JAYALAKSHMI REEDY KALATHOOR, PARANDHAMA KALE, LAURA BRADHAM KALE, MILTON PAUL KALISH, LOUIS BRETT KALLAY, EUGENE WYNN, II KALLI, RAMANA VB KALLIANOS, GEORGE ANGELOS KALSON, MICHAEL JOEL KALYNYCH, ANNA MARIE KAMATH, ARVIND PANDURANG KAMATH, MANJESHWAR VINAYAK KAMB, MARY LOUISE KAMBISS, SCOTT MICHAEL KAMINER, SHARON JEAN KAMINSKI, MARYL KANAVAGE, CHESTER B KANE, CECELIA PATRICE KANE, FRANCIS JOSEPH KANES, GEORGE JOHN KANG, JOHN KANN, HERBERT ELLIS JR KANTER, KIRK RANDY KANTER, WALTER KANTO, WILLIAM P JR KAO, SHIU-WEN KAPLAN, ALAN ROBERT KAPLAN, ANDREW JON KAPLAN, CAROLYN RUTH KAPLAN, GARY JAY KAPLAN, JONATHAN ELIOT KAPLAN, LAWRENCE DAVID KAPLAN, RICHARD DAVID KAPLAN, RONALD !VAN KAPORDELIS, GREGORY CHARLES KAPSCH, DONALD NORMAN KARADI, BASAWRAJ KARAMPELAS, DEAN THEODORE KARANDANIS, DOROTHY KARAS, JAMES STEVEN KARASU, SUAT KARASU, ZEYNEP KARATELA, RIZWAN AHMED KAREMPELIS, DANIEL SCOTT KARKALA-REDDY, JEEVAN P KARLEN, ERIC BOOTH KARLIN, SCOTT MARC KARNETT, BERNICE
015110 037843 028580 030489 011809 031041 012926 031269 034166 031955 019708 019709 034113 035917 038822 027395 023174 028420 028421 038527 033846 023371 033608 038026 033369 031453 010208 037581 035274 029336 036789 016618 030631 004871 016619 037582 027074 033609 037844 012499 032215 022004 031773 018304 034382 027841 026881 026141 014279 037248 014250 018305 032216 028422 032759 037584 031775 026570
DEKALB GRADY CLINIC, 30 WARREN STREET
ATLANTA
GA
1125 BRIARCLIFF PL, APT 8
ATLANTA
GA
CSRA INTERNAL MED ASSOCIATES, 3623 J DEWEY GRAY CIR, AUGUSTA
GA
1757 KANAWHA TRAIL
STONE MOUNTAIN GA
3715 NORTHSIDE PARKWAY, 100 NO. CREEK #610
ATLANTA
GA
1250 VINTAGE CLUB DRIVE
DULUTH
GA
1676-C MULKEY ROAD
AUSTELL
GA
846 BARTON WOODS RD
ATLANTA
GA
549 WELLINGTON WAY
HINESVILLE GA
NEWNAN MEDICAL PLAZA, 58 HOSPITAL RD #105
NEWNAN
GA
P O BOX 1303
VIDALIA
GA
P O BOX 1303
VIDALIA
GA
1035 FAIRFIELD CT
MARIETTA
GA
567 ANSLEY WAY
EVANS
GA
4414 WATERBURY LANE
MARIETTA
GA
550 PROFESSIONAL DRIVE, SUITE 100
MACON
GA
5000 OXFORD RD.
MACON
GA
6855 HUNTER'S TRACE CIRCLE
ATLANTA
GA
318 TRIBBLE GAP ROAD
CUMMING
GA
5659 REDCOAT RUN
ST MOUNTAIN GA
109 CRESTVIEW ROAD
WEST POINT GA
820 ST SEBASTIAN WAY, SUITE 2-D
AUGUSTA
GA
1460 NORTH AVENUE, N.E.
ATLANTA
GA
6029 FLAT ROCK RD, APT 140
COLUMBUS
GA
2906 NORGATE DRIVE
AUGUSTA
GA
752 FRENCHS PT
MARIETTA
GA
P. 0. BOX 3726
AUGUSTA
GA
2561 ACORN AVENUE
ATLANTA
GA
EMORY CLINIC, 25 PRESCOTT ST, NE ROOM 3420
ATLANTA
GA
1134 HAVEN GLEN LANE
ATLANTA
GA
2157-Q LAKE PARK DRIVE
SMYRNA
GA
2675 NORTH DECATUR ROAD, SUITE 701
DECATUR
GA
CARDIOVASCULAR SURGERY, 1365 CLIFTON RD NE
ATLANTA
GA
PO BOX 9621
SAVANNAH
GA
5 BENT TREE COURT
AUGUSTA
GA
1229 ELEGANTE COURT
STONE MOUNTAIN GA
NORTHSIDE ANESTHESIOLOGY ASSOC, 1000 JOHNSON FERRY RO ATLANTA
GA
2314 TANGLEWOOD RD
DECATUR
GA
1125 OXFORD RD
ATLANTA
GA
3910 AUSTELL RD, SUITE 204
AUSTELL
GA
2319 ECHO HILLS CIRCLE
ATLANTA
GA
600 PROFESSIONAL DR, SUITE 160
LAWRENCEVILLE GA
1217 CUMBERLAND RD
ATLANTA
GA
2520 WINDY HILL ROAD, SUITE 205
MARIETTA
GA
2325 LITTLEBROOKE WAY
DUNWOODY
GA
1700 HOSPITAL SOUTH DRIVE, SUITE 405
AUSTELL
GA
103 SHENAN COURT
WARNER ROBINS GA
5649 BROOKSTONE DRIVE
ACWORTH
GA
570 FOND DU LAC DR
STONE MT
GA
119 WEST HILL STREET
THOMASVILLE GA
211 CHICOPEE DRIVEN E
MARIETTA
GA
211 CHICOPEE DRIVE
MARIETTA
GA
3157 MCCULLY DRIVE
ATLANTA
GA
5555 PEACHTREE DUNWOODY ROAD, SUITE #190
ATLANTA
GA
3310 HAVERHILL ROWE
LAWRENCEVILLE GA
1121 JOHNSON FERRY ROAD, SUITE 220
MARIETTA
GA
1459 MONTREAL ROAD, SUITE 504
TUCKER
GA
403 TUXWORTH CIRCLE
DECATUR
GA
30317
17
30306
17
30909
17
30087
33
30327-2884 33
30136
17
30001
32
30307
01
31313
41
30263
30474
03
30474
52
31312
15
30809
32
30062
04
31201
32
31210
30328
36
30103
46
30087
05
31833
17
30901
01
30307
01
31907
10
30909
32
30064-1356 16
30914-3726 41
30305
33
30308
33
30319
17
30080
30
30033
16
30322
05
31402
01
30909
21
30083
10
30342
03
30033
05
30306
15
30001
23
30345
09
30245
17
30306
17
30067
41
30338
03
30001
50
31088-6289
30101
34
30088
17
31792
05
30060
03
30060
32
30345
32
30342
06
30244
10
30068
32
30084
20
30033
Page No. 111
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KAROL, RICHARD JAY KARPAS, ANTHONY ERROL KARR-PETERSON, SUSAN JEAN KARSH, RICHARD BRUCE KARTZINEL, RONALD KASCKOW, JOHN WILLIAM KASHLAN, MALAKA AL-AZEM KASHLAN, RAFIK BADR KASOW, GLENN GERSHON KASSABIAN, VAHAN S KASSAM, GULZAR BAHADURALI KASSAM, MARY-JANE B. KASSAM, MOHAMED HABIB KASSAM, SHIRAZ HABIB KASSLER, WILLIAM JACOBY KASTING, GREGG A KATBAMNA, BHAGIRATH HEMENDRA KATNER, HAROLD PAUL KATOPES, MICHAEL GERALD KATZ, CATHERINE ANN BEVERIDGE KATZ, EDWARD KENNETH KATZ, FRED N KATZ, IAN KATZ, MYRON MICHAEL KATZ, PAUL JACK KATZ, STUART STEPHEN KAUFF, RICHARD EDEN KAUFFMAN, CLIFFORD LEE KAUFFMAN, RICHARD KAUFMAN, GARY PHILLIP KAUFMAN, JEROME E KAUFMAN, MARILYN BETH KAUFMAN, NATHAN KAUFMAN, STEPHEN LAWRENCE KAUFMANN, GARY EDMUND KAUFMANN, JAMES ARON KAUFMANN, ROBERT ALAN KAUFMANN, ROBERT SCOTT KAUR-SIDHU, GURINDERJIT KAUTEN, JAMES RICHARD KAVELMAN, DOUGLAS ALAN KAVURI, SURENDRANATH KAY, FERDINAND VOGT KEAN, LARRY ALAN KEAN, WALTER FAIRBAIRN KEANE, THOMAS EDWARD KEARNS, PATRICK DAVID KEARNS, STRATTON THOMAS KEATING, JOHN G. KEATING, PHILIP JOSEPH KEATON, MARK ROBERT KEEFE, BRIAN THOMAS KEELEY, SAMUEL BLAINE KEENAN, DAVID LOUIS KEENE, WILLIS RIGGS KEENER, ELLIS B KEETON, WILLIAM FREDERICK KEH, MILAGROS SY
028581 429 GUILFORD CIRCLE
MARIETTA
GA
020042 3193 HOWELL MILL ROAD NW, SUITE 326
ATLANTA
GA
037845 1 WOODBRIDGE WAY
EVANS
GA
024958 PO BOX 2450
THOMASVILLE GA
035667 6386 NICHOLS ROAD
FLOWERY BRANCH GA
036194 216 NORTH DECATUR LANE
DECATUR
GA
020750 181-A UPPER RIVERDALE RD, SUITE #3
RIVERDALE
GA
020751 240 ARROWHEAD BLVD
JONESBORO
GA
014149 2179 NORTHLAKE PKY, SUITE 109
TUCKER
GA
035668 EMORY CLINIC, DEPT OF UROLOGY, 1365 CLIFTON RD, N.E. ATLANTA
GA
015009 478 PEACHTREE STREET, SUITE 401 A
ATLANTA
GA
033610 ROCKDALE FAMILY PRACTICE, 2020 HONEY CREEK PKWY SE CONYERS
GA
033847 ROCKDALE FAMILY PRACTICE, 2020 HONEY CREEK PKWY SE CONYERS
GA
021321 1309 MILSTEAD ROAD, SUITE A
CONYERS
GA
033611 CDC, DIV OF STD/HIV PREVENTION, MAILSTOP E02
ATLANTA
GA
031776 2898 LIVSEY DRIVE
TUCKER
GA
036790 3078 CLAIRMONT RD, APT 816
ATLANTA
GA
028021 MED CENT OF CENTRAL GA, PO BOX 6000 HOSP BOX 79
MACON
GA
025449 1106 RIVERVIEW DRIVE
MARIETTA
GA
035449 BOX 2025 ROUTE 1
JULIETTE
GA
022161 113 PONY CIRCLE
THOMASVILLE GA
013567 NORTHLAKE REGIONAL MED CENTER, 1455 MONTREAL ROAD TUCKER
GA
018507 2675 NORTH DECATUR ROAD, SIOTE 611
DECATUR
GA
013906 237 UPPER RIVERDALE ROAD
RIVERDALE
GA
033251 237 UPPER RIVERDALE ROAD
RIVERDALE
GA
018392 5667 PEACHTREE DUNWOODY ROAD, SUITE 385
ATLANTA
GA
035918 ALBANY AREA PH C, 235 ROOSEVELT AVE, S 557
ALBANY
GA
028176 1137 EAGLES LANDING PKY
STOCKBRIDGE GA
018682 * 4199 PACES FERRY RD.,N.W., SUITE A
ATLANTA
GA
026571 80 LACY STREET
MARIETTA
GA
018508 1849 MALLARD LAKE DRIVE
MARIETTA
GA
032217 8954 HOSPITAL DRIVE, SUITE 110C
DOUGLASVILLE GA
022005 2211 DARTMOUTH ROAD
AUGUSTA
GA
031044 31 LULLWATER ESTATE RD
ATLANTA
GA
010979 * 14 FENWICK PLACE
ATLANTA
GA
005906 565 W PEACHTREE ST NE
ATLANTA
GA
035669 2239 KINGS WAY
AUGUSTA
GA
030115 KAUFMANN DIAGNOSTIC CLINIC, .565 PEACHTREE STREET, NE ATLANTA
GA
035275 250 WALHALLA COURT
ATLANTA
GA
024830 2001 PEACHTREE ROAD, SUITE 440
ATLANTA
GA
025191 *PO BOX 687
LUMPKIN
GA
015269 112 ROWE ST
DUBLIN
GA
008813 420 CHARTER BOULEVARD, SUITE 103
MACON
GA
028287 1201 HICKORY DR
VALDOSTA
GA
032760 610 PEACHTREE PARKWAY
CUMMING
GA
037586 THE EMORY CLINIC UROLOGY
ATLANTA
GA
028022 311 WEST 8TH STREET
ROME
GA
032218 GAINESVILLE FAMILY MEDICINE, 200 SOUTH ENOTA DRIVE, S GAINESVILLE GA
024444 3715 NORTHSIDE PKY NW, 400 NORTHCREEK- SUITE 150
ATLANTA
GA
036550 4025 MADDOX ROAD
AUGUSTA
GA
028423 4191 QUAIL SPRING CIRCLE
MARTINEZ
GA
037587 425 THIRD AVENUE, SUITE 300
ALBANY
GA
035074 * ST FRANCIS MED PK, 2300 MANCHESTER EXPWAY BLD E
COLUMBUS
GA
029481 5980 RIVERWOOD DRIVEN W
ATLANTA
GA
016937 130 N GROSS ROAD, SUITE 205
KINGSLAND
GA
006232 434 ACADEMY ST. NE
GAINESVILLE GA
014062 2675 N DECATUR# 309
DECATUR
GA
018509 PO BOX 6688
AMERICUS
GA
30068
41
30327
17
30809
10
31799
36
30542
23
30033
33
30274
03
30236
41
30084-4101 50
30322
52
30308
15
30208
10
30208
10
30207
15'
30333
17
30084
10
30329
17
31201
30067
31046
10
31792
33
30084
36
30033
41
30274
25
30274
25
30342
05
31707
32
30281-5080 32
30339
17
30060
23
30068
17
30134
32
30904
31
30307
36
30328
44
30308
17
30904
15
30308-3579 00
30350
16
30309
40
31815
17
31021
32
31210
10
31602
33
30131
37
30322
52
30165
31
30501
10
30327-2806
30909
03
30907
16
31707
17
31904
05
30328
15
31548
17
30501
44
30030
03
31709
33
Page No. 112
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KEHL, DOUGLAS KEITH
021533 5455 MERIDIAN MARK RD, SUITE 440
ATLANTA
GA
KEHL, THOMAS EARL
028424 310 HOSPITAL DR, SUITE 200
MACON
GA
KEHLER, WILLIAM DAVID
024697 14 CAISSON CROSSING
SAVANNAH
GA
KEITH, JAMES WHITESIDE
033372 11 FLINTRIDGE
MOULTRIE
GA
KEITH, THOMAS L
012501 743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
KEITHLEY, LARRY MARTIN
031456 PO BOX 1248
AMERICUS
GA
KEIZER, LAVERNE RICHFORD
038825 516 SALEM WOODS DR
MARIETTA
GA
KELL, MICHAEL JON
029011 PRIVATE CLINIC -SUITE 900, 1447 PEACHTREE ST NE
ATLANTA
GA
KELLAM, PAUL DAVID, JR
034168 3443-H NORTH DRUID HILLS ROAD, APT H
DECATUR
GA
KELLEHE~, ROBERT M
012223 4536 CHAMBLEE-DUNWOODY RD., SUITE 191
ATLANTA
GA
KELLER, ALEXANDER PAUL III 013640 1010 PRINCE AVE
ATHENS
GA
KELLER, ALEXANDER PAUL, JR 005022 1010 PRINCE AVENUE
ATHENS
GA
KELLER, JAMES WILLIAM
014640 DEPT OF RADIATION ONCOLOGY, 1365 CLIFTON ROAD NE ATLANTA
GA
KELLER, JOHN ALBERT
020555 108 NORTH PARK DRIVE
FAYETTEVILLE GA
KELLER, SCOTT TERRY
024445 1944 ROCKBRIDGE ROAD
STONE MOUNTAIN GA
KELLERMAN, ARTHUR LODGE
037249 EMORY UNIV CENTER FOR INJURY, CONTROL 1462 CLIFTON ATLANTA
GA
KELLETT, BARTO PAUL
024275 4555 N SHALLOWFORD RD, SUITE 207
ATLANTA
GA
KELLEY, CHARLES NEIL
011599 710 BROAD ST
GAINESVILLE GA
KELLEY, JAMES H
008814 1245 MELBENAN DRIVE SW
ATLANTA
GA
KELLEY, JAMES M JR
009029 215 GREENVIEW RD
ROME
GA
KELLEY, JOHN PHILIP
024276 1459 MONTREAL ROAD, SUITE 309
TUCKER
GA
KELLEY, JOHN WALTER
016253 818 ST SEBASTIAN WAY, SUITE 308
AUGUSTA
GA
KELLEY, JOHN WELDON
006028 232 WEST COLLEGE STREET
GRIFFIN
GA
KELLEY, LEE AMEEN
030116 2001 PEACHTREE ROAD NE, SUITE 705
ATLANTA
GA
KELLEY, PHILLIP BRIAN
032843 1585 ROBINS WALK
ALPHARETTA GA
KELLEY, ROBERT EARL JR
013054 1270 PRINCE AVE
ATHENS
GA
KELLEY, TERRY VERN
024277 72 PLAZA WAY
MARIETTA
GA
KELLUM, CHARLES DENNIS
029337 380 HOSPITAL DRIVE, SUITE 410
MACON
GA
KELLY, ANNA MARIE CROMER
034624 2997 LOWE TRAIL
MARIETTA
GA
KELLY, BYRON THOMAS
032762 41 MARIETTA ST STE 805
ATLANTA
GA
KELLY, CYNTHIA WOODWARD
030929 SNAPFINGER WOODS PEDIATRIC ASSOC, 5008 SNAPFINGER WO DECATUR
GA
KELLY, ELMO CLYDE, III
011392 380 HOSPITAL DR, SUITE 300 BLDG A
MACON
GA
KELLY, FRANICS BURNS
016539 1590 FORSYTH ST
MACON
GA
KELLY, GENE MCKENZIE
008129 380 HOSPITAL DRIVE SUITE 465, PO BOX 2564
MACON
GA
KELLY, GORDON MCNEILL, JR
033373 4139 HOSPITAL DR
COVINGTON
GA
KELLY, JAMES CORBITT
017841 * 264 W GREEN STREET
MONTICELLO GA
KELLY, JANETTA
034169 * 2241 YOUNG ROAD
STONE MOUNTAIN GA
KELLY, JULIAN D JR
011655 601 E 66TH ST, SUITE 102
SAVANNAH
GA
KELLY, MARY FRANCES
026882 1106 LANIER BLVD NE
ATLANTA
GA
KELLY, RICHARD JEAN.
031045 716 JONES.CREEK ROAD
EVANS
GA
KELLY, ROBERT A
034872 440 BARRETT PARKWAY, SUITE 55
KENNESAW
GA
KELLY, ROBERT OWEN
034384 ROCKBRIDGE FAMILY MEDICINE, 1192-A ROCKBRIDGE ROAD STONE MOUNTAIN GA
KELLY, WILLIAM DANIEL
013641 203 WHEELER STREET
SAVANNAH
GA
KELMAN, LESLIE
017623 5671 PEACHTREE DUNWOODY ROAD, SUITE 620
ATLANTA
GA
KELSO, WILLIAM ROBERT II
023175 105 CARDINAL RIDGE RD.
THOMASVILLE GA
KELZ, ARNOLD
028288 108 ROBIN HOOD ROAD
THOMASVILLE GA
KEMP, FRANCES ELIZABETH BLECKL 033996 2304 SHERBROOKE DR
ATLANTA
GA
KEMPLER, GARY STEPHEN
023616 2733 NORTHLAKE ROAD
GAINESVILLE GA
KENDALL, CHERYL DENISE
025773 1039 RIDGE AVE, SW
ATLANTA
GA
KENDALL, LARAINE S
030117 9820 BANKSIDE DRIVE
ROSWELL
GA
KENDRICK, JANET LINDA
032410 3598 PANOLA ROAD
LITHONIA
GA
KENDRICK, JOHN PAUL
026883 2704 NORTH OAK STREET, BLDG K
VALDOSTA
GA
KENDRICK, JULIETTE SIMPKINS PI 038027 957 HERITAGE HILLS
DECATUR
GA
KENERLY, JOHN LEX, III
030633 811 SOUTH 1ST STREET
JESUP
GA
KENNEDY, DONALD FRANKLIN
024278 PO BOX 563
JESUP
GA
KENNEDY, EIMEAR MARY CAMPBELL 025777 3240 INDIAN VALLEYTRAIL
ATLANTA
GA
KENNEDY, GREGG HOWARD
023840 655 ATLANTA ~OAD, SUITE 201-B
CUMMING
GA
KENNEDY, JAN CECELIA EUGERE 031046 CRAWFORD LONG HOSP PATHOLOGY, 550 PEACHTREE ST NE ATLANTA
GA
30342
28
31201-3 15
31411
31768
36
30503
03
31709- 1248 01
30067
03
30309-3010 36
30033
30
30338
06
30601
27
30606
30
30322
16
30214
10
30087-0007 17
30322
08
30338-6403
30501
17
30311
10
30161
46
30084
30901
05
30223
41
30309
00
30202-3956 32
30606
15
30060
15
31201
36
30066
30303
10
30035
32
31201
06
31201
46
31203
03
30209
41
31064
10
30088-4115 53
31405
11
30306
32
30809
36
30144
.28
30087
10
31405
31
30342
23
31792
17
31792
33
30345
32
30506
30315
32
30076
00
30038
10
31602
46
30033
35
31545
31545
41
30341
17
30130
30365
31
Page No. 113
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KENNEDY, JOHN DANIEL JR KENNEDY, JOHN SARGENT KENNEDY, THOMAS EUGENE KENNEDY, TIMOTHY BRIAN KENNEY, RICHARD DREW KENNY, WILLIAM ROSS KENT, DAVID ELLIOTT KENT, HAROLD LEE RUSH KENT, WILLIAM FRANKLIN KENT, WILLIAM R JR KENTRA-GOREY, ELIZABETH RENEE KEOWN, KEVIN OTTO KERINS, CRAIG TODD KERLEY, CLIFFORD M KERR, GEORGE STAFFORD KESAVAN, CONJEEVARAM R KESSEL, JULIE MARIE KESSLER, FRED OTTO JR KESSLER, LARRY SCOTT KESSLER, MICHAEL BARRY KESTIN, SHARON LEE KETSCHE, REINHARD KEY, THOMAS SCOTT KEYES, WILLIAM GREGORY_ KEYSERLING, HARRY LEROY KEZIRIAN, GUY MICHAEL KHABBAZ, RIMA FUAD KHALID, AIJAZ AHMED KHAN, BOBBY VARKEY KHAN, IMTIAZ AHMAD KHAN, ISHTIAQ ABRAR KHAN, NAGHMA SAMINAR ZUBER! KHAN, RUBAB FATIMA KHAN, ZEHERA N.A. KHATIB, AZIZ KHATIB, NASSIM H. KHAWAR, MUHAMMAD RASHID KHOURI, JOSEPH KHOURY, KALE CHARLES KHOURY, MUIN JOSEPH KHREIM, !MAD MOH'D KHURI, WAL!D AF!F K!AS, THOMAS NELSON JR KIBBLE, MICHAEL BOYD KIBLER, JAMES ALLEN KIBLER, ROBERT FRANKLIN KIENZLE, RICHARD JOSEPH KIERNAN, THOMAS WILLIAM KIERSTEAD, BETTY SUE KIETZMAN, TIMOTHY JOHN KIGGINS, CHRISTOPHER MICHAEL KIGHT~ FRED JASON KIKER!, DEEPAK KILBOURNE, EDWIN MICHAEL KILBURN, BETTINA BAECHTOLD KILE, DALE LAVERENE SR KILEY, JAMES DEL KILIC, BABUR NUR!
022573 140 VANN STREET, SUITE 350 025193 2675 NORTH DECATUR RuAD, SUITE 704 011970 5424 LITTLE MILL RD 038269 2550 WINDY HILL RD, SUITE 304 016372 5455 MERIDIAN MARKS RD NE, STE 400 017219 2001 PEACHTREE RD, SUITE 430 025625 330 HOSPITAL DRIVE, BUILDING C SUITE 208 030801 3226 F HAMPTON AVE 010585 PO BOX 1066 009535 114 CLIFFORD AVE, PO BOX 218 035919 1070 DAWN VIEW LN NW 029897 WAYNE FAMILY PRACTICE, 111 COLONIAL WAY 021170 1521 ANTHONY RD. 014746 755 COMMERCE DRIVE, SUITE 205 024831 1200 W WAUGH ST 038529 336 HAMILTON STATION 038270 3165 JAMES PATH DRIVE
006933 * P.O. BOX 215
036791 1205 CARRIAGE PLACE COURT 017106 970 CLEMENTSTONE DR NE 034990 1184 EAST ROCK SPRINGS RD 029194 506 PINE CIRCLE 023176 818 ST SEBASTIAN WAY, SUITE 312 030634 5555 PEACHTREE-DUNWOODY ROAD, SUITE 349 023468 1245 S PONCE DE LEON AVE., #11 036196 1000 ABERNATHY ROAD, SUITE 195 028931 1923 MERCEDES COURT 038271 705 17TH STREET 037251 333-B ASBURY COMMONS DRIVE 035077 3451 F NORTH DRUID HILLS RD 024280 ORTHOPEDIC SURGERY, 155 MEDICAL WAY STE E 037252 EGLESTON CHILD HOSP. CRITICAL CR, 1405 CLIFTON RD 031047 110 SUNCREST, PLACE 033612 30 BENFIELD COURT 028803 3897 KING ARTHUR ROAD SW 029696 #8 CANTERBURY PLACE 036405 3456 STALLINGS ISLAND ROAD 024698 2491 PACES FERRY ROAD 029339 3255 SWEET BUCKEYE DRIVE 029266 1923 MERCEDES COURT, N.E. 035185 262 HINMAN DRIVE 032844 103 AVERA STREET, PO BOX 1239 012503 1010 PRINCE AVENUE, SUITE 115 019059 893 E. ROCK SPRINGS RD., NE 008815 309 BELLEVUE AVE. 009995 28 LULLWATER PLACE NE 032595 420 BROAD ST 033998 1 FREEDOM WAY 035450 GORDON SURGICAL GROUP, 108 HOSPITAL COURT 038533 2602 NORTH PARK AVENUE 031777 5820 HAMILTON ROAD, SUITE 105 LANDMARK II 026572 1248 AUGUSTA WEST PARKWAY 034874 77 E ANDREWS DRIVE APT 258 030333 5658 MILL TRACE DRIVE 038272 1280 W. PEACHTREE STREET NW, #3506 025992 2210 TROWBRIDGE ROAD 011971 3250 HOWELL MILL ROAD NW, SUITE 202 031617 211 CHICOPEE DRIVE
MARIETTA
GA
DECATUR
GA
BUFORD
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
BRUNSWICK
GA
STATESBORO GA
SYLVANIA
GA
ATLANTA
GA
JESUP
GA
AUGUSTA
GA
DECATUR
GA
DALTON
GA
COLUMBUS
GA
LAWRENCEVILLE GA
TYBEE ISLAND GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
PEACHTREE CITY GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
DUNWOODY
GA
DECATUR
GA
RIVERDALE
GA
ATLANTA
GA
KATHLEEN
GA
COLUMBUS
GA
ATLANTA
GA
ROME
GA
AUGUSTA
GA
SMYRNA
GA
MARIETTA
GA
ATLANTA
GA
AUGUSTA
GA
FT VALLEY
GA
ATHENS
GA
ATLANTA
GA
DUBLIN
GA
ATLANTA
GA
GAINESVILLE GA
AUGUSTA
GA
CALHOUN
GA
Tl FTON
GA
COLUMBUS
GA
AUGUSTA
GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
ALBANY
GA
ATLANTA
GA
MARIETTA
GA
30060
41
30033
41
30518
10
30067-8665 33
30342-1613 32
30309
11
31201
06
31520
41
30458
15
30467
10
30327-1302 30
31545
10
30910-0799 46
30030
36
30722
31909
17
30244
32
31328
10
30033
36
30342-2116 26
30306
10
30269
03
30901
05
30342
32
30306
32
30328
27
30345
17
31901
32
30338
17
30033
08
30274-4940 46
30322
32
31047
33
31907
01
30331
15
30161
41
30907
32
30080
17
30066
15
30345-3939 14
30907
33
31030
41
30606
17
30306
36
31021
10
30307
23
30501
38
30910
17
30701
41
31794
27
31904
03
30909
01
30305
53
30338
17
30309
33
31707
08
30327
17
30060
03
Page No. 114
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KILIC, CENGIZ M.
029697
KILIC, NIZAMETTIN
037848
KILIC, TIMUR AHMET
028023
KILLAM, HORACE ALISTAIR W 008816
KILLEBREW, ELIZABETH ANN WATTE 029898
KILLEBREW, JAMES GRANBERY JR 016939
KILLEBREW, KATE
026573
KILLINGSWORTH, BRUCE H
033999
KILLORIN, EDWARD WYLLY, JR 032219
KILPATRICK, WILLIAM HEARD
008817
KIM, BRIAN KAPSOO
030118
KIM, CHANG KUE
016623
KIM, CHANG MYUNG
015010
KIM, CHYUNG MYUNG
010984
KIM, DANIEL KIHONG
036792
KIM, EDMUND SUNG JOON
038273
KIM, GENE
033126
KIM, HANG-GUEN RUTH
016373
KIM, HEE JUN
026317
KIM, HYUN HAHK
016374
KIM, IN HWAN
024281
KIM, IN SOOK
016085
KIM, JOHN DONGBAIK
036793
KIM, JONG- IN
012334
KIM, JOON HAN
029195
KIM, JOON YOUNG
026318
KIM, JOON-WHEE
031958
KIM, KAB PYUNG
019282
KIM, KEE-CHO
029698
KIM, OKSUK MARY LEE
030635
KIM, PIL KWAN
018510
KIM, PYUNG JUNG
016086
KIM, SOD-IL
015880
KIM, SOON OK
015881
KIM, SUN-HEE
014699
KIM, SUZY LINDA
032763
KIM, TAE WON
016375
KIM, TERRY
037253
KIMBROUGH, ROBERT L
038829
KIMMELL, PAUL MICHAEL
024832
KIMMERLING, ERICK ANDERSON 029196
KIMMERLING, RICHARD WILLIAM 011710
KINAHAN, JAMES JOSEPH
035277
KINARD, GARLAND EUGENE
008489
KINDER, BRIAN THOMAS
032931
KINDY,KEN DEL
014747
KING, CHARLES RICHARD
005885
KING, CHARLES ROBERT
012505
KING, CHERYL JEAN
034629
KING, CLIFF LEIGH
025993
KING, DELUTHA H JR
010806
KING, GAIL EUGENE
027585
KING, GEORGE COLLIER
010586
KING, GERALD WILLIAM
037254
KING, GLENN RALPH
033127
KING, JEFFREY MILTON
035279
KING, JOHN LAMAR
006669
KING, JOHN T JR
007225
211 CHICOPEE DRIVE 1060 WOODRUFF PLANTATION PARKWAY 211 CHICOPEE DRIVE NE 2711 BOARS HEAD ROAD 804 COMMERCE BOULEVARD, SUITE A 303 SMITH ST 423 BLANTON RD. PO BOX 4124 MT VERNON MED CTR, 755 MOUNT VERNON HWY NE# 300 WOMEN'S MEDICAL CENTER, INC., 107 HIGHLAND DRIVE 425 THIRD AVENUE, SUITE 100 711 MICHAEL'S CREEK 5300 MEMORIAL DRIVE, SUITE 121 251 MEDICAL WAY, SUITE A 500 IRVIN CT, SUITE C-120 1085 SAN MARCOS COVE 8118 WOODS LANE 3692 CASTLEGATE DR NW 104 DOGWOOD DRIVE 315 BOULEVARD N.E., SUITE 332 1785 SPINDLE TOP CT 201 ALLEN MEMORIAL DR. 3759 HAITS PLACE 131 LINCOLN RD 2660 MONTPELIER AVE 1000 CORPORATE CENTER DR 1376 CHURCH STREET 1 INDIGO COURT PO BOX 100 3633 WHEELER ROAD, SUITE 125 3426 LOST VALLEY DRIVE 201 ALLEN MEMORIAL DRIVE 1019 ASTOR AVE, FOREST PARK MED GROUP 105 FAIRVIEW PARK ROAD 2550 WINDY HILL ROAD, SUITE 308 2646 DANFORTH LANE 1906 COVEY ROAD 509 N DECATUR LN 3156 MISTY CREEK DR ONE CORPORATE SQUARE, SUITE 220 NW GA PULMONARY MEDICINE PC, 1217 MEMORIAL DRIVE 4760 AUSTELL RD, EMORY HOWARD MED BLDG 3456 BROOKVIEW DRIVE PO BOX 609 13 JOHN MADDOX DR# A 3646-A CHAMBLEE TUCKER RD 288 PEACHTREE BATTLE AVE 3204 SHRINE RD 110 SUNCREST PL. SUITE 230, 600 PROFESSIONAL DRIVE 2600 ML K DR SW STE 207 1779 MORRIS LANDERS DRIVE PO BOX 1209 110 HOSPITAL DRIVE 504 WMEMORIAL DRIVE, SUITED 2507 KERRY COURT 653 S 8TH ST PO BOX 1919
MARIETTA
GA
MARIETTA
GA
MARIETTA
GA
AUGUSTA
GA
RIVERDALE
GA
LAGRANGE
GA
ATLANTA
GA
ST. SIMONS GA
ATLANTA
GA
RIVERDALE
GA
ALBANY
GA
EVANS
GA
STONE MOUNTAIN GA
RIVERDALE
GA
DECATUR
GA
LAWRENCEVILLE GA
JONESBORO
GA
ATLANTA
GA
GLENNVILLE GA
ATLANTA
GA
LILBURN
GA
BREMEN
GA
CHAMBLEE
GA
TYRONE
GA
MACON
GA
MORROW
GA
DECATUR
GA
SAVANNAH
GA
MILLEDGEVILLE GA
AUGUSTA
GA
JONESBORO
GA
BREMEN
GA
FOREST PARK GA
DUBLIN
GA
MARIETTA
GA
DECATUR
GA
ALBANY
GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
DALTON
GA
AUSTELL
GA
MARIETTA
GA
ROSSVILLE
GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
BRUNSWICK
GA
KATHLEEN
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
CLAYTON
GA
CALHOUN
GA
DALLAS
GA
MARIETTA
GA
GRIFFIN
GA
THOMASVILLE GA
30060
03
30067
32
30060
03
30907
17
30296
15
30240
28
30342
31522
03
30328-4278 52
30296
15
31703
17
30809
12
30083
41
30274
32
30030
27
30243
15
30236
17
30327
32
30427
01
30312
32
30247
30110
17
30341
03
30290-9707 03
31204
41
30260-4127 27
30030
38
31406
33
31061-0100 32
30909
33
30236
03
30110
11
30050-3500 17
31021
15
30067
41
30033
11
31707
08
30033-5957 27
30033
17
30329
30720
17
30001
41
30068
10
30741
10
30165-1485 03
30341
27
30305
48
31523
28
31047
30245
01
30311
52
30345
08
30525
10
30701
28
30132
10
30066
03
30223
52
31799
Page No. 115
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KING, JOHN WESLEY JR KING, JOSEPH W., III KING, KERRY HENRY KING, LAURA JANE MANGUN KING, LLOYD GORDON KING, OLIVER WINFRED KING, PAUL KEVIN KING, RANDALL SCOTT KING, RICHARD EWART KING, ROSAL KING, SPENCER BIDWELL, 111 KING, STEPHEN KING, STEPHEN HALL KING, TONY ROOSEVELT KING, WILLIAM DENTON KING, WILLIAM R JR KING, WINTON GERALD KINGLOFF, DANIEL LEE KINGSLEY, THOMAS C KINI, GANESH NARAYAN KINLAW, WILLIAM KNOX, JR. KINNEBREW, AREETHA PATRICIA KINNEBREW, TODD ED\.JIN KINSELLA, SUSAN HOROWITZ KINSEY, GARY STEPHEN KINSTLER, MICHAEL JOHN KINZER-BEZANSON, CAROLYN ANN KIPPEN, ROBERT NEIL KIRCH, DARRELL GENE KIRCHNER, ARTHUR BURTNETT KIRK, DAVID TENNYSON KIRKLAND, JAMES JEFFREY KIRKLAND, JAMES JEFFREY, JR KIRKLAND, JOHN SMITH, JR. KIRKLAND, LARRY R KIRKLAND, ROBERT ALEXANDER JR KIRKPATRICK, DELORES KAY KIRKPATRICK, JAMES FRANCIS JR KIRKPATRICK, JAMES LEROY KIROL, BERNARD GEORGE KIRSCHBAUM, PAUL ALLAN KIRSH, ALAN DAVID KISHEL, MARK K!SHORE, CHADALAVADA NANDA KISLA, JUDY BERNADETTE KISSEIH, AMANARH ALBERT KISSINGER, STEPHEN NEIL KITCHEN, CHARLENE KAY KITCHEN, STEVEN EVANS KITCHENS, WENTZELLE KIM KITCHENS, WILLIAM RODGERS KITCHIN, HOUSTON W KITTLE, WILLIAM MARION, III KIZILAY, DOGAN KJELLSTROM, WILLIAM ARTHUR KLACSMANN, PETER GEORGE KLASSEN, ROBERT WAYNE KLASSON, STEPHEN CURTIS
021126 OCONEE MEDICAL CONSULTANTS, 641 WEST THOMAS ST 030492 915 ELMO STREET, BOX 1777 029976 696 W PIKE ST, SUITE 150 027586 106 BRIGHTON RD NE 029014 2675 NORTH DECATUR RD, SUITE 506 010985 140 VANN STREET, SUITE 340 036198 812 CAMELOT 038535 3303 SLOAN SQUARE 006579 285 BOULEVARD N.E., SUITE 310 038028 1120 WINSTON AVE 010213 CARDIOLOGY DEPT, 1365 CLIFTON RD NE 016087 6667 VERNON WOODS DR, SUITE B-45 009536 PO BOX 669 038274 700 - 4TH STREET, APT C-137, OAKWOOD FORESTS 012506 ROUTE 4 BOX 2530 004518 708 S 8TH ST 015785 4150 SNAPFINGER WOODS DR, STE 230 019396 141-B DOCTORS BLDG, 490 PEACHTREE ST., N.E. 017695 PATHOLOGY LABORATORY, 677 CHURCH ST NW 030120 2578 HARVEST DR 015272 2675 N DECATUR RD., SUITE 408 029900 1506 STONEBROOK PLACE 037009 PO BOX 7147 031618 2626 BROOKWOOD DR, NE 030637 PO BOX 349 027587 2193 N DECATUR ROAD 038275 505 COLDSTREAM CT NW 036795 1315 SOUTH MAIN STREET 038276 MEDICAL COLLEGE OF GA, OFFICE OF THE DEAN 015948 * 205 VALLEY ROAD 028583 206 HOSPITAL DRIVE
009183 * 112 ROWE STREET
036796 1833 FENWICK STREET 015480 THE HARBIN CLINIC, 1825 MARTHA BERRY BLVD 015273 657 CUMBERLAND RD NE 017223 NE MED ARTS CTR - SUITE 300, 2801 N DECATUR ROAD 028805 3193 HOWELL MILL ROAD, N.W., SUITE 204 007226 1007 GREENFIELD DRIVE, PO BOX 929 008133 933 GREYMONT CIR 036797 6262 HAMILTON ROAD, PO BOX 9517 021728 2801 NORTH DECATUR ROAD, SUITE 350 013760 4707 OXFORD RD 028584 3350 PEACHTREE ROAD NE 027846 PO BOX 672342 027847 5064 ROSWELL RD, NE, SUITE D-201 020880 1960 SILVER HILL ROAD 030493 220 RENAISSANCE PARKWAY, NE, # 2107 032221 2005 HANOVER ST 032222 2005 HANOVER ST 038277 C/0 WASHINGTON COUNTY, 501 sPARTA RD 013222 820 ST SEBASTIAN WAY, SUITE 2-D 007512 RT 2, BOX 2354 025197 818 ST SABASTIAN WAY, STE 307 022008 100 LOCKBRIDGE COURT 018917 993 F JOHNSON FERRY 320 022428 1107 JOHNS ROAD 034385 3626 OLD OAKWOOD ROAD 036552 1825 MARTHA BERRY BLVD
MILLEDGEVILLE GA
AMERICUS
GA
LAWRENCEVILLE GA
ATLANTA
GA
DECATUR
GA
MARIETTA
GA
COLLEGE PARK GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
TYBEE ISLAND GA
ATHENS
GA
TIFTON
GA
GRIFFIN
GA
DECATUR
GA
ATLANTA
GA
MARIETTA
GA
CONYERS
GA
DECATUR
GA
ROSWELL
GA
MACON
GA
ATLANTA
GA
MAYSVILLE
GA
DECATUR
GA
ATLANTA
GA
MOULTRIE
GA
AUGUSTA
GA
ATLANTA
GA
WASHINGTON GA
DUBLIN
GA
AUGUSTA
GA
ROME
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
TIFTON
GA
MARIETTA
GA
COLUMBUS
GA
DECATUR
GA
MACON
GA
ATLANTA
GA
ALBANY
GA
ATLANTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
ALBANY
GA
ALBANY
GA
SANDERSVILLE GA
AUGUSTA
GA
CLAYTON
GA
AUGUSTA
GA
ALPHARETTA GA
ATLANTA
GA
AUGUSTA
GA
OAKWOOD
GA
ROME
GA
31061
34
31709
25
30245-3300 11
30309-1521 27
30033
17
30060
50
30349
44
30329
08
30312
46
31404
10
30322
05
30328
11
31328
PH
30601
10
31794
15
30223
41
30035
32
30308
46
30060
31
30208
10
30033
44
30075
17
31209
28
30305
17
30558
10
30033
17
30328-4701 10
31768
11
30912
33
30305
36
30673
10
31021
10
30904
03
30161
50
30306
11
30033
17
30327
30
31793
50
30064-1327 17
31908-9517 28
30033
05
31210
36
30326
10
31701
17
30342
30087
32
30308
33
31707
10
31707
15
31082-1361 17
30901
48
30525
17
30901
17
30202
36
30342
12
30904
31
30566
01
30165
28
Page No. 116
NAME
KLAUS, RICHARD M KLAUS, ROBERT L KLEBER, SCOTT BENNETT KLECKNER, ANN CASHAN KLEIMAN, SCOTT G KLEIN, ARTHUR DEO III KLEIN, BERNARD KLEIN, JEFFREY LAWRENCE KLEIN, LUELLA V KLEINMAN, DANIEL JEFFREY KLEMANN, GILBERT LACY KLEMANN, GILBERTS KLERIS, GEORGES KLINE, KERRY LUCRETIA KLINE, RANDOLPH WELLS KLINGBEIL, ROBERT T KLINGENBERG, CAROL ANNA KLIPPERT, FREDERICK NELLIS KLOPMAN, ALEX Z VI KLOPPER, JEFFREY HOWARD KLOPPER, RALPH M KLOPSTOCK, WILLIAM JAY KLOSTER, GILBERT JOHN KLOTZ, HUGH ALAN KLOTZ, KATHLEEN LYNNE KLUDT, JOHN RANDALL KLUG, GERARDO ALBERTO KMIECIK, JOSEPH EDWARD KNAPP, RICHARD MERIWETHER KNAPP, WILLIAM STANLEY KNEPP, IRA GAIL KNIGHT, EVELYN ANN KNIGHT, KATHRYN TERESA KNIGHT, ROBERT GAINES KNIGHT, STEPHEN HARVEY KNOPF, DAVID RICHARD KNOPF, WILLIAM DOUGLAS KNOS, GUNDY BELLATRIX KNOTT, KEN GORDON KNOWLES, JAMES B KNOWLES, VANCISE KNOWLTON, GREGORY BATES KNOX, ALFRED LEWIS, JR. KNOX, JOHN CHARLES KNOX, JOHN DANIEL JR KNUTH, THOMAS EDWARD KNUTSON, DALE GRANT KO, CHRISTIN HEEKYOUNG KO, KWANG BIN KOCACITAK, SAHIN SABAN KOCHERIL, ABRAHAM GEORGE KOEHLER, JAN OLSON KOEHLER, LISA ANN KOENIG, RONALD HOWARD KOEPKE, JOHN FREDERICK KOFFLER, BARRY A KOGANTI, DEVENDRA RAO KOGANTI, PURNACHANDRA RAO
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
013148 * 1620 MULKEY ROAD
AUSTELL
GA
034386 870 CRESTMARK DRIVE, SUITE 203
LITHIA SPRINGS GA
032932 1372 PEACHTREE ST NE, #301
ATLANTA
GA
034387 5 SOUTHERLAND ROAD
SAVANNAH
GA
014383 3910 AUSTELL RD, SUITE 101
AUSTELL
GA
021534 914 BRADWELL ST
HINESVILLE GA
037849 5775 GLENRIDGE DRIVE, BUILDING C
ATLANTA
GA
029016 2160 HERITAGE BLUFF
DECATUR
GA
008321 69 BUTLER STREET, OB/GYN-MATERNAL FETAL DEPT.
ATLANTA
GA
025627 660 CHEROKEE STREET NE
MARIETTA
GA
005237 1021 15TH ST NO 3 MED PARK, BIOTEC PARK
AUGUSTA
GA
013058 1001 N MONROE
ALBANY
GA
014129 3316 PIEDMONT ROAD NE, SUITE 316
ATLANTA
GA
033614 3758 WEST LAKE DRIVE
MARTINEZ
GA
019963 1938 PEACHTREE ROAD, N.W., SUITE 612
ATLANTA
GA
007357 225 CLUB RIDGE DR, NE
MARIETTA
GA
018684 958 E ROCK SPRINGS RD
ATLANTA
GA
034388 MEDICAL COLLEGE OF GEORGI, ENT CLINIC/BP 4111
AUGUSTA
GA
020757 6855 GLENLAKE PKWY, APT B
ATLANTA
GA
026321 2550 WINDY HILL ROAD, SUITE 304
MARIETTA
GA
011656 456 EAST PACES FERRY RD., NE
ATLANTA
GA
011232 3193 HOWELL MILL ROAD, NW, SUITE 216 PACES PAVILION ATLANTA
GA
019964 5447 ROSWELL ROAD
ATLANTA
GA
008134 993-C JOHNSON FERRY ROAD, SUITE 115
ATLANTA
GA
035672 195 ALPINE DRIVE
ROSWELL
GA
034876 TDS HEALTHCARE SYSTEMS CORP, 200 ASHFORD CENTER NORTH ATLANTA
GA
031778 97 EAST BROAD STREET
CAMILLA
GA
019965 3541 INTERLACHEN RD
AUGUSTA
GA
032223 C/0 OCONEE REGIONAL MED CENTER, 821 N COBB STREET MILLEDGEVILLE GA
017225 100 TENTH STREET, N.W.
ATLANTA
GA
034002 1909 ABERDEEN DRIVE
ALBANY
GA
008490 244 E LAKE DRIVE SE
ATLANTA
GA
023266 1200 MEMORIAL DRIVE, HAMILTON MEDICAL CTR PATH DEPT DALTON
GA
028178 202 OAKWOOD RD
ROME
GA
028586 1459 MONTREAL ROAD, SUITE 501
TUCKER
GA
025199 9 MEDICAL ARTS CENTER
SAVANNAH
GA
023469 PO BOX 421369
ATLANTA
GA
025200 3221 SOUTHRIDGE DRIVE
STOCKBRIDGE GA
024282 1455 BELLS FERRY ROAD NE, SUITE A
MARIETTA
GA
009537 P O BOX 130
WARM SPRINGS GA
011396 P.O. BOX 2049
ALBANY
GA
018037 5669 PEACHTREE DUNWOODY RD, SUITE 275
ATLANTA
GA
033615 1654 WESTPORT COURT
MAREITTA
GA
022575 960 JOHNSON FERRY RD - SUITE 500, NORTHSIDE HOPITAL D ATLANTA
GA
010429 211 CHICOPEE DR
MARIETTA
GA
038278 9 TALL PINE CIR
AUGUSTA
GA
017931 123 KATHI AVENUE
FAYETTEVILLE GA
037257 PO BOX 13272
ATLANTA
GA
017226 1909 JOHNS AVE
WAYCROSS
GA
016089 100 THOMAS RD
FT OGLETHORPE GA
037258 DEPT OF CARDIOLOGY - BAA 532 MCG, 1120 - 15TH STREET AUGUSTA
GA
033377 PO BOX 24140
ST SIMONS ISL GA
035452 3226-C POST WOODS DRIVE NW
ATLANTA
GA
014384 1195 REGENCY RD NW
ATLANTA
GA
032224 5169 MEADOWCREEK DR
DUNWOODY
GA
019540 1295 HEMBREE RD STE 200, BUILDING A
ROSWELL
GA
030121 6507 PROFESSIONAL PL, SUITE E
RIVERDALE
GA
019541 PO BOX 2748
COLUMBUS
GA
30001
46
30057
15
30309-3203 17
31411
33
30001
46
31313
06
30328
17
30033
01
30303
15
30060
17
30901
17
31701
15
30305
PH
30907
15
30309
33
30068
35
30306
17
30912-1001 30
30328
10
30067
33
30305
33
30327
33
30342
47
30342
27
30075
23
30338
10
31730
03
30907
17
31061
31
30309
05
31701
11
30317
08
30720
31
30165-1632 03
30084
27
31405
36
30342
17
30281-5666 03
30066
38
31830
38
31702
11
30342
22
30064
17
30342
32
30060
46
30909-1850 41
30214
32
30324
17
31501
03
30742
10
30912-3105 05
31522
08
30339
08
30327
23
30338
31
30076-3895 46
30274-2519 00
31902
03
Page No. 117
NAME
KOGER, LINWOOD GRAVES, III KOGER, MICHAEL PIGOTT KOHN, LAUREL BETH KOKENES, CONSTANTINE KOKKO, JUHA PEKKA KOLANU, RAGHURAM KOLB, SUSAN ELIZABETH KOLFF, THERUS CONSTANTJNUS KOLLA, IRIS KOLLJNGER, HERBERT HANS KOLMEIER, KARL H KOLODEJ, PAUL KOLODEJ, VER,\ ANN KOMARA, JAMES STEPHEN KOMMOR, ROSS ALAN KONDUR, PRABHAKAR RAO KONLIAN, DONNA MARIE KOONTZ, WILLIAM LUTHER KOPACZ, SANDRA SNOW KOPCHICK, MARGARET A. KOPELL, PHILIP ANTHONY KOPELMAN, HARRY ARVIN KOPLAN, CAROL RB KOPLAN, JEFFREY POWELL KOPONEN, MARK ALAN KORANSKY, JACK RALPH KORDISCH, STANLEY RAY KORNBLATT, BRIAN JAY KORNFIELD, MARC JOEL KOROTKIN, JEFFREY HERBERT KORSOWER, ALLAN JAY KORT, HILTON ISADORE KORTE, ULRIKE MARIA KORWIN, JOSEPH JOHN KOSSOFF, MARJORIE BRITT KOTHARI, AJAY M. KOUNTZ, PAUL DOMINIC, JR KOURTIS, ATHENA P KOVACH, MARK WILLIAM KOVAL, GREGG MICHAEL KOWAL, KEITH ANTHONY KOZAR, BRIAN ERNEST KOZARSKY, ALAN MARK KOZARSKY, PHYLLIS ELLEN KOZINN, MARK A KRAGH, JOHN F., JR KRAININ, MILTON JOSEPH KRAKOW, RICHARD ALAN KRAMER, DAVID ALFRED KRAMER, GEORGE ALBERT KRAMER, JOHN H KRAMER, KAROLYN JO KRAMER, RUSSELL HOWARD KRANIG, CAROL ANN KRASAEATH, TOSAPORN KRATJNA, FREDRICK KRAUS, STEPHEN JOHN KRAUS, STEVEN BAILEY
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
031961 027588 034389 030334 010587 029701 031272 024701 025453 027589 018511 031273 031051 030804 030122 017842 035921 030805 032179 030335 031779 030806 015112 015113 034173 016810 034877 038029 028807 016940 017462 022009 027397 034878 015485 026984 033128 038281 034879 025202 036199 028588 023619 023620 016005 034632 006437 016377 035922 030807 014828 028026 020326 026575 026884 006670 012175 022429
4474 HAVERSTRAW DRIVE
DUNWOODY
GA
1219 ABERCROMBIE DRIVE
ROME
GA
6195 RIVERWOOD DRIVE
ATLANTA
GA
2675 N DECATUR ROAD, #309
DECATUR
GA
1364 CLIFTON ROAD NE, SUITE H-153
ATLANTA
GA
6564 PROFESSIONAL PL, SUITE C
RIVERDALE
GA
1867 INDEPENDENCE SQUARE, SUITE 155
ATLANTA
GA
5901 PEACHTREE DUNWOODY ROAD, SUITE C 65
ATLANTA
GA
5775 HEARDS FOREST DRIVE
ATLANTA
GA
1459 MONTREAL RD, SUITE 409
TUCKER
GA
1716 DURRETT COVE
DUNWOODY
GA
8351 ROSWELL ROAD, SUITE 207
DUNWOODY
GA
8351 ROSWELL ROAD, SUITE 207
DUNWOODY
GA
6 WILD RICE LANE
SAVANNAH
GA
790 CHURCH STREET EXTENSION, SUITE 570
MARIETTA
GA
3731 FOXFIRE PLACE
MARTINZ
GA
5134 P EAST PONCE DE LEON AVE
STONE MOUNTAIN GA
MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK ST BOX 106 MACON
GA
PROFESSIONAL BLDG A, PO BOX 409
HAWKINSVILLE GA
800 E. DOYLE STREET
TOCCOA
GA
637 WENDAN DRIVE
DECATUR
GA
THE ATLANTA CARDIOLOGY GROUP, 5665 PEACHTREE DUNWOODY ATLANTA
GA
2102 ST DEVILLE
ATLANTA
GA
CDC (K-40)
ATLANTA
GA
FULTON COUNTY OFFICE OF THE, MEDICAL EXAMINER,50 COCA ATLANTA
GA
993-F JOHNSON FERRY RD., NE, SUITE #370
ATLANTA
GA
PO BOX 989
DALTON
GA
1152 WILMINGTON ISLAND RD
SAVANNAH
GA
REHAB MED, MEMORIAL MED CTR, P.O. BOX 23089
SAVANNAH
GA
90 BATTLE RIDGE DRIVE
ATLANTA
GA
5671 PEACHTREE DUNWOODY RD, N.E., SUITE 660
ATLANTA
GA
5505 PEACHTREE DUNWOODY RD, NE, SUITE 400
ATLANTA
GA
1575 OLD ALABAMA ROD, SUITE 204
ROSWELL
GA
3990 HIGH CHAPARRAL DRIVE
MARTINEZ
GA
C/0 CHRISTINE MURPHY, MD., 1282 WESLEY PLACE NW
ATLANTA
GA
400 IRVINDALE DR
DUBLIN
GA
320 E 3RD AVE
ROME
GA
3427E N. DRUID HILLS ROAD
DECATUR
GA
3305 N EMBRY CIRCLE
ATLANTA
GA
478 PEACHfREE STREET, N.E., SUITE 107-A
ATLANTA
GA
5555 PEACHTREE DUNWOODY RD NE, SUITE 201
ATLANTA
GA
PROFESSIONAL TOWER SUITE 102, 700 CENTER STREET COLUMBUS
GA
95 COLLIER RD NW, SUITE 3000
ATLANTA
GA
20 LINDEN AVE., N.E., SUITE 101
ATLANTA
GA
237 MEDICAL WAY
RIVERDALE
GA
701 HUNTINGTON DRIVE
AUGUSTA
GA
5505 PEACHTREE-DUNWOODY ROAD, SUITE 410
ATLANTA
GA
11685 ALPHARETTA HIGHWAY STE 200
ROSWELL
GA
EMORY UN EMER MED, 69 BUTLER ST, SE
ATLANTA
GA
800 CANTON ROAD
MARIETTA
GA
4553 N SHALLOWFORD ROAD, SUITE 30-B
ATLANTA
GA
1659 N. PELHAM ROAD, N.E.
ATLANTA
GA
5667 PEACHTREE-DUNWOODY RD, SUITE 310
ATLANTA
GA
3795 TUXEDO RD. N.W.
ATLANTA
GA
201 AMBERWOOD DR
VIDALIA
GA
1550 DOCTORS DRIVE
LAGRANGE
GA
3003 RIVERMEADE RD., NW
ATLANTA
GA
2759 DELK ROAD# 105
MARIETTA
GA
30338
41
30165-1435 17
30328
32
30033
03
30322
17
30274-2520 23
30338
47
30328
30328
36
30084-6925
30338
17
30350
08
30350
08
31411
08
30060
11
30907
03
30083
05
31201
15
31036
32
30577
06
30033
03
30342
17
30345
33
30333
17
30303
31
30342
11
30722-0989 15
31410-4509 08
31403-3089 38
30342
15
30342
44
30342
15
30076
17
30907
17
30327
36
31021
30161
36
30033
32
30341
10
30308-3106 17
30342-1710 -30
31901
46
30309-1735 17
30308
53
30274-4903 23
30909
30342
17
30076
06
30303
08
30060
05
30338
27
30324
03
30342
17
30305
30474
30240
33
30327
06
30067
10
Page No. 118
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
KRAUSE, WILMA
015741
KRAUSS, JONATHAN SETH
019397
KRAVTIN, ABRAHAM J
005344
KRAWCZYNSKA, ANNA MARIA
034880
KRAWIECKI, NICOLAS SYLVAIN 022804
KREBS, HENRY JOHN III
027590
KREGER, SCOTT MARC
033379
KREH, GUSTAVE MAURICE
018234
KREIDER, RODNEY NEAL
022162
KRENDEL, DAVID A
023075
KREPPS, ARTHUR C, II
010722
KREPPS, BRYAN KEITH
030125
KRESS, KENNETH JAMES
032768
KRETZSCHMAR, CLAUDIA SUZANNE M 029017
KRIECHMAN, AVRON MARK
034633
KRIEGEL, WILLIAM LEONARD
031962
KRISHNA, ARVIND YOGESHWAR
036553
KRISHNAMOORTHY, THIRUVANNATHAP 025628
KRISHT, ALI FADL
035186
KRISSMAN, PAUL HOWARD
018686
KRISTLE, DALE MARVIN
028699
KROHN, JONATHAN ADAM
028289
KRONE, HOWARD BARRY
014192
KROPP, WILLIAM EDWARD
037010
KROWICKI, JOHN ANTHONY
025880
KRUG, DOUGLAS EDWARD
022806
KRUSE, BETH DORIS
020758
KU, DAVID NELSON
029018
KU, ESTREL!TA ONG
035923
KUBBEH, ABDALLAH VICTOR
021731
KUBEK, ROBERT JOSEPH
037261
KUCHLER, LINTON LOUIS
030126
KUDCHADKAR, SOMANATH GANESH 034634
KUETTNER, CHRISTOPHER AMADEUS 024008
KUGLAR, EVERETT C
008820
KUHN, FREDERICK ADAIR
033849
KUHN, SHARON C.
033850
KUHN, WALTER FREDERICK, III 033851
KUITEMS, FRANK DAVID
027213
KUKLER, MARK BENJAMIN
036800
KULANGARA, RAJU JOSEPH
022431
KULKARNI, VASUDEV VENKATRAO 018512
KULKIN, JAY MARTIN
023471
KUMAR, ASHOK
018038
KUMAR, DEVINDER SINGH
024964
KUMAR, KESAVAN NAIR GOPA
020562
KUMAR, RAKESH
022807
KUMAR, SURENDER VERMA
014251
KUMAR, VEEN! SURENDER
015528
KUMAR, VIRANDER V.
024965
KUMBHAKONUM, RAJAMANI SUBHAS 034881
KUMIN, GERALD DAVID
015115
KUMJIAN, DANA ARSHAG
035673
KUNKES, JEFFREY ALAN
021535
KUNO, HELEN LEE
034636
KUNO, RITSU
034391
KUNZ, DAVID WILLIAM
029703
KUO, ANNA ROU-JIN
037011
SCOTTISH RITE CHILDREN'S MED CNT, 1001 JOHNSON FERRY ATLANTA
GA
2407 MCDOWELL ST
AUGUSTA
GA
2000 - 10TH AVE, SUITE 180
COLUMBUS
GA
1371 NO. CROSSING DRIVE
ATLANTA
GA
1462 CLIFTON RD NE# 276, EMORY MOLECULAR MEDICINE CL ATLANTA
GA
755 COMMERCE DR #205
DECATUR
GA
2011 WOODSDALE ROAD
ATLANTA
GA
4600 WATERS AVE, SUITE 100
SAVANNAH
GA
4905 COURTNEY DR
FOREST PARK GA
1593 MASON MILL ROAD
ATLANTA
GA
503 S 8TH ST
GRIFFIN
GA
503 SOUTH 8TH STREET
GRIFFIN
GA
5671 PEACHTREE DUNWOODY RD NE, SUITE 900
ATLANTA
GA
975 HAWTHORNE AVE, SUITE B
ATHENS
GA
2047 BROOKWOOD VALLEY
ATLANTA
GA
1865 BARNES MILL ROAD
MARIETTA
GA
303 WINDMONT DRIVE NE
ATLANTA
GA
1019 ASTOR AVE
FOREST PARK GA
876 HERITAGE PLACE
DECATUR
GA
2801 N DECATUR RD, SUITE 300
DECATUR
GA
1105 BURLEYSON ROAD
DAL TON
GA
659 PEACHTREE ST NE, #212
ATLANTA
GA
2801 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
11076 MERCY BLVD, #7 ST JOSEPH'S PROF. PLAZA
SAVANNAH
GA
1729 WILLARD WAY
SNELLVILLE GA
115 STONEMIST COURT
ROSWELL
GA
5460 MT VERNON PKWY
ATLANTA
GA
2134 HERITAGE HEIGHTS
DECATUR
GA
159 WOLF CREEK DR NORTH
MACON
GA
1136 CLEVELAND AVE, SUITE 212
EAST POINT GA
RADIOLOGY ASSOCIATES, 755 COMMERCE DR.
DECATUR
GA
DEPT OF PATHOLOGY,NEGMC, 743 SPRING STREET NE
GAINESVILLE GA
5051 YOSEMITE DRIVE
COLUMBUS
GA
P.O. BOX 909
RICHMOND HILL GA
715 CHIPANDIE DRIVE
AUGUSTA
GA
609 SAPPHIRE PLACE
MARTINEZ
GA
4815 LONG LANE
EVANS
GA
4815 LONG LANE
EVANS
GA
130 NORTH GROSS ROAD
KINGSLAND
GA
696 PIKE STREET, SUITE 150
LAWRENCEVILLE GA
5001 CHAPEL LAKE CIRCLE
DOUGLASVILLE GA
734 TUCKER ROAD
MACON
GA
2801 N DECATUR RD, SUITE 190
DECATUR
GA
RENAL ASSOCIATES - SUITE A, 6228 BRADLEY PARK DRIVE COLUMBUS
GA
222 ARROWHEAD BLVD
JONESBORO
GA
3207 COUNTRY CLUB DRIVE
VALDOSTA
GA
PO BOX 4150
EATONTON
GA
1001 THORNTON RD, SUITE 403
LITHIA SPRINGS GA
3327 HIGHWAY 5
DOUGLASVILLE GA
4171 MARIETA STRE~T, SUITE 200
POWDER SPRINGS GA
7965 HIGH POINT DRIVE
JONESBORO
GA
2480 WINDY HILL ROAD, SUITE 300
MARIETTA
GA
PO BOX 15238
SAVANNAH
GA
6525 PROFESSIONAL PL, SUITE C
RIVERDALE
GA
1090 CUMBERLAND ROAD NE
ATLANTA
GA
1289 BRIARDALE LANE
ATLANTA
GA
2204 HWY 120, PO BOX 2287
DULUTH
GA
40 BROOKHAVEN DR.
ATLANTA
GA
30342
14
30904
31
31901
32
30329
10
30322-1103 23
30030
36
30324
03
31404-6273 32
30050-1427 32
30329
23
30223
15
30223
00
30342
46
30606
11
30309
30062
10
30329-1021 17
30050-3500 17
30033
44
30033-5924 17
30720
30308-1980 53
30033
28
31419
28
30278
30076
01
30327
36
30033
41
31210
17
30344
12
30030
36
30505
31
31907
31324
30909
33
30907
30
30809
10
30912-3520 08
31548
17
30245
11
30135
05
31210
08
30033
01
31904
22
30236
03
31602
17
31024
41
30057
15
30135
01
30073-2642 10
30236
32
30067
22
31416
22
30274-2519 30
30306
30306
17
30136
10
30319
32
Page No. 119
Composite State Board of Medical Examiners-. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
KUO, MAX
D19713 810 13TH AVENUE
KUPKA, BARBARA JEAN
033852 20 WSTEPHENS ST, APT G
KUPKE, KENNETH GEORGE
034637 5555 PEACHTREE DUNWOODY RD, SUITE 349
KUPPUSWAMY, BEEK! N
020451 GORDON ST STE 121-A
KUPSH!K, HILTON LOUIS
018995 1984 PEACHTREE RD NW, SUITE 515
KURCZYNSKI, ELIZABETH MICKELSE 028180 5455 MERIDIAN MARK RD
KURTH, KEVIN WAYNE
034176 344 FOREST COURT
KURTZ, JOSEPH LOUIS
006313 2635 BROOKDALE DRIVE NW
KURTZE, ARTHUR GEORGE, JR
035674 ROUTE 2 BOX 276
KURZBACH, ELMAR
012930 47 FALLIGANT AVE, PO BOX 30669
KUSHNER, ROBERT LEE JR
009862 SUITE 102-A, 130 WEST W!EUCA RD, NE
KUSKE, TERRENCE THOMAS
014064 MEDICAL COLLEGE OF GA, INTERNAL MEDICINE DEPT.
KUSUMA, VITHAL
021536 1009 N. MONROE, SUITE 108
KUTLAR, ABDULLAH KUTNER, STEPHENS
034751 3532 GLENEAGLES DRIVE
011657 * 353 PARKWAY DR NE
KUTZNER, ROBERT RUSSEL
037012 144 GLOVERS GATEWAY
KVALE, JAMES NOEL
038538 1861 CLAIRMONT RD, A519
KWOK, KEN KUNSE
022808 869 TRAILSIDE LANE
KWON, OH BONG
014702 1010 PRINCE AVE
KWON, YONG-SOO
015014 16 GREEN STREET,, APT 205 H
KYBURZ, BRUCE ALLAN
011767 833 CAMPBELL HILL STREET, SUITE 300
KYZAR, KENT COMO
028027 5338 WHITEHOUSE PLANTATION
ALBANY CAMILLA ATLANTA WASHINGTON ATLANTA ATLANTA MARTINEZ ATLANTA TRENTON SAVANNAH ATLANTA AUGUSTA ALBANY MARTINEZ ATLANTA HAM! LTON DECATUR MARIETTA ATHENS AMERICUS MARIETTA MACON
STATE ZIP SPECIALTY CODE CODE
GA 31701
12
GA 31730
10
GA 30342
GA 30673
17
GA 30309
12
GA 30342
32
GA 30907
08
GA 30305
46
GA 30752
10
GA 31410
41
GA 30342
36
GA 30912
17
GA 31701
17
GA 30907
16
GA 30312
27
GA 31811
03
GA 30033
10
GA 30064
10
GA 30606
32
GA 31709
41
GA 30090
49
GA 31210
10
-L-
LA HOUSE, WILLIAM ROBERT LAPRADE, ROBERT FRANCIS LABICHE, HENRY MILTON JR LABORDE, ROSANA LACEY, DENNIS MICHAEL LACKEY, DIANA LYNN LACKEY, DIXON A JR LACKRITZ, EVE MARIE LACONTE, LEONARD PERRY LADO, MICHAEL DAVID LAEUPPLE, DANIEL EUGENE LAFLEUR, GARY JAMES LAFORCE, WILLIAM RANSON LAFRANCHISE, EUGENE FRANCIS LAFUENTE, NANCY LAFUENTE, PEPITO MARTIN LAHASKY, DAVID MORRIS LAHATTE, LAWRENCE JAMES LAHMAN, ROSE ABRON LAI, Y-JNLOK LAIPPLE, DOUGLAS KAY LAKE, FRANK GREER Ill LAKE, MICHAEL HENRY LAKKIS, FAD! GEORGE LAMA, JUAN ALBERTO LAMAN, EDWARD NEWTON LAMAR, JAMES CLAUDE LAMB, GAIL LITTLE LAMB, THOMAS HENRY LAMBERT, CYNTHIA CONKLIN LAMBERT, ROBERT Y LAMBERT, SCOTT REED
035283 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS
COLUMBUS
GA 31901
17
036801 HUGHSTON SPORTS MEDICINE CLINIC, 6262 HAMILTON ROAD COLUMBUS
GA 31995
46
014065 270 MC CRARY ROAD
FORTSON
GA 31808-9164 31
037443 504 NORTH DECATUR LANE
DECATUR
GA 30033
029704 5671 PEACHTREE DUNWOODY RD, SUITE 380
ATLANTA
GA 30342
23
033011 100 - 10TH STREETS W
ATLANTA
GA 30309
17
009031 152 ERIE AVE
DECATUR
GA 30030-1860 53
038031 1100 COLQUITT AVE, NE, APT 4
ATLANTA
GA 30307
32
012508 PO BOX 608
MOULTRIE
GA 31776-0608 11
038539 76 LAUREL DRIVE
ATLANTA
GA 30342
47
038150 3504 OAKVIEW PL APT D
HEPHZIBAH
GA 30815-9161 33
031620 3379 PEACHTREE RD NE, SUITE 800
ATLANTA
GA 30326-1020 41
035079 350 HOSPITAL DRIVE
MACON
GA 31213
21
034638 NEUROLOGICAL INST OF SAVANNAH, 4 JACKSON BLVD
SAVANNAH
GA 31499-3501
014830 724 5TH AVE SE
MOULTRIE
GA 31768-4911 10
037263 1705 S MAPLE DRIVE
VIDALIA
GA 30474
32
032225 790 CHURCH STREET, STE 325
MARIETTA
GA 30060
10
035081 GASTROENTEROLOGY CJ 340, 1120 15TH STREET
AUGUSTA
GA 30912-3120 17
005346 3530 PIEDMONT RD, NE, 9-E
ATLANTA
GA 30305
13
025881 5069 BUFORD HWY, NE
ATLANTA
GA 30340
17
021410 330 TURNER MCCALL BLVD, SUITE 302
ROME
GA 30165-2748 33
011972 PO BOX 2418
GAINESVILLE GA 30503
36
023076 1021 TALBOTTON ROAD
COLUMBUS
GA 31904
52
036202 53 MT VERNON CIRCLE
DUNWOODY
GA 30338
17
033380 6584 PROFESSIONAL PLACE, SUITE C
RIVERDALE
GA 30274
32
019714 3030 NANCY CREEK ROAD NW
ATLANTA
GA 30327
03
032226 6414 ELIZABETH DRIVE
DOUGLASVILLE GA 30134
32
016735 STAR RT 1, BOX 42
DILLARD
GA 30537
08
018164 523 DIXIE STREET, SUITE 3
CARROLLTON GA 30117
06
035284 79 CONNEMARA ROAD
ROSWELL
GA 30075
31
008618 1170 KENNESAW DUE WEST RD
KENNESAW
GA 30144
41
030809 6115 WEATHERLY DR NW
ATLANTA
GA 30328
27
Page No. 120
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LAMBERT, SEAN JOSEPH LAMBERT, WILLIAM CLELL LAMBERTS, ROBERT JOHN LAMBROS, GEORGE CARL, JR LAMEIRO, JUAN A LAMIS, PANO ANDREW JR LAMMERT, JOHN STEVEN LAMMERT, LAURIE MAUGHON LAMON, JAMES CLYDE LAMPERT, SCOTT IRVING LAMPROS, CONSTANTINE PETER LANCASTER, CARLTON DELK JR LANCASTER, JOHN THOMAS LAND, WILLIAM CLIFTON, JR. LANDES, MARJORIE THERESE LANDHAM, JACKSON W JR LANDIS, ANTHONY MARK LANDIS, EVAN NEIL LANDRY, JEAN-PAUL LANDRY, JEROME CARL LANDY, MICHAEL STEPHEN LANE, CARL EDWARD LANE, DONALD RAY LANE, FORREST JAMES, JR LANE, GLENN DALE LANE, JOHN DAVIS LANE, KELVIN LANE, MARIAN FREEMAN LANE, SAMUEL DAVID LANE, WILLIAM ROBERT, JR. LANFORD, CHARLES A SR. LANG, AMY M. LANG, WILLIAM COTTRELL, JR LANGBERG, JONAHTAN JASON LANGE, STEPHEN J JR LANGENBECK, DONALD FREDERICK LANGFORD, DAVID ALLEN LANGFORD, JAMES FRANKLIN LANGFORD, RICHARD ALAN LANGMO, MARY LISA SMITH LANGSTON, WILLIAM T LANIER, BOBBY GENE LANIER, JOHN PALMER LANIER, RANDALL CLARK LANIER, WILLIS ELLIOTT LANTZ, JAMES EDWARD JR LAPLANTE, RICHARD STEPHAN LARA, CARLOS M LARAMORE, ROSEMARY LARDIN, WILLIAM ARTHUR LARI, STEVEN JUD LARIOSA, DIOSITA WATIN LARNED, GREER SPENCER GADSDEN LARRABEE, JERRY GREGORY LARRAURI, MANUEL S LARSEN, CHRISTIAN PETER LARSON, JANET DAVIS LASALLE, HENRY
030336 2500 HOSPITAL BLVD., SUITE 470 035926 908 PALMETTO-TYRONE ROAD 038834 635 WASHINGTON WEST DR 031963 4500 HUGH HOWELL ROAD, SUITE 220 037444 PO BOX 925 011768 315 BOULEVARD NE STE 412 033619 613 ASHWOOD COURT 034882 613 ASHWOOD COURT 021172 320 SUNSET CIRCLE 017229 3280 HOWELL MILL ROAD, N.W., SUITE 304 007514 75 BLECKLEY PLACE 015392 HAMILTON MEDICAL CENTER, PO BOX 1168 011973 143 MATHIS RD NE 015481 P.O. BOX 779 032413 77 EAST ANDREWS DRIVE, APT 324 005609 502 EAST COLLEGE STREET 021733 600 PROFESSIONAL DR. S-210 024010 12385 CRABAPPLE RD, SUITE 100 033777 PO BOX 2499 029705 1365 CLIFTON RD NE, RADIATION ONCOLOGY, CC-1 011600 33 SW UPPER RIVERDALE ROAD, SUITE 121 020330 770 PINE STREET, SUITE #300 011233 5243 SNAPFINGER WOODS DRIVE, SUITE 104 034641 2202 STONEWALL ST 025204 2500 HOSPITAL BLVD., SUITE 310 024967 1514 VERNON ROAD 008821 1950 PALMYRA RD 024011 106 EAST TELEPHONE STREET 037590 2508 WILLOW RIDGE DRIVE 027852 380 HOSPITAL DRIVE, SUITE 465 007831 7405 INDUSTRIAL HIGHWAY, RFD 3 034645 1233 TIMBERSHYRE PL 012509 3200 HOWELL MILL RD 037264 664 CRESTHILL AVE NE 010218 8 STEPHENSON AVE 033620 610 PEACHTREE PARKWAY, SUITE A 028181 5669 PEACHTREE ROAD, N.E., SUITE 390 006936 155 JADE CONE DRIVE 016941 2303 SCOTT DRIVE 034392 1183 REEDER CIRCLE 009185 650 BROAD ST 009863 993-D JOHNSON FERRY ROAD, SUITE 370 028809 RR 5 BOX 882, TIMBERLANE DRIVE 033131 TIFTON MEDICAL CLINIC, 712 EAST 18TH STREET 013059 960 JOHNSON FERRY NE, SUITE 122 028028 6043 PRESTLEY MILL ROAD, SUITED 033252 6486 FORD ROAD, PO BOX 397
013649 * 7737 JONESBORO RD., HIGHWAY 54
038835 8622 WHITFIELD AVE 014522 313 TUXEDO DRIVE 028182 775 MOUNT VERNON HIGHWAY, SUITE 350 021325 513 - 2ND AVE 029020 3802 WATERS AVENUE 037445 573 GREENWOOD AVE, NE 015015 211 LAKECREST DR NE 033853 2727 BRIARLAKE WOODS WAY 030135 5932 BROOKSTONE BLVD 011769 21 DEERFIELD ROAD
ROSWELL
GA
SHARPSBURG GA
EVANS
GA
TUCKER
GA
ST JOSEPH
GA
ATLANTA
GA
WOODSTOCK
GA
WOODSTOCK
GA
MOULTRIE
GA
ATLANTA
GA
CLAYTON
GA
DALTON
GA
ROME
GA
RIVERDALE,
GA
ATLANTA
GA
GRIFFIN
GA
LAWRENCEVILLE GA
ALPHARETTA GA
STATESBORO GA
ATLANTA
GA
RIVERDALE
GA
MACON
GA
DECATUR
GA
DUBLIN
GA
ROSWELL
GA
LAGRANGE
GA
ALBANY
GA
SYLVANIA
GA
AUGUSTA
GA
MACON
GA
MACON
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
CUMMING
GA
ATLANTA
GA
ROSWELL
GA
DUBLIN
GA
ATLANTA
GA
GAINESVILLE GA
ATLANTA
GA
DAHLONEGA
GA
TIFTON
GA
ATLANTA
GA
DOUGLASVILLE GA
FLOWERY BRANCH GA
JONESBORO
GA
SAVANNAH
GA
THOMASVILLE GA
ATLANTA
GA
ALBANY
GA
SAVANNAH
GA
ATLANTA
GA
MILLEDGEVILLE GA
ATLANTA
GA
COLUMBUS
GA
COVINGTON
GA
30076
15
30277
10
30809-8406 17
30084
28
49127
21
30312
40
30188
17
30188
10
31768
17
30327
27
30525
36
30722
17
30161c9145 41
30274
36
30305
33
30223
00
30245
17
30201
32
30459-2499 17
30307-1013 53
30274
11
31201
48
30035
17
31021-2830
30076
28
30240
03
31701
52
30467
30909
36
31201
03
31206
10
30243-4473
30327
36
30306
05
31405
03
30131
01
30342
41
30075
10
31021
12
30306
36
30505
32
30342
37
30533-9795 15
31794
30342
11
30134
30542
33
30236
11
31406
33
31792
03
30328
33
31701
00
31404
32
30308
32
31061
33
30345
40
31904
00
30209
01
Page No. 121
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LASKEY, GARY MICHAEL LASLIE, MICHAEL NEVINS LASSISTER, HOMER LEON SR LASSITER, HOMER LEON, JR LASSITER, NOLAN MADDOX LASZLO, JOHN LATHAM, HARRY STATON LATHAN, SAMUEL ROBERT LATIF, RHONDA CATHERINE LATON!, RENE LATORRE, LOUIS DONALD LATORRE, MILANIEVA SARMIENTO LATOUR, JONATHAN GILBERT LATTOUF, OMAR MAHMOOD LAU, FOOK SUN LAUBE, JUDITH MARTINSON LAUER, RICHARD C. LAUER, STEPHEN JOHN LAUER, TERRI LYNN MILES LAUN, FREDERICK MATTHEW LAUNDER, TERESA MARIE T. LAURUSONIS, JOHN DREW LAURY, DAVID GODFREY LAUTER, JONATHAN BENJAMIN LAUTERBACH, EDWARD CHARLES LAVIETES, PAUL ALAN LAVIGNE, WILLIAM EDWIN LAVINE, ALAN DOUGLAS LAVINE, MICHAL JOSILEVSKI LAW, EDWARD JOHN LAW, STEPHEN SEK-KING LAWHEAD, RAYMOND ALLEN, JR. LAWHEAD, ROBERT GERARD LAWHORNE, THOMAS W JR LAWLER, JACK LAWLESS, TERRI ELIZABETH LAWLEY, THOMAS JOSEPH LAWRENCE, ANDREW LEE JR LAWRENCE, DOUGLAS ROSS LAWRENCE, ERNEST CLINTON LAWRENCE, GEORGE CALVIN LAWRENCE, GEORGE CALVIN, JR. LAWRENCE, JOHN CHARLES LAWRENCE, MALLORY ANDREW LAWRENCE, MARISA LAWRENCE, SHEILA MARIAN LAWRENCE, THERESA ANNA BERTHA LAWRENCE, WILLIAM POWELL LAWS, WILLIAM JAMES LAWSON, DAVID HARDMAN LAWSON, DAVID LEE LAWSON, DEIRDRE MAE LAWSON, HERSCHEL WORO~ LAWSON, QUENTIN TALLY LAWSON, WAYNE KIVAN LAWTON, ANDREW WILLIAM LAWVER, ALICE IRENE LAYCOCK, WILLIAM SHERMAN
015788 755 COMMERCE DRIVE #205
DECATUR
GA
011400 406 FIRST AVENUE
ALBANY
GA
008491 PO BOX L
ARLINGTON
GA
031460 142 HIGHLAND AVE, SOUTH
ARLINGTON
GA
010220 2176 OAK RD SW
SNELLVILLE GA
033381 1599 CLIFTON ROAD
ATLANTA
GA
032934 GA CELL & TISSUE DIAGNOSTIC CTR, PO BOX 568
CORDELE
GA
012337 1938 PEACHTREE RD NW, SUITE 606
ATLANTA
GA
030127 PO, BOX 423, 300 BLVD NE
ATLANTA
GA
032227 2204 HWY 120, PO BOX 2287
DULUTH
GA
036203 6454 PATRIOT DR.
COLUMBUS
GA
038032 180 MERCEDES TRAIL
FAYETTEVILLE GA
035927 502 NORTH DECATUR LANE
DECATUR
GA
023473 315 BOULEVARD, NE, SUITE 224
ATLANTA
GA
015016 297 YOUNGBLOOD CIRCLE
MILLEDGEVILLE GA
021735 * 3400 MC CLURE BRIDGE RD, BLDG F, SUITE B
DULUTH
GA
030497 105 COLLIER ROAD NW, SUITE 3040
ATLANTA
GA
038838 480 STONE MOUNTAIN TRAIL
ATLANTA
GA
030638 6020 BLACKWATER TRAIL
ATLANTA
GA
020761 19 LESTER ROAD, P.O. BOX 328
STATESBORO GA
038284 1041 GUNNERS WALKAY
TUCKER
GA
031966 412 LAKESIDE WAY
NEWNAN
GA
029707 5 SENAUKI LANE, SKIDWAY ISLAND
SAVANNAH
GA
033382 1140 HAMMOND DRIVE, F-6220
ATLANTA
GA
031056 331-4D COLLEGE ST
MACON
GA
007515 550 PEACHTREE STREET NE
ATLANTA
GA
020231 2100 CENTRAL AVE
AUGUSTA
GA
022810 1218 D'ANTIGNAC STREET
AUGUSTA
GA
022811 1218 D'ANTIGNAC STREET
AUGUSTA
GA
030811 868 DEERWOOD CIRCLE
EVANS
GA
020881 285 BOULEVARD NE
ATLANTA
GA
027853 285 BOULEVARD NE, SUITE 430
ATLANTA
GA
035678 203 ST ANDREWS COURT
MCDONOUGH GA
020333 2522 WARM SPRINGS ROAD
COLUMBUS
GA
009541 PROFESSIONAL TOWER, 700 CENTER STREET #406
COLUMBUS
GA
035679 2613 WOODBLUFF CIRCLE
AUGUSTA
GA
030812 EMORY UNIV WMB 5001, DRAWER SS DERMATOLOGY DEPT
ATLANTA
GA
009325 * CHARTER NORTHSIDE MEDICAL BLDG, 420 CHARTER BLVD SUIT MACON
GA
021737 316 W 10TH ST
ROME
GA
036556 1474 MONTEVALLO CIRCLE
DECATUR
GA
005238 550 FAIRBURN ROAD SW, #A-5
ATLANTA
GA
028428 2812 DUNAWAY DRIVE
ALBANY
GA
010988 PO BOX 444, BETTYS CREEK ROAD
DILLARD
GA
026578 820 ST SEBASTIAN WAY, SUITE 7C
AUGUSTA
GA
038839 3267 DUNBERRY CHASE
MARIETTA
GA
034393 505 MALL BLVD APT 708
SAVANNAH
GA
021326 600 PROFESSIONAL DR., SUITE 260
LAWRENCEVILLE GA
013060 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA
019062 3222 SHRINE ROAD, SUITE B
BRUNSWICK
GA
017231 1327 CLIFTON RD
ATLANTA
GA
030813 3215 SHRINE ROAD, SUITE 1-B
BRUNSWICK
GA
036649 527 RICHMOND HILL RD, WEST, L-8
AUGUSTA
GA
032228 CDC K-55, 4770 BUFORD HWY NE
ATLANTA
GA
007516 401 WOODROW WILSON DRIVE
VALDOSTA
GA
034644 521 OAK HILL CIRCLE
STONE MOUNTAIN GA
020567 GEORGIA EYE INSTITUTE, 5205 FREDERICK STREET
SAVANNAH
GA
021252 2675 N DECATUR RD, SUITE 501
DECATUR
GA
037593 1515 N. MORNINGSIDE DRIVE
ATLANTA
GA
30030
36
31701
03
31713
10
31713
10
30278
17
30329
53
31015-0568 31
30309-1258 17
30312
15
30136
10
31909-4424 03
30214
10
30033
03
30312
31061
17
30136
03
30309
19
30328
32
30328
17
30458
46
30084
31
30265
17
31411
01
30328
33
31201
33
30365
36
30904
15
30901
17
30901
17
30809
41
30312
15
30312
15
30253
03
31904
41
31901
15
30909-2073 32
30322
06
31210
01
30165-2639 15
30033
17
30331
15
31707
08
30537-0444 06
30910
41
30067
47
31406
17
30245
37
30914-3845 36
31520
17
30322
19
31520
17
30906
17
30341
15
31601
52
30083
03
31405
27
30033
23
30306
41
Page No. 122
NAME
LAYGO, ROMUALDO M LAYNE, EDWARD AUGUSTUS LAYNE, WILLIAM THOMPSON LAZARUS, KENNETH JAY LAZENBY, ALLEN WARREN LAZENBY, SHIRLEY JONES LAZO, RODOLFO S LE BOW, HARLAN GARY LE CLAIR, BRUCE MERRILL LEDUC, ELIZABETH MEADOWS LEDUC, LAWRENCE BRIEN LEA, JANICE IRENE PHILLIPS LEADER, EDWARD
\
LEADER, LORRAINE MARIE LEADERMAN, ADAM JOSEPH LEADERMAN, ERROL SCOTT LEAKE, JAMES EDGAR LEAPHART, WILFREIDA LYNN LEAR, THOMAS F JR LEATHERBURY, LINDA LEBARON, CHARLES WADE LEBENDIGER, GARY BRUCE LEBERT, THOMAS WILLIAM, II LEBLANG, MICHAEL NEAL LEBOS, HARVEY C LECCE, MICHAEL D. LEDDY, MICHAEL RODEN LEDER, STEVEN TODD LEDESMA, ERNESTO LOCSIN LEE, ARTHUR BROWN, JR. LEE, BAILEY LOCK LEE, BRUCE ELWIN LEE, CAROLYN VIRGINIA LEE, CHARLES HYOK-JAE LEE, CHRISTOPHER MORGAN LEE, CHUL NAM LEE, DEBORAH SCOTT LEE, DICEY GAY LEE, EVERETT MARTIN LEE, FREDERICK M LEE, JEFFREY ROBERTS LEE, JOHN EVERETT LEE, JOHN LEVIE JR LEE, JOHN WESLEY LEE, JOON NAM LEE, KUO LAM LEE, LOUIS GEORGE LEE, LOUIS SANG LEE, MARCIA ANN LEE, MARION O'NEILL, JR LEE, MIN KYO LEE, MOO HEE LEE, NANCY CARROLL LEE, PAUL MITCHELL LEE, PHILIP CHARLES LEE, RALPH CAIL JR LEE, RICHARD YUAN CHIEN LEE, ROBERT BLAIR
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
017843 601 NORTH ASH STREET, P. 0. BOX 348
SPRINGFIELD GA
021539 GASTROENTROLOGY CLINIC PC, 285 BOULEVARD NE, SUITE 44 ATLANTA
GA
011920 1790 MULKEY ROAD, SUITE 5-B
AUSTELL
GA
031058 SOU. CRESCENT NEURO CLINIC, 110 N PARK DR
FAYETTEVILLE GA
034179 1419 LIVELY RIDGE RD
ATLANTA
GA
034394 1419 LIVELY RIDGE ROAD
ATLANTA
GA
016811 CENTRAL STATE HOSPITAL, BOX 167
MILLEDGEVILLE GA
012628 108 PEACHTREE HILLS CIRCLE
ATLANTA
GA
036558 5088 WINDMILL LAKE DRIVE
AUGUSTA
GA
034754 2315 TANGLEWOOD RD
DECATUR
GA
035457 1669 HEATHERWOOD DRIVE
DECATUR
GA
032634 3562 MORNINGSIDE VILLAGE LANE, APT A
DORAVILLE
GA
012054 755 MOUNT VERNON HWY, SUITE 350
ATLANTA
GA
038287 818 GUINEVERE WAY SW
LILBURN
GA
029709 975 JOHNSONFERRY ROAD NE, #380
ATLANTA
GA
017844 150 ZEBLI N ROAD
ATLANTA
GA
026144 120 VANN STREET, SUITE 120
MARIETTA
GA
035680 112 FLORIDA AVENUE
MACON
GA
009542 PO BOX 398
BAINBRIDGE GA
028029 MED COLL OF GA PED CARIO
AUGUSTA
GA
037594 460 CANDLER ST
ATLANTA
GA
028429 * 534 FLINT TRAIL
JONESBORO
GA
035456 4311 N SMOKE RIDGE COURT
ROSWELL
GA
030498 FAMILY PRACTICE CENTER, 1107 EAST 66TH STREET
SAVANNAH
GA
015953 5400 SUTLIVE STREET
SAVANNAH
GA
032418 574 ANSLEY WAY
EVANS
GA
023179 962 JOE FRANK HARRIS PKWY, SUITE 105
CARTERSVILLE GA
031059 45 WING MILL ROAD
ATLANTA
GA
016942 604 E LONG ST
CLAXTON
GA
027077 22 PIEDMONT AVE, SUITE 522
ATLANTA
GA
035681 3457 N DRUID HILLS RD, APT R
DECATUR
GA
027593 PO BOX 1687
CALHOUN
GA
033854 1602 SUMMERVIEW DRIVE
STONE MOUNTAIN GA
037595 914 CALIBRE WOODS DRIVE
ATLANTA
GA
029282 700 CENTER STREET, SUITE 204
COLUMBUS
GA
026886 155 MEDICAL WAY, SUITED
RIVERDALE
GA
026579 2001 PEACHTREE RD., SUITE 510
ATLANTA
GA
032230 3280 HOWELL MILL ROAD,, SUITE T-25
ATLANTA
GA
014703 * 1545 MOORES MILL ROAD NW
ATLANTA
GA
015276 800 EAST.DOYLE ST
TOCCOA
GA
018920 533 WATERFORD DR
EVANS
GA
014748 4730 HARRIS TRAIL
ATLANTA
GA
018235 11660 ALPHARETTA HWY, SUITE 430
ROSWELL
GA
030639 1800 WARM SPRINGS RD
COLUMBUS
GA
015017 1019 ASTOR AVE, PO BOX 1088
FOREST PARK GA
014704 PO BOX 489
EASTMAN
GA
021540 119 WEST HILL STREET
THOMASVILLE GA
038840 316 TUXWORTH CIRCLE
DECATUR
GA
024013 4344 RIDGEGATE DRIVE NW
DULUTH
GA
037596 PO BOX 279
RICHMOND HILL GA
018310 36 POINTE TERRACE
ATLANTA
GA
015277 * 251 MEDICAL WAY, SUITE A
RIVERDALE
GA
033134 347 WINNONA DRIVE
DECATUR
GA
036804 * 1278 WARSAW RD
ROSWELL
GA
026323 2550 WINDY HILL ROAD, SUITE 108
MARIETTA
GA
010989 * 110 LEWIS DRIVE
MARIETTA
GA
027216 755 COMMERCE DRIVE, SUITE 205
DECATUR
GA
034398 1547 DELIA DRIVE
DECATUR
GA
31329
41
30312
11
30001
15
30214-1645 23
30329
41
30329
41
31062
41
30305
53
30809
10
30033-2015 32
30033
33
30340
17
30328
33
30247-5449 11
30342
17
30342
17
30060
31204
15
31717
41
30914
05
30307
17
30236
30075
03
31404
10
31405
16
30809
17
30120
30350
03
30417
01
30308
40
30033-3713 27
30703
30083
35
30329
41
31901
17
30274-4940
30309
30327
15
30327
17
30577
49
30809-9438 41
30327
23
30076
15
31904
30
30051-1088 17
31023
36
31792
17
30033
17
30136
31324
10
30339
15
30274
32
30030
17
30076
33
30067
15
30060
08
30033
36
30033
05
Page No. 123
NAME
LEE, ROBERT GREGORY LEE, SANDRA JOHNS LEE, STEVEN HOON LEE, STEVEN RICHARD LEE, SUE KIM LEE, THEODORE MARK LEE, WAI-YEE LEE, WALTER EDWARD JR LEE, WILLIAM JESSE LEE, YONG SUK LEE-JOHNSON, OLUFEMI HENRY LEEB, DIANNE CHERYL LEETZ, KENNETH LAURENCE LEFAIVRE, JEAN FRANCOIS LEFEBVRE, DIANE LYNN LEFF, PETER BRYNAN LEFF, RICHARD STEVEN LEFF, STEPHEN PHILIP LEFF, STEVEN ISRAEL LEFFERT, ROBERT LEWIS LEFFINGWELL, SANFORD SCOTT LEFKOFF, HAROLD JOSEPH LEGGETT, CHRISTOPHER JAMES LEGUM, STEPHEN F LEHAN, CAROL ANNE LEHMAN, ERIC LEHMAN, RONALD. JAY LEHMAN, SHARON RUTH LEIGH, JAMES HOMER JR LEIGH, LESLIE DENNIS LEIGH, RICHARD WARREN LEIGH, TED FLOURNOY LEIGHTON, LESLIE STEVEN LEIZMAN, ALICIA PEGGY LEMBO, NICHOLAS JOSEPH LEMKE, JIMMY VINSON LEMLEY, JAMES LOUIS LEMLEY, JOHN WILLIAM LEMLEY, ROBERT KARL LEMON, RODMAN JR LENCKE, MARK KASSON LENNINGTON, BERT RICHARD LENNINGTON, WAYNE JACOB LENNOX, KENNETH WALTER LENTNEK, ARNOLD LESLIE LENTON, JOHN DAVID LENTZ, JOHN DAVID III LENTZ, LINDA MARIE LENTZ, MEREDITH RIGDON LEON, ANGEL RODRIGO LEONARD, DENNIS JOE LEONARD, EVELYN ANN CROWDER LEONARD, JAMES ROBERT LEONARD, ROBERT PARTON LEONARD, TOMMY JR LEONARDY, JOHN G JR LEONORGILRANE, MARIXIE Q. LEOPOLD, LOUIS PETER
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
032419 PO BOX 777
WAYCROSS
GA
023180 PO BOX 695
DALLAS
GA
038841 2091-G LAKE PARK DRIVE
SMYRNA
GA
023378 PEACHFORD MEDICAL CTR STE I, 2150 PEACHFORD ROAD
ATLANTA
GA
014705 2199 NORTH DECATUR ROAD, SUITE 3
DECATUR
GA
024014 INT MED/ALLERGY-IMMUNOLOGY, 1365 CLIFTON RD NE - ROO ATLANTA
GA
014758 802 N MONROE STREET
ALBANY
GA
005164 P O BOX 737
WAYCROSS
GA
010596 *PO BOX 229
CLAYTON
GA
037597 3131 N. DRUID HILLS RD, APT 10307
DECATUR
GA
034399 724 HEMLOCK STREET, SUITE A
MACON
GA
018514 3130 FIELDING DRIVE
ATLANTA
GA
031060 1160 ORME CIR NE
ATLANTA
GA
038546 3209 CHASTAIN DRIVE
ATLANTA
GA
029484 PEDIATRIC ANESTHESIA SPECIALISTS, 1001 JOHNSON FERRY ATLANTA
GA
016943 2675 NORTH DECATUR RD, SUITE 506
DECATUR
GA
031782 STEMMER BLDG, 2712 LAWRENCEVILLE HWY
DECATUR
GA
017845 755 COMMERCE DR, SUITE 702
DECATUR
GA
028590 5505 PEACHTREE DUNWOODY ROAD, SUITE 300
ATLANTA
GA
022816 1241 ST ANDREWS DRIVE
BOGART
GA
038843 361 MADELINE CIRCLE
LAWRENCEVILLE GA
007230 315 BLVD NE, #200
ATLANTA
GA
032420 220 KARA COURT
DULUTH
GA
011770 45 RIVERCOURT PARKWAY NW
ATLANTA
GA
033855 9015 MARTIN ROAD
ROSWELL
GA
032231 1296 MCQUAIG ST
CAIRO
GA
014642 5671 PEACHTREE DUNWOODY ROAD, SUITE 550
DUNWOODY
GA
025211 1229 PASADENA AVE
ATLANTA
GA
015278 715 JESSE JEWELL PKWY, SUITE 301
GAINESVILLE GA
034752 1403 EMORY ROAD
ATLANTA
GA
009732 909 NORTH 5TH AVE
ROME
GA
005860 1803 ROCKRIDGE PLACE, N.E.
ATLANTA
GA
026324 2001 PEACHTREE ROAD, N.W., SUITE 545
ATLANTA
GA
029022 1142 N JAMESTOWN RD,# 305
DECATUR
GA
028430 5665 PEACHTREE DUNWOODY RD NE, PO BOX 421369
ATLANTA
GA
032421 898 DEERCREST CIRCLE
EVANS
GA
029023 BOX 300
THOMSON
GA
009661 PO BOX 300, MT PLESANT ROAD
THOMSON
GA
032770 505 MOUNT PLEASANT ROAD
THOMSON
GA
013650 * 1240 AUGUSTA W. PKWY.
AUGUSTA
GA
037854 2437 DEODARA DR
AUGUSTA
GA
020764 380 HOSPITAL DRIVE, SUITE 410
MACON
GA
037267 237 TROTTERS RUN
MACON
GA
024287 808 POINDEXTER DR.
AUGUSTA
GA
037014 2675 N. DECATUR RD., STE. 312
DECATUR,
GA
015789 PO BOX 279
HINESVILLE GA
017573 PO BOX 507
SNELLVILLE GA
037015 INT MED DEPT - HB-2010, MEDICAL COLLEGE OF GEORGIA AUGUSTA
GA
037268 PO BOX 3139
VALDOSTA
GA
030129 936 VIRGINIA AVE NE
ATLANTA
GA
034508 401 E JACKSON STREET, SUITE A
THOMASVILLE GA
028431 601 ROSA TAYLOR DRIVE
MACON
GA
015790 * 3280 HOWELL MILL ROAD NW, SUITE 333
ATLANTA
GA
010598 2675 N DECATUR RD, SUITE 711
DECATUR
GA
016475 705 17TH STREET
COLUMBUS
GA
007518 ATLANTA MEDICAL ASSOCIATES, 100 10TH ST., NW
ATLANTA
GA
023757 168 GLEN EAGLE WAY
MC DONOUGH GA
007519 PROVIDENT PROF BUILDING, 4750 WATERS AVE., STE 208 SAVANNAH
GA
31501
17
30132-0695 17
30080
15
30338-6539 33
30033
01
30322
17
31701
32
31501
10
30525
41
30037
38
31201
41
30345
47
30306-3656 33
30342
47
30342
03
30033
11
30033-2512 19
30030
27
30342
27
30622-2471 31
30243
26
30312
30
30136
05
30328
36
30076
23
31728
41
30342
28
30306-3117 32
30505
41
30306
32
30161
15
30324
36
30309
17
30033
06
30342-1764 05
30809
17
30824
10
30824
10
30824
10
30909
15
30904
23
31201
36
31210
31
30909
30033
17
31313-0279 17
30278
10
30912
17
31604-3139 17
30306
05
31792
10
31204
10
30327
30
30033-6131 47
31901
21
30309
04
30253-4228 01
31404
25
Page No. 124
NAME
LERMAN, BERNARD LERNER, GUY M LERNER, SAMUEL H LEROY, JOSEPH BEENE LESCH, DAVID R LESESNE, ARTHUR ERVIN LESESNE, GAYLE LESESNE, JOSEPH BANCROFT LESHER, JACK LEITER, JR LESKOSKY, LOUIS ANTHONY LESLIE, DONALD PECK LESLIE, HARVEY BOWEN LESSER, JOSEPH M LESSER, LAURENCE MARTIN LESTER, JAMES WILLIAM, JR. LESTER, JESSE CLARENCE LESTER, JONATHAN PETER LESTER, WILLIAM M LETCHFORD, STEPHEN ~ETER LETICA, MARK LETTON, ALVA H LEV, JEFFREY DAVID LEVENSON, DAVID SIDNEY LEVERE, SCOTT MARTIN LEVERETT, EDWARD RAYMOND LEVEY, ALLAN IRA LEVI, JAMES STUART LEVIN, ALFRED CHARLES LEVIN, DEBRA KAY LEVIN, FRED ALAN LEVIN, GARY MARK LEVIN, HAROLD BERNARD LEVIN, JAY ALAN LEVIN, STEVEN D LEVIN, STUART IRWIN LEVINE, ALLAN N LEVINE, DAVID JONATHON LEVINE, ELLIOT LOUIS LEVINE, GARY I LEVINE, KEITH ANDREW LEVINE, MARSHALL RICHARD LEVINE, MICHAEL K LEVINE, MICHAELS LEVINE, MONROE I. LEVINE, RAPHAEL S LEVINE., ROBERT JOSEPH LEVINE, ROSANA SILVA LEVINE, STANLEY HARRIS LEVINE, STANLEY IRWIN LEVINE, STEPHEN BARRY LEVINE, WILLIAM CHARLES LEVINSON, ALAN KEITH LEVINSON, GARY ALLEN LEVITT, BRIAN ALLEN LEVITT, RICHARD ALLEN LEVITT, ROBERT 0. LEVY, ALAN MERRILL LEVY, ARTHUR JERRY
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
019063 034180 012177 033623 031968 012659 021327 029712 024016 028032 025785 027597 015598 014194 028591 008291 034883 004875 034884 035929 004521 029024 011126 037017 007833 034885 018921 037269 020932 022434 036406 004263 026888 036806 025998 018236 027080 034400 034401 022583 018399 010761 012932 027856 014643 037598 034471 009544 026326 016093 036807 034182 033856 029485 021541 024835 035930 017847
3250 HOWELL MILL ROAD, N.W., SUITE 303
ATLANTA
GA 30327
41
190 WALKER ST, SW, APT 301
ATLANTA
GA 30313
03
RR 1 BOX H696
JASPER
GA 30143
33
446 S. HANSELL STREET
THOMASVILLE GA 31792
33
4500 N SHALLOWFORD RD, SUITE 200
ATLANTA
GA 30338
23
5243 SNAPFINGER WOODS DRIVE, SUITE 104
DECATUR
GA 30035
17
715 W 12TH ST
TIFTON
GA 31794-3381
993 D JOHNSON FERRY RD., SUITE 430
ATLANTA
GA 30342
17
MEDICAL COLLEGE OF GA, 1004 CHAFEE AVENUE
AUGUSTA
GA 30912-2900 06
425 3RD AVE, SUITE 550
ALBANY
GA 31702
SHEPHERD SPINAL CENTER, 2020 PEACHTREE ROAD NW
ATLANTA
GA 30309
23
3009 RAINBOW DRIVE, SUITE 139
DECATUR
GA 30034
17
1315 OLD JOHNSON FERRY RD
ATLANTA
GA 30319
17
2611 VARNER DRIVE
ATLANTA
GA 30345
05
70 TOWER ROAD NW
MARIETTA
GA 30060
36
980 JOHNSON FERRY ROAD, SUITE 170 - DOCTORS CENTRE ATLANTA
GA 30342
27
3903 SOUT COBB DRIVE, SUITE 101
SMYRNA
GA 30080
38
4440 GARMON ROAD
ATLANTA
GA 30327
15
3123 RAMSGATE RD
AUGUSTA
GA 30909
10
870 CRESTMARK DRIVE, SUITE 101
LITHIA SPRINGS GA 30057
23
315 BOULEVARD NE, SUITE 500
ATLANTA
GA 30312
41
660-B LANIER PARK DRIVE
GAINESVILLE GA 30505
17
2754 NORTH DECATUR RD, SUITE 110
DECATUR
GA 30033
27
3910 AUSTELL RD SUITE 101
AUSTELL
GA 30001
28
303 SMITH ST, CLARK-HOLDER CLINIC/PA
LAGRANGE
GA 30240
10
EMORY UNIV NEUROLOGY WOODRUFF BL, SUITE 6000 PO DRAW ATLANTA
GA 30322
23
MERCER UNIV. SCHOOL OF MED., 1550 COLLEGE STREET
MACON
GA 31207
32
2469 RYAN LEIGH RIDGE
DULUTH
GA 30136
13
1250 UPPER HEMBREE ROAD
ROSWELL
GA 30076
10
1313 MILSTEAD AVE
CONYERS
GA 30207
17
2800 OLD DAWSON RD
ALBANY
GA 31701
27
1293 PEACHTREE ST NE STE 212
ATLANTA
GA 30309
06
5669 PEACHTREE DUNWOODY RD, STE 100
ATLANTA
GA 30342
06
HUGHSTON SPORTS MED HOSPITAL, 6262 HAMILTON ROAD
COLUMBUS
GA 31909
28
1250 UPPER HEMBREE ROAD
ROSWELL
GA 30076
10
1060 RIVERSIDE TRACE
ATLANTA
GA 30328
28
993 JOHNSON FERRY ROAD NE, SUITE 100-D
ATLANTA
GA 30342
06
95 COLLIER RD NW, SUITE 3000
ATLANTA
GA 30309-1735 27
500 THIRD AVENUE, SUITE 103
ALBANY
GA 31701
10
601-A PROFESSIONAL DRIVE, SUITE 235
LAWRENCEVILLE GA 30245
40
77 COLLIER ROAD, N.W., SUITE 2060
ATLANTA
GA 30309
17
755 MT. VERNON HIGHWAY, SUITE 150
ATLANTA
GA 30328
32
2520 WINDY HILL ROAD, SUITE 102
MARIETTA
GA 30067
13
MEDICAL COLLEGE OF GEORGIA, SECTION OF ORTHOPEDICS AUGUSTA
GA 30912
46
2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA 30033
05
4303 CHASTAIN DRIVE
ATLANTA
GA 30342
10
1104 WESTBROOKE WAY
ATLANTA
GA 30319
17
960 JOHNSON FERRY ROAD, SUITE 245
ATLANTA
GA 30342
13
4425 CONISBURGH WAY
COLUMBUS
GA 31907
32
5671 PEACHTREE DUNWOODY ROAD NE,# 440
ATLANTA
GA 30342
27
724 PARK LANE
DECATUR
GA 30033
17
428 WINN COURT
DECASTUR
GA 30030
52
100 PROFESSIONAL PL, SUITE 310
CARROLLTON GA 30117-3827 33
2675 NORTH DECATUR ROAD, SUITE G 05
TUCKER
GA 30033
15
11685 ALPHARETTA HWY SUITE 180
ROSWELL
GA 30076
33
4 LITTLE LANE
SAVANNAH
GA 31411
315 BLVD, NE, SUITE 412
ATLANTA
GA 30312
50
5667 PEACHTREE DUNWOODY RD., SUITE 210
ATLANTA
GA 30342
40
Page No. 125
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LEVY, CHARLES EARL LEVY, ERIC NICHOLAS LEVY, HERMAN LEVY, HOWARD IRA LEVY, JERROLD HENRY LEVY, LAURA MCINTIRE LEVY, LOUIS IRA LEVY, ROBERT MATTHEW LEVY, ROBYN JOYCE LEVY, STEVEN THEODORE LEVY-ELICEIRI, CARLOS ALBERTO LEWELLEN, JOHN C LEWINSTEIN, CHARLES JAY LEWIS, BRET CAMERON LEWIS, CURTIS ALAN LEWIS, DAVID MICHAEL LEWIS, EDWARD L JR LEWIS, FREDRIC AUSTIN LEWIS, GREGORY KENNETH LEWIS, JOHN GRANT LEWIS, JOHN R JR LEWIS, JOSEPH RICHARD, JR. LEWIS, JUDITH ANN LEWIS, KRISTIN HELGA LEWIS, LAWRENCE K LEWIS, MARK ALLEN LEWIS, MELINDA MOORE LEWIS, MYRON KEITH LEWIS, SHARON ROBERTA LEWIS, STEPHEN RUSSELL LEWIS, THOMAS NECY LEWIS, WILLIAM EARL LEWIS, WILLIAM LLOYD LEXOW, STEPHEN STEWART LEYVA, JOSE SANTOS LEZINSKI, JOHN LEO LI, RONALD LIANG, ARTHUR PING LIAO, SHIN LONG LIBBY, JAMES MORRIS LIBERMAN, HENRY ALEXANDER LICATA, ROBERT M. LICHTENWALNER, CRAIG STODDARD LICHTMAN, JEFFREY B LICHTMAN, STANLEY LIDE, BROOKS SMITH, III LIEBELT, DONALD WALTER LIEBERMAN, JEFREY DALE LIEBERMAN, RICHARD LESLIE LIEBMAN, PAUL HARVEY LIENDO, LUISA A. LIEPPE, WILLIAM MICHAEL LIEVANO, ALVARO LIGHT, GERALD SIDNEY LIGHT, PETER JAMES LIGHTFOOT, ELIJAH JR LIGHTFOOT, SAMUEL SR. LIGHTNER, JOEL ELLIOTT
010991 5300 WILLOW POINT PARKWAY 036206 THE CHILDREN'S HOSP - PEDIATRICS, PO BOX 23089 034010 3208 SHRINE ROAD 036207 2165 N. DECATUR RD. 024704 1364 CLIFTON RD NE, EMORY UNIVERSITY HOSPITAL 029738 717 - 20TH STREET, PO BOX 2787 011403 2000 - 10TH AVE, SUITE 180 015210 830 WESLEY OAK ROAD 033625 5455 MERITIAN MARK RD, SUITE 410 016383 PSYCHIATRY DEPT, PO BOX AF, EMORY UNIV 019967 1819-A OSBORNE ROAD 032422 3461 POINT VIEW CIRCLE 035931 1700 HOSPITAL SOUTH DRIVE, SUITE 405 033384 2535 CLUB WALK TRCE 030499 215 PIEDMONT AVE, UNIT 2208 023380 CUMBERLAND CTR FOR FAMILY PSYCH!, 3050 ATLANTA RD 011659 1077 BAXTER ST 036209 DONALSONVILLE HOSPITAL, PO BOX 677 036407 23 KENSINGTON ROAD 017028 330 TURNER MC CALL BLVD, SUITE 205 004522 3224 GLEN ARDEN DRIVE NW
035085 * 139 WATERWAY DRIVE
035683 800 E. DOYLE ST. 037599 1801 SUMMIT POINTE WAY 007834 PO BOX 552 035932 ROUTE 2 BOX 28, EAGLE NECK DRIVE 027599 1116 BYRNWYCK ROAD 018922 PULASKI PROFESSIONAL BLDG 024968 3500 PIEDMONT ROAD, N.E., SUITE 300 038846 6963 G ROSWELL ROAD, NE 032771 1984 PEACHTREE ROAD NW, SUITE 515 005026 380 HOSPITAL DRIVE, SUITE 430 036210 2810 1/2 LOMBARDY COURT 021253 2675 NORTH DECATUR ROAD, SUITE 501 014067 189 MEDICAL WAY, SUITE A 013471 7652 US HWY 76 031463 840 WEST THOMAS ST 030815 422 LONDONBERRY RD 038036 1000 STEVENS ENTRY X212 029903 29 SW UPPER RIVERDALE ROAD, SUITE 140 020766 35 LINDEN AVENUE NE 025457 480 ABBEYWOOD DRIVE 028592 1958 8TH AVENUE 018517 895 EDGEWATER TRAIL NW 013908 5251 POWERS FERRY RD NW 029714 500 PIEDMONT PROFESSIONAL BLDG, 35 COLLIER ROAD, NW 035461 ER DEPT, HABERSHAM MED CTR, OLD HIGHWAY 441 031623 2712 N DECATUR ROAD 014150 1459 MONTREAL ROAD, SUITE 410 017064 5355 N POWERS FERRY RD NW 036650 4360 ELEGANCE DRIVE 019717 5669 PEACHTREE DUNWOODY RD., SUITE 170 014775 1203 CLEVELAND AVE 018237 2311 N. PATTERSON ST 035086 387 PARKWAY DRIVE 017574 918 MILLEDGE ROAD 011974 1189 BYRNWYCK RD. 016476 6 OAKHILL DRIVE
MARIETTA
GA
SAVANNAH
GA
BRUNSWICK
GA
DECATUR
GA
ATLANTA
GA
COLUMBUS
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ST MARYS
GA
GAINESVILLE GA
AUSTELL
GA
ALPHARETTA GA
ATLANTA
GA
SMYRNA
GA
ATHENS
GA
DONALSONVILLE GA
AVONDALE EST GA
ROME
GA
ATLANTA
GA
CATAULA
GA
TOCCA
GA
ATLANTA
GA
MADISON
GA
TOWNSEND
GA
ATLANTA
GA
HAWKINSVILLE GA
ATALNTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
DECATUR
GA
RIVERDALE
GA
YOUNG HARRIS GA
MILLEDGEVILLE GA
ATLANTA
GA
PEACHTREE CITY GA
RIVERDALE
GA
ATLANTA
GA
ROSWELL
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DEMOREST
GA
DECATUR
GA
TUCKER
GA
ATLANTA
GA
ST MOUNTAIN GA
ATLANTA
GA
EAST POINT GA
VALDOSTA
GA
MARTINEZ
GA
AUGUSTA
GA
ATLANTA
GA
NEWNAN
GA
30068
33
31403
32
31520
34
30033
53
30322
03
31994
36
31901
32.
30328
36
30342
04
30322
33
31558
41
30506
08
30001
50
30202-4006 15
30308
36
30080-8255
30601
06
31745
36
3-0002
36
30165-2748 17
30305
47
31804
10
30577
17
30329
36
30650
10
31331
08
30319
31
31036
17
30305
32
30328
17
30309
03
31201
41
30909
08
30033
30274
15
30582
29
31061
52
30327
35
30269
10
30274
49
30365
05
30075
32
31901
53
30328
36
30327
03
30309
17
30535
10
30033
37
30084
30
30327-4627 17
30083
31
30342
05
30344
46
31602
32
30907
08
30904
10
30319
15
30263
36
Page No. 126
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LIGHTSEY, ALTON LIONEL
032423
LIGNEEL, SANDRA KAMIL
032424
LIGON, DEBORAH GAIL
029715
LIGON, WALTER M
010225
L!GOT, JAIME LAZO
034646
LILLIBRIDGE, SCOTT ROBIN
035088
LILLY-BLAIN, JOYCE ANN
031969
LIM, ASTOR TAN
018819
LIM, JENNIFER IRENE
036211
LIMEHOUSE, WALTER ELLIOTT JR 022586
LIN, CHENG-HSIUNG
017537
LIN, TA-JUNG
015153
LINARES, JESUS E.
033626
LINCENBERG, SHELDON MICHAEL 032233
LIND, PHILIP KARL
038037
LIND, RONALD MARK
032772
LINDEGREN, MARY LOUISE
035089
LINDER, CHARLES WESLEY
010226
LINDLEY, JAMES GUNN, JR
033138
LINDSAY, JAMES B
009868
LINDSAY, MICHAEL K
027602
LINDSEY, IRBY LEHMAN JR
009545
LINDSEY, MARK M
012723
LINDYBERG, KENNETH RAYMOND 022245
LINE, ROBIN LEE
018692
LING, BRIAN NATHAN
026146
LING, MARK RUSSELL
034647
LINGAM, NAGABHUSHANA RAO
018820
LINGENFELSER, GEORGE A, JR 023381
LINGLEr JAMES DOYLE, III
037271
LINK, JOEL RICHARD
033385
LINKER, JOE BURTON, III
028594
LINKOUS, HARRY ABRAHAM, III 031465
LINTEL, ALBERT GUSTAVE, III 028595
LINTNER, THOMAS BLAISE
027220
LINZ, WERNER ABRAHAM
006675
LIOU, JOHNSON TSENG-SHEN
031063
LIPHAM, MARK LAWRENCE
019173
LIPMAN, BERNARDS
006126
LIPMAN, BRADFORD CRAIG
028596
LIPMAN, JOHN C
034012
LIPPITT, ALAN B
016630
LIPPITT, LINDA NATHANSON
016821
LIPSCOMB, GEORGE EPPS
011879
LIPSCOMB, THOMAS L
008140
LIPSETT, NATHAN WISE
019718
LIPSITCH, IAN IRVING
016385
LIPSITT, MICHAEL ALAN
018924
LIPS!US, LEWIS HARRY
010600
LIPSON, ROBERT ALAN
017628
LIPTON, CATHY
029028
LISTER, DEBRA ELAINE BEARDEN 038849
L!STOE, GREGORY BERNARD
034402
LISZEWSKI, LAWRENCE JOSEPH 034887
LITTELL, JOHN THOMAS
038038
LITTLE, CECIL STEPHEN
035684
LITTLE, CHARLES HOWARD
007521
LITTLE, MARTHA JANE
032234
3693 INVERNESS WAY
AUGUSTA
GA
43 RIVER BLUFF DRIVE
SAVANNAH
GA
240 RENAISSANCE PKWY, #312
ATLANTA
GA
790 CHURCH STREET EXT., SUITE 230
MARIETTA
GA
PATHOLOGY DEPT, SOUTH GEORGIA MEDICAL CENTER
VALDOSTA
GA
3939 LEE RIDGE WAY SW
LILBURN
GA
1415 HAMPTON HILL DRIVE
ALPHARETTA GA
3226-E HAMPTON AVENUE, HAMPTON MEDICAL PARK
BRUNSWICK
GA
3475 OAK VALLEY ROAD, APT 2120
ATLANTA
GA
920 VIRGINIA AVENUE, N.E.
ATLANTA
GA
PO BOX 1056
DOUGLAS
GA
1025 RIVER NORTH BLVD
MACON
GA
3519 PEBBLE BEACH DR
MARTINEZ
GA
2801 NORTH DECATUR ROAD, SUITE 260
DECATUR
GA
FANNIN REGIONAL HOSPITAL, PO BOX 1549
BLUE RIDGE GA
14021 UPATO! LANE
UPATOI
GA
700 CUMBERLAND CIRCLE
ATLANTA
GA
MCG PEDIATRIC DEPARTMENT
AUGUSTA
GA
NEUROLOGICAL INST. OF SAVANNAH, 4 JACKSON BOULEVARD SAVANNAH
GA
1839 REDWOOD DRIVE
MACON
GA
3461 FOXHOUND ROAD
LITHONIA
GA
993-F JOHNSON FERRY ROAD, SUITE 120
ATLANTA
GA
4430 PACES BATTLE
ATLANTA
GA
333 SOUTH 9TH STREET
GRIFFIN
GA
520 HILLSIDE DRIVE NW,
ATLANTA
GA
RENAL DIVISION, 1364 CLIFTON ROAD NE
ATLANTA
GA
111 PINECREST AVE
DECATUR
GA
101 CHINABERRY LANE
LAGRANGE
GA
1351 STATION DRIVE
WATKINSVILLE GA
310 CANDLEWOOD DRIVE
MARTINEZ
GA
PEACHTREE EAR, NOSE & THROAT, 58 HOSPITAL RD STE 204 NEWNAN
GA
HAWTHORNE PROFESSIONAL PARK, 330 HAWTHORNE LANE
ATHENS
GA
3350 NORTHSIDE DRIVE
MACON
GA
486 HUNTCLIFF GREEN
ATLANTA
GA
790 CHURCH ST EXT, SUITE 330
MARIETTA
GA
303 SMITH ST
LAGRANGE
GA
199 - 14TH STREET NE, SUITE 1705
ATLANTA
GA
PO BOX 997
CARROLLTON GA
2652 BROOKDALE DRIVE, N.W.
ATLANTA
GA
285 BOULEVARD NE, SUITE 435
ATLANTA
GA
1984 PEACHTREE RD NW, SUITE 505
ATLANTA
GA
315 BOULEVARD
ATLANTA
GA
990 HAMMOND DRIVE, SUITE 170
f\TLANTA
GA
1638 FOREST AVENUE
COLUMBUS
GA
3580 ATLANTA AVENUE
HAPEVILLE
GA
6572 RIVER PARK DR, SUITE #101
RIVERDALE
GA
5064 ROSWELL RD, NE, SUITE D-201
ATLANTA
GA
4887 GREENWAY RD
NORCROSS
GA
1236 ASHLEY LAKE DRIVEN E
MARIETTA
GA
166 VANN STREET
MARIETTA
GA
763 DIXIE AVE, NE
ATLANTA
GA
2471 DANBERRY COURT
CONYERS
GA
2451 BASIN DRIVE
GAINESVILLE GA
1625 MOUNT VERNON RD.
DUNWOODY
GA
576 BLUE RIDGE CROSSING
EVANS
GA
705 LEGION DRIVE
EASTMAN
GA
907 RIVERBEND ANNEX
MILLEDGEVILLE GA
3128 QUEENS WALK
ATLANTA
GA
30907
32
31406-6976 33
30308
17
30060
30
31603
30247-2377 10
30202
32
31520
01
30326
27
30306
31
31533
15
31211
12
30907
33
30033
47
30513
10
31829-9779 03
30306
32
30912
32
31499-3501 44
31211
41
30058
25
30342
32
30327
08
30223
41
30342
10
30322
53
30033
30240
01
30677
17
30907
10
30263-1231 30
30606
04
31208
10
30350
08
30060
47
30240
52
30309
36
30117
34
30305
17
30312-4205 05
30309
36
30312
28
30328
32
31906
36
30354
26
30274-2550 17
30342
33
30071
17
30062
33
30090
17
30307
17
30208
08
30506
10
30338
10
30809
10
31023
33
31061
28
30345
33
Page No. 127
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LITTLE, RICHARD ROY
019174 1725 SPALDING DRIVE
ATLANTA
GA
LITTLE, ROBERT BENJAMIN
028355 225 CANAAN GLEN WAYS W
ATLANTA
GA
LITTLE, ROBERT COLBY
015280 DEPT. OF PHYSIOLOGY, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
LITTLE, STEPHEN LEE
035933 3629 ELEANOR'S TRACE
GAINESVILLE GA
LITTLE, WILDER GLOVER JR
022819 11685 ALPHARETTA HWY, SUITE 270
ROSWELL
GA
LITTLE, WILLIAM NORRIS, JR 024288 5278 ADAMS STREET
COVINGTON
GA
LITTLEFIELD, BYRON ANTHONY 028810 6000 JOE FRANK HARRIS PKWY, SUITED
ADAIRSVILLE GA
LITTLES, LOREEN DOYLE
028534 2400 MOUNT ZION PKY, SOUTHWOOD MED OFFICE
JONESBORO
GA
LIU, JOE CHAO-HWA
017403 1610 JOHN ORR DRIVE, BLDG E
TIFTON
GA
LIU, SHINTE
038850 4230 IRON DUKE COURT
DULUTH
GA
LIVERMORE, GEORGE HENRY
036559 913 BRADWELL ST
HINESVILLE GA
LIVEZEY, MARK DOUGLAS
031064 5555 P'TREE DUNWOODY RD, SUITE 325
ATLANTA
GA
LIVINGSTON, DAVID ERIC
038291 3471 LADY MARGARET LANE
TUCKER
GA
LIVINGSTON, JAMES ALBERT
020128 P.O. BOX 999
BYRON
GA
LIVINGSTON, MARK ALEXANDER LLORENTE, TEODULO MENDEZ
029200 PO BOX 1612
015281 * 105 JOHN MADDOX DR
MCDONOUGH
GA
ROME
GA
LLOYD, FRANCES ANN
034183 1657 NORTH EXPRESSWAY
GRIFFIN
GA
LLOYD, JOHN HENRY
028434 1358 MIDDLESEX AVE
ATLANTA
GA
LLOYD, MARK ALAN
021174 3108 BOLERO DRIVE
ATLANTA
GA
LLOYD, PATRICIA KAY ANDERSON 021255 3108 BOLERO DRIVE
ATLANTA
GA
LLUBERAS-ACOSTA, GERONIMO
031065 2232 KRISTEN MILL DRIVE
MARIETTA
GA
LOBEL, CARYN JOY
034404 2401 MELINDA DRIVE
ATLANTA
GA
LOCANDRO, DREW MATTHEW
031970 1790 MULKEY RD SUITE 7, SUITE 7
AUSTELL
GA
LOCHEMES, JOHN JOSEPH
036560 155 MARIETTA HWY
CANTON
GA
LOCHRIDGE, EDWIN P JR
006034 35 COLLIER RD NW, SUITE 365
ATLANTA
GA
LOCHRIDGE, JOHN BENNETT
024969 3050 ATLANTA RD
SMYRNA
GA
LOCKE, THOMAS JESSE, III
036409 824 SKIPPER DRIVE, NW
ATLANTA
GA
LOCKETT, LAURA MAY LEWIS
029029 105 SCARLETT OAK WAY
FAIRBURN
GA
LOCKHART, CHRISTOPHER ROBERT 036212 2303 THE OAKS
CLARKSTON
GA
LOCKHART, RICKY
035287 MIDDLE GA ENT CENTER, 850 W THOMAS ST
MILLEDGEVILLE GA
LOCKMAN, DAVID SYDNER
018041 728 COBB STREET
ATHENS
GA
LOCKSMITH, JOHN PAUL
035187 3532 WEST LAKE DRIVE
AUGUSTA
GA
LODGE, CHARLES GARY
024019 #6 HOSPITAL PARK, P. 0. BOX 2307
MOULTRIE
GA
LODISE, RICHARD CHARLES
030699 1780 WEST WESLEY ROAD NW
ATLANTA
GA
LOEBL, ANNE MALEDON
022436 1302 JAMAICA COURT
AUGUSTA
GA
LOEBL, DONALD HULBERT
019548 1302 JAMAICA COURT
AUGUSTA
GA
LOEFFLER, JANICE HOLLY
024289 3014 N. PATTERSON STREET
VALDOSTA
GA
LOFTIS, WILLIAM EDWIN, JR.
015394 2111 GARDNER ST
AUGUSTA
GA
LOFTMAN, BERTIL ARMIN
016633 105 COLLIER RD NW, SUITE 5030
ATLANTA
GA
LOFTON, GEORGE ERNEST
038548 5575 ARMOUR ROAD
COLUMBUS
GA
LOGAN, ARIKE
031466 2915 NORTHSIDE DRIVE
ATLANTA
GA
LOGAN, JAMES ROBERT
010024 4849 PAULSEN STREET, SUITE 300
SAVANNAH
GA
LOGUE, ROBERT BRUCE
004041 58 WEST BROOKHAVEN DRIVE, NE
ATLANTA
GA
LOIS, THOMAS ANTHONY
021175 2121 FOUNTAIN DRIVE, SUITE K
SNELLVILLE GA
LOJKO, ALBERT THOMAS
029030 HOWELL MEDICAL CENTER, 6475 JIMMY CARTER BLVD, STE 20 NORCROSS
GA
LOKESH, CHIKKNAYAKNHA BASAPPA 031971 5636 WHITESVILLE ROAD, SUITE A-1
COLUMBUS
GA
LOKEY, JULIAN LEE
014390 993-D JOHNSON FERRY ROAD, SUITE 430 - BLDG D
ATLANTA
GA
LOKKESMOE, KEVIN DONALD
032941 311-SHAGBARK TRAIL
FORTSON
GA
LOLLAR, JOHN SHERMAN
032942 HEMATOLOGY-ONCOLOGY, DRAWER AR EMORY UNIVERSITY
ATLANTA
GA
LOMBARD, ELNA ANNE
008144 2728 OLD HIGHWAY 1
HEPHZIBAH
GA
LONAS, JOHN ROBERT
031972 2708 TWIN LAKES DRIVE
BAINBRIDGE GA
LONDON, HAL LAWRENCE
031784 106 CREST POINTE
WARNER ROBINS GA
LONERGAN, WALTER MANSFIELD, II 027401 59 HOSPITAL ROAD
NEWNAN
GA
LONG, CHRISTINE MARRA
037855 1022 BROOKWOOD VALLEY CIR
ATLANTA
GA
LONG, CRAWFORD W
009395 980 JOHNSON FERRY RD, SUITE 800
ATLANTA
GA
LONG, EUGENE M JR
013768 2047 CENTRAL AVE
AUGUSTA
GA
LONG, EUGENE ROY
020050 406 BROAD STREET
LAGRANGE
GA
LONG, GEORGE DALTON
025548 980 JOHNSON FERRY RD. #800
ATLANTA
GA
30350
03
30331
41
30912
05
30506
15
30076
52
30209
17
30103
10
30236-2500 32
31794
32
30136
32
31313
30
30342
04
30084
03
31008
10
30253
33
30161
10
30223
10
30306
01
30341-5758 36
30341-5758 17
30062
37
30345
31
30001
30
30114
28
30309
53
30080-8255 33
30318
08
30213
03
30021-1282 17
31061-2674 30
30606
17
30907
36
31776
30327
03
30909
06
30909
17
31602
01
30904
36
30309
44
31909
35
30305
10
31405
30
30319
05
30278
47
30071
26
31904
33
30342
16
31908
10
30322
06
30815
00
31717
32
31088
10
30263
15
30309
17
30342
11
30904
15
30240
17
30342
25
Page No. 128
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LONG, HAROLD GLENN
008494 P. 0. BOX 186
DAHLONEGA
GA 30533
01
LONG, JAMES DOWNEY
025213 303 MEDICAL DRIVE, SUITE 401
LAGRANGE
GA 30240
25
LONG, JOHN GARTH
025214 993-D JOHNSON FERRY RD, SUITE 110
ATLANTA
GA 30342
32
LONG, KATHLEEN ANNE
038549 2712 LAWRENCEVILLE HWY
DECATUR
GA 30033
16
LONG, ROBERT F JR
013651 5223 PAULSEN ST
SAVANNAH
GA 31405
36
LONG, THAD DEWARD
020769 2273 FOREST DRIVE
JONESBORO
GA 30236
17
LONG, TONI CECILIA MOODY
034405 800 MARIETTA HWY SPUR
HIRAM
GA 30141
32
LONGAKER, TIMOTHY MELDON
025883 175 RIVOLT DOWNS DRIVE
MACON
GA 31210
10
LONGINO, GRADY E
005611 115 RAMSEY ST
DUBLIN
GA 31021
17
LONGLEY, JEAN VANLANDINGHAM 030640 ATLANTA WOMEN'S OB-GYN, 2001 P'TREE RD - STE 640
ATLANTA
GA 30309
25
LONGTIN, CATHERINE MAUREEN 031785 3271 F S FLOWERS ROAD
ATLANTA
GA 30341
06
LONKANI, JAIRAM
015205 980 - 4TH STREET, SE
CAIRO
GA 31728
41
LOOMIS, EARL ALFRED
022246 1002 KATHERINE STRET, #6
AUGUSTA
GA 30904-4481 33
LOOMIS, GASTON PLANTIFF
018693 * 1206 OLD MONTICELLO RD
THOMASVILLE GA 31792-6705 33
LOPEZ, ALVARO JAVIER
034184 1370 MONTREAL ROAD, SUITE 130
TUCKER
GA 30084
17
LOPEZ, AUGUSTO
012842 309 ECKLES ROAD
AMERICUS
GA 31709
31
LOPEZ, CARLOS ENRIQUE
019066 2001 PEACHTREE RD NE, SIOTE 530
ATLANTA
GA 30309-1476 17
LOPEZ, ERNESTO G
015282 1017 WOODS ROAD
WAYCROSS
GA 31501
12
LOPEZ, HECTOR H JR
016635 1572 ADRIAN DR
RIVERDALE
GA 30296-2002 17
LOPEZ, JOSE
012340 229 PLANTATION DR
RIVERDALE
GA 30296-1138 03
LOPEZ, ORLANDO FRANCISCO
025787 217 UPPER RIVERDALE RD SW
RIVERDALE
GA 30274-2598 52
LOPEZ, ORLANDO 0
012056 217 UPPER RIVERDALE RD SW
RIVERDALE
GA 30274-2598 00
LOPEZ-CEPERO, CAYETANO ALBERTO 025633 4721 BENTLEY PLACE
DULUTH
GA 30136
LOPEZ-LAGO, JOSE ANTONIO
015599 1411 WYNNTON ROAD
COLUMBUS
GA 31906
05
LOPEZ-SOTOMAYOR, MANUEL A
013652 4385 NORTHSIDE DRIVE, NW
ATLANTA
GA 30327
33
LORD, CLYDE 0
010229 1251 SHANTER TRAIL SW
ATLANTA
GA 30311
11
LORD, DANIEL BRADLEY
038852 5010 VALLO VISTA CT
ATLANTA
GA 30342
17
LORD, LAURA J. SMITH
032055 NORTHSIDE MED. FAC. STE. 860, 980 JOHNSON FERRY RD. ATLANTA
GA 30342
32
LORD, SYL ALAN
032776 1112 WINSTON AVE
SAVANNAH
GA 31404
08
LORENZ, GIFFORD WILLIAM
030816 3 MEDICAL ARTS CENTER
SAVANNAH
GA 31405
17
LORENZ, MAX PAUL
012341 833 CAMPBELL HILL ST., SUITE 290
MARIETTA
GA 30090
52
LORENZEN, PAUL CONRAD
022587 44 MEDICAL ARTS CENTER
SAVANNAH
GA 31499
46
LORENZO, ARTURO
026422 105 MERLIN COURT
FAYETTEVILLE GA 30214
LORENZO, ROBERT L.
025215 SCOTTISH RITE HOSP. DEPT. RAD., 1001 JOHNSON FERRY RO ATLANTA
GA 30363
36
LORENZO, SAMUEL JOSEPH
032235 1097 LONGWOOD TRACE
ATLANTA
GA 30324
08
LORING, SHERRILL RABON
025253 820 ST SEBASTIAN WAY, SUITE 4-D
AUGUSTA
GA 30901
08
LOSCALZO, CAROLYN ELAINE
038039 1305 SUMMIT NORTH DRIVE
ATLANTA
GA 30324
17
LOTNER, GARY ZEVI
020572 1965 NORTH PARK PLACE, SUITE 200
ATLANTA
GA 30339
04
LOTT, DAN ABBOTT
018925 700 RIVERSIDE AVENUE
WAYCROSS
GA 31501
15
LOTT, JUANITA YVONNE
019847 3010 HAMPTON AVE, SUITE 8
BRUNSWICK
GA 31523
11
LOTT, ROBERT DUAINE
026000 400 MADISON AVE.
EATONTON
GA 31024
01
LOTT, THOMAS MARION
010601 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA 30914-3845 36
LOTT, THOMAS MARION, JR
033388 2303 DEARBORNE ST
AUGUSTA
GA 30904
10
LOTZ, DORIS HELGA
033389 136 CANDLER OAKS LANE
DECATUR
GA 30030
08
LOUSE, JULIAN M.
027082 3949 HOLCOMB BRIDGE ROAD, SUITE 300
NORCROSS
GA 30092
10
LOUGHLIN, EDWARD C JK
010432 2001 PEACHTREE RD, NE, SIOTE 400
ATLANTA
GA 30309
. 28
LOURIE, GARY MARK
032777 980 JOHNSON FERRY RD, NE, SUITE 1020
ATLANTA
GA 30342
28
LOVE, HARRY MP
032605 5455 MERIDIAN MARK ROAD, SUITE 440
ATLANTA
GA 30342
28
LOVEGREN, LLOYD AUGUST
016636 303 N. CAVE SPRING STREET
CEDARTOWN
GA 30125
01
LOVELESS, GARY ROBERT
018400 412 NORTHSIDE DRIVE EAST, SUITE 500
STATESBORO GA 30458
46
LOVELL, DAVID GRANT
034648 CARTERSVILLE MED CTR - PATHOLOGY, PO BOX 200008
CARTERSVILLE GA 30120
31
LOVELL, ROGER D
030642 2015 SUMMER RIDGE DRIVE
AUGUSTA
GA 30904
10
LOVETT, JOYCE WILLIEMAE
028433 635 BEAVER RUIN ROAD, SUITE B
LILBURN
GA 30247
32
LOVETT, KAREN ELIZABETH
028598 307 NORTHSIDE DP.IVE EASR
STATESBORO GA 30458
36
LOVJNGER, JEFFERY DAVID
036810 EAGLES LANDING OB/GYN, 150 EAGLE SPRING COURT
STOCKBRIDGE GA 30281
15
LOVOLL, KAARE
024971 204 FAIRWAY AVE
VALDOSTA
GA 31602
08
LOW, DIONG ONG
032943 490 MIKASA DRIVE
ALPHARETTA GA 30202
10
LOWANCE, DAVID CHANDLER
016095 35 COLLIER ROAD, SUITE 610
ATLANTA
GA 30367
17
Page No. 129
Composite State Board of Medical Examiner&. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
LOWDON, JOSEPH DEVON LOWE, THOMAS HALL LOWENBERG, ROBERT I LOWENSTEIN, RONALD J LOWERY, WILLIAM DOYLE, JR LOWMAN, JONATHAN SCOTT LOWMAN, LYNN STEVEN LOWREY, DARRELL GIBSON LOWREY, REBEKAH DUCK LOWRY, ROBIN PEARCE LOWRY, SUZANNE LEE LOWRY, THOMAS F LOZADA, CRISOSTOMO FAUN! LUBBERS, PHILLIP REID LUBIN, BARRY HOWARD LUBIN, DAVID IAN LUBIN, MICHAEL F LUCAS, GEORGE WILSON LUCAS, JOSEPH PATRICK LUCAS, KATHRYN JEAN LUCAS, LORI JEAN LUCAS, PAUL WARREN LUCAS, ROBERTA ANN LUCAS, STEPHEN KENNETH LUCAS, WALLACE LUCAS, WILLIAM TRENT LUCCHESE, MARY C LUCERO, ANGELITA HAWTEH LUCERO, MANUEL P. LUCKETT, JAMES M LUCKEY, TOM MANN LUCKIE, JAMES EDWIN JR LUDI, GARY ALLEN LUDLOW, CHRISTOPHER TRIMBLE LUDWICK, ROBERT ARTHUR LUEBBERT, MARILYN MITTLESTAT LUEBBERT, RUSSELL CHARLES LUEM, CARL ROBERT LUHRS, TERESA ANN LUI, VICTOR K S LUIS, ANTONIO LUIS, DOREEN RENEE LUKE, BILLY DUPONT LUKE, DANIEL RAWLS LUKE, JOSEPH PATRICK LUKMAN,_ HATIM LULL, CHARLES ROBERTS LUM, RITA KAYE LUMPKIN, MURRAY B LUMPKIN, WILLIAM HENRY LUMSDEN, ALAN BOYD LUMSDEN, THOMAS N LUND, ERIC CONRAD LUND, ROBERT WHITING LUNDBERG, GINA GAIL PRICE LUNN, JOSEPH SCOTT LUPI, MICHAEL JAMES LURYE, DONALD REUBEN
024972 35 COLLIER RD. N.W., SUITE 610
ATLANTA
GA
014525 618 ORANGE ST
MACON
GA
010723 5996 MITCHELL ROAD NW, SURRY PLACE 3
ATLANTA
GA
017849 1561 ADELIA PLACE N.E.
ATLANTA
GA
008495 2331 WINCHESTER DR.
ALBANY
GA
036213 6043 PRESTLEY MILL ROAD, SUITE F
DOUGLASVILLE GA
037856 2428 CHAPMAN CT
AUGUSTA
GA
024705 1825 MARTHA BERRY BLVD., HARBIN CLINIC
ROME
GA
024973 2836 OLD DALTON RD NE
ROME
GA
032236 WOODRUFF MEMORIAL BLDG RM 338A, 1364 CLIFTON ROAD, N. ATLANTA
GA
035462 880 CRESTMARK DRIVE, SUITE 200
LITHIA SPRINGS GA
008145 PO BOX 360 - 1150 5TH ST SE
CAIRO
GA
031067 163 SPUR 40
ST. MARYS
GA
030817 PO DRAWER 2450
THOMASVILLE GA
038659 1708 POPLAR POINTE DR
ATLANTA
GA
032425 1107 MOUNTAIN DR
DAHLONEGA
GA
017850 969 LANIER BOULEVARD
ATLANTA
GA
010602 340 BOULEVARD, NE, SUITE 101
ATLANTA
GA
036811 1147 VILLA DRIVE, #6
ATLANTA
GA
030818 5505 PEACHTRE DUNWOODY ROAD, SUITE 200
ATLANTA
GA
027083 2054 COTTAGE LANE, N.W.
ATLANTA
GA
005955 PO BOX L
TIFTON
GA
038040 3918 ASHFORD LAKE CT NE
ATLANTA
GA
024974 ATHENS PULMONARY/ALLERGY P.C., 489 N MILLEDGE AVE ATHENS
GA
012401 * 409 PEACOCK STREET
COCHRAN
GA
007950 619 CANTERBURY DRIVE
AUGUSTA
GA
023182 9 LOOKOUT AVENUE
ROME
GA
024021 180 ADMIRALTY WAY
MILLEDGEVILLE GA
029031 180 ADMIRALTY WAY
MILLEDGEVILLE GA
014391 675 WHITE SULPHUR ROAD
GAINESVILLE GA
014069 711 CHURCH ST
DECATUR
GA
019720 PO DRAWER 1349
FITZGERALD GA
024020 5667 PEACHTREE DUNWOODY RD, SUITE 320
ATLANTA
GA
030501 1067 PEACHTREE STREET, SUITE 105
LOUISVILLE GA
037277 127 MANASSAS PLACE
FITZGERALD GA
021742 PO BOX 845
ST MARYS
GA
023384 PO BOX 845
ST MARY'S
GA
038292 PO BOX 87
TOCCOA
GA
032778 1167 BOND STREET
MACON
GA
018694 3020 MERCER UNIV DR, SUITE 110
ATLANTA
GA
023759 696 PIKE STREET - SUITE 100
LAWRENCEVILLE GA
0376D1 2501 CARRIAGE CREEK
AUGUSTA
GA
008825 CLAYTON HEALTH CLINIC, 157 NORTH MAIN STREET
JONESBORO
GA
009328 1144 VINE STREET NE
GAINESVILLE GA
029719 980 JOHNSON FERRY RD, #980
ATLANTA
GA
031975 4 MEDICAL DRIVE
ELBERTON
GA
015793 PO BOX 2066
DALTON
GA
025634 2023 VALIANT DRIVE
ATLANTA
GA
006939 PO BOX 987
DALTON
GA
020574 1107 BROADRICK DRIVE
DALTON
GA
029986 2000 WOODSDALE ROAD
ATLANTA
GA
006036 RR 1 BOX 1519
SAUTEE
GA
033390 WEST PACES FERRY HOSPITAL, 3200 HOWELL MILL ROAD, N.W ATLANTA
GA
019452 35 COLLIER ROAD NW, SUITE 425
ATLANTA
GA
032458 140 LACH STREET, SUITE B
MARIETTA
GA
021414 5167 HUNTF!ELD RD.
EVANS
GA
038152 1909 BRIAN WAY
DECATUR
GA
026147 2839 WEST PACES FERRT ROAD, SUITE 900
ATLANTA
GA
30367
17
31298-5559 17
30328
50
30329
01
31707
44
30134
17
30909
17
30165
17
30165-9015 03
30322
53
30057
15
31728
53
31558
17
31799
36
30349
53
30533
41
30306
17
30312
41
30306
33
30342
17
30318
11
31794
30
30319-1863 32
30601
17
31014
10
30909
52
30125
41
31061
31061
33
30505
36
30030
17
31750
01
30342
41
30434
10
31750
10
31558
53
31558
30577
15
31201
15
30341
30245
33
30909
08
30236
01
30505
10
30342
41
30635
15
30722-2066 36
30345
33
30722
42
30720
41
30324
41
30571
10
30327
36
30309
17
30060
17
30809
17
30033-3815 10
30339
10
Page No. 130
NAME
LUTCHEN, LAWRENCE MARK LUTCHER, CHARLES LAWRENCE LUTIN, WILLIAM ANDREW LUTTRELL, JOSEPH BUCK LUTZ, JERRE FREDERICK LUU, QUYEN NGOC LUXENBERG, MALCOLM N LYEW, MICHAEL ANDREW LYKENS, ROBERT STEWART LYKINS, LAWRENCE EDWARD LYLE, CAROL A. LYLE, WILLIAM GLENN LYLES, MICHAEL ROY LYLES, WILLIAM DEWAYNE LYNAGH, ADELE SUSAN LYNCH, DONALD RICHARD LYNCH, EDWIN HANSFORD LYNCH, LAWRENCE J JR LYNCH, MARTIN JOSEPH LYNCH, MARY GERARD LYNDE, ROBERT HARRINGTON LYNDS, WILLIAM WEILER LYNN, BILLY PAUL LYNN, KATHY CLARICE LYNN, KAY FRANCES LYNN, STEVEN MARC LYON, DAVID BEEKLEY LYON, JAMES BENTON JR LYONS, CHARLES BRADLEY LYONS, JACK VINCENT, JR LYONS, JO MARIE LYONS, RALPH CORNELL LYONS, ROBERT CURTIS LYONS, THOMAS LEWIS
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
027603 217 ARROWHEAD BLVD, SUITE A2
ATLANTA
GA
013288 4537 DEER RUN
EVANS
GA
033630 1120 15TH STREET, BAA9800W
AUGUSTA
GA
037019 907 HEARD AVENUE
AUGUSTA
GA
015711 3911 THORNRIDGE WAY
DORAVILLE
GA
025216 682 HEMLOCK STREET, SUITE 400
MACON
GA
009362 MEDICAL COLLEGE OF GA, DEPT OF OPHTHALOMOLOGY
AUGUSTA
GA
034185 604 HILLCREST PARKWAY, APT 28
DUBLIN
GA
028435 PO BOX 2265
WAYCROSS
GA
015396 715 JESSE JEWELL PARKWAY, SUITE 104
GAINESVILLE GA
024707 PO BOX 2003
ATLANTA
GA
038853 MCG, SEC OF PLASTIC SURGERY, HB5040
AUGUSTA
GA
029032 4574 KETTERING DRIVE
ROSWELL
GA
037602 144 CARTERWOODS DR
WARNER ROBINS GA
035920 483 SHERMAN WAY
DECATUR
GA
014927 1507 ALICE STREET
WAYCROSS
GA
024453 LANIER OB/GYN ASSOCIATES, 1285 SIMS STREET
GAINESVILLE GA
015644 310 EISENHOWER DR, BLDG 6
SAVANNAH
GA
034015 1825 MARTHA BERRY BLVD
ROME
GA
030819 4375 E. BROOKHAVEN DRIVE
ATLANTA
GA
036812 704 SOUTH BROAD STREET
THOMASVILLE GA
033140 617 WOODWARD WAY, NW
ATLANTA
GA
024290 1117 HICKMAN ROAD
AUGUSTA
GA
034889 1726 CHRISTPHERS TRACE
MACON
GA
013182 980 JOHNSON FERRY ROAD NE, SUITE 510
ATLANTA
GA
027402 * 5165 WELLSHIRE PLACE
DUNWOODY
GA
012342 GEORGIA MENTAL HEALTH INST, 1256 BRIARCLIFF ROAD, NE ATLANTA
GA
009999 105 COLLIER RD NW, SUITE 3080
ATLANTA
GA
037603 3878 BEYA WAY
DORAVILLE
GA
026587 1311 MILSTEAD AVENUE
CONYERS
GA
031786 DEPT OF ANATOMIC PATHOLOGY-GRADY, 80 BUTLER STREET SE ATLANTA
GA
025217 1136 CLEVELAND AVE, SUITE 608
EAST POINT GA
036214 6478 CAPE COD DRIVE
COLUMBUS
GA
022437 3250 HOWELL MILL ROAD, SUITE 304
ATLANTA
GA
30236
25
30809
16
309123360 05
30904
11
30340
05
31201
17
30912
27
31021
03
315022265 46
30501
52
30301
309124080 47
30075
33
31088
15
30033
03
31501
10
30501
15
31406-2606 41
30165
48
30319
27
31792
23
30327
08
30904
31210
10
30342
15
30338
08
30306-2694 33
30309
15
30340
10
30207
25
30335-3801 23
30344
17
31904
10
30327
13
M
MA'LUF, TANIOS JOSEPH
019725 CLARKE-HOLDER CLINIC, 303 SMITH STREET
MAlss-ROBINSON, SAUNDRA ANN 024621 3008 MEADOWLARK DR
MABON, ROBERT F
004323 4184 ROSWELL RD NE
MACDONELL, ALEXANDER HENRY I! 037020 768 SWEET BAY COURT
MACALALAD, BUENAVENTURA SOMO 022016 P. 0. BOX 573
MACCURDY, JOE MILTON
035466 534 HIGH COURT DRIVE
MACDONALD, JAMES ARTHUR
035467 710 MARTY LANE
MACDONALD, JOSEPH CHESTER
032949 5197 KENDAL COURT
MACGUIRE, HUGH STUART
033145 7 KOLB DRIVE
MACHEERS, STEVEN KENT
034187 EMORY CLINIC CARDIIO. SURG, 1365 CLIFTON RD, NE
MACHESKI, WILLIAM
028038 1013 TALBOTTON ROAD
MACIAS, FRANCISCO MARTIN
011811 * 24 MAIN STREET
MACINERNEY, EDWARD JAMES
035942 3737 CREEKSTONE DR
MACK, DOMINIC HUGO
031630 PO BOX 361859
MACK, EDWARD CHARLES JR
021754 3022 PHEASANT DR
MACK, TANYA TENEE
033634 4625 SAVAGE HILLS DRIVE
MACKAY, BRUCE COLE
025226 861 ARLINGTON PL
MACKAY, GREGORY JAMES
032241 4317 HAMBRICK WAY
MACKAY, HUGH TRENT, JR
037858 6140 MILLET WAY
MACKEY, DAN MICHAEL
012344 5555 PEACHTREE DUNWOODY ROAD, SUITE 220
Page No. 131
LAGRANGE
GA
EAST POI NT GA
ATLANTA
GA
EVANS
GA
HAZLEHURST GA
AUGUSTA
GA
TIFTON
GA
COLUMBUS
GA
SAVANNAH
GA
ATLANTA
GA
COLUMBUS
GA
HAMPTON
GA
NORCROSS
GA
DECATUR
GA
DECATUR
GA
MACON
GA
ATLANTA
GA
STONE MOUNTAIN GA
NORCROSS
GA
ATLANTA
GA
30240
15
30344
30342
44
30809
05
31539
25
30909
36
31794
31
31907
41
31406
03
30322
41
31904
05
30228
10
30092
17
30036
10
30034-4303 17
31210
10
30335
08
30083
41
30092
15
30342
06
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MACKEY, RICHARD LEON
037859 2400 MT ZION PARKWAY
MACKINNON, MARGARET
029906 BOX 56, C.S.H.
MACLEOD, DAVID SCOTT
011412 1825 MARTHA BERRY ROAD, THE HARBIN CLINIC
MACLEOD, DOUGLAS ROSS
022439 802 22ND STREET
MACLEOD, GERRARD, FRANCIS MACNABB, GEORGE M
038854 2710 MARGATE CIRCLE
011413 * 7 PINE KNOLL
MACNEILL, CHARLES ALFRED
021543 5010 MILL CREEK ROAD
MACNEW, WILLIAM THOMAS HAMILTO 021755 PO BOX 684
MACON, EDWIN JAY
011603 3262 JONESBORO ROAD
MACRIS, ALLEN
006679 490 PEACHTREE ST NE, SUITE 578-C
MACWILLIAMS, PETER
014395 1001 THORNTON RD, BOX 803
MADAN, SHASHI SLEHRIA
037279 615 MORELAND AVE, SE
MADDEN, CHARLES EDWARD
038855 PO BOX 464383
MADDEN, CHRISTOPHER ANDREW 036218 3217-F POST WOODS DRIVE NW
MADDEN, REBECCA ANN BOYD
022119 330 TURNER MCCALL BLVD, SUITE 105
MADDEN, ROBERT JOHN
022825 330 TURNER MCCALL BLVD, SUITE 105
MADDEN, SOREN SHIA
026895 1557 RUNNYMEADE DRIVE
MADDOX, HUGH GILBERT JR
018129 791 OAK MOUNTAIN ROAD
MADDOX, KATIE E COOK
020522 RR 1 BOX 295
MADDOX, SPENCER FLEETWOOD, III 035691 1429 OGLETHORPE STREET
MADDOX, SPENCER FLEETWOOD, JR 008151 1429 OGLETHORPE STREET
MADELEY, JAMES BALL
018403 2680 LAWRENCEVILLE HWY, SUITE 100
MADISON, SHIRLEY ANN HOOVER 033396 4752 BROOKGREEN ROAD
MAEDA, FRANCES SUSAN
033635 10 PARKSIDE COURT
MAES, VERNON LEE
035098 2731 BRIARCLIFF ROAD NE, #8
MAFFEI, KAREN EVE REICH
035943 1056 TANGLE COURT
MAFFEI, VINCENT JOSEPH
025227 1270 PRINCE AVENUE, #302
MAFFETT, MICHAELE
017234 4735 WOODVALE DRIVE, NW
MAGAT, ABELARDO BANZON JR 018045 2819 ROLLING VIEW DRIVE
MAGAT, WILFRIDO MATINEZO
022828 1420 LAKESHORE DRIVE
MAGEE, KENNETH GEORGE
013406 GEORGETOWN PEDIATRICS, 11 DUNWOODY PARK - SUITE 190
MAGER, SANDRA LOUISE
038043 220 CHADWICK CIR
MAGERA, BARBARA ELLEN
037860 1258 WEATHERSTONE DR NE
MAGILL, DANIEL HAMILTON III 014287 700 OGLETHORPE AVE, PO BOX 5860
MAGNANT, HENRY ANTHONY
019072 79 GWINNETT DRIVE
MAGNANT, JOSEPH GEORGE
035944 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
MAGNUSON, JAMES VERNON
024710 1275 PARKER ROAD
MAGRUDER, RICHARD L JR
011006 820 ST SEBASTIAN WAY SUITE 5 A
MAHAN, DAUSWELL R JR
010724 600 SAM LOVE ROAD
MAHER, PATRICK OLIVER
031284 135 GROGAN'S LANDING
MAHIZHNAN, PALAMALAI
023632 253 UPPER RIVERDALE RD SW, SUITE C
MAHON, THOMAS MCSWAIN
016099 4112 E PONCE DE LEON AVE
MAHONEY, ORMONDE MARTIN
030825 THE ATHENS ORTHOPEDIC CLINIC, 125 KING AVE
MAHONEY, PAUL DANIEL
013407 3208 MONTPELIER DRIVE
MAHVI, KATHLEEN JOY ARNOLD 029907 107 NORTH RAINSONG ROAD
MAIER, ROBERT CHRIS
028814 3543 GRAN !TE WAY
MAINOR, ROBERT
006443 2874 KING ST SE
MAINTHIA, NANDITA N PATEL
034018 1810 MULKEY ROAD, SUITE 102
MAIOCCO, ROBERT CLARKE
031632 3044 SHINNECOCK HILLS DRIVE
MAJESTE, RICHARD MICHAEL
030347 315 BOULEVARD NE, SUITE 24ci
MAJMUDAR, BHAGIRATH
014708 GRADY MEM HOSP/PATHOLOGY DEPT, 80 BUTLER ST., NE
MAJOCH, MAREK
036651 3754 JAMESTOWN CT
MAJOR, CECIL P
008676 303 SMITH STREET
MAJOR, GRANT RALSTON
031790 CLARK HOLDER CLINIC, 303 SMITH ST.
MAJORS, JAMES DAVANT
033637 247 FORKNER DRIVE
MAKI, ANTON, JR
036220 500 W3RD AVE, SUITE 101
MAKOSKI, EDMUND JOHN JR
012936 PO BOX 1518
MALAVET, JULIA TERRES!TA
037280 366 HABERSHAM ROAD
JONESBORO
GA
MILLEDGEVILLE GA
ROME
GA
COLUMBUS
GA
AUGUSTA
GA
NEWNAN
GA
ATLANTA
GA
WINDER
GA
HAMPTON
GA
ATLANTA
GA
LITHIA SPRINGS GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
ROME
GA
ROME
GA
ATLANTA
GA
CARROLLTON GA
GRAY
GA
MACON
GA
MACON
GA
DECATUR
GA
MARTINEZ
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
ATHENS
GA
ATLANTA
GA
JONESBORO
GA
SNELLVILLE GA
DUNWOODY
GA
MACON
GA
ATLANTA
GA
ATHENS
GA
LAWRENCEVILLE GA
ROME
GA
CONYERS
GA
AUGUSTA
GA
ROCKY FACE GA
DUNWOODY
GA
RIVERDALE
GA
CLARKSTON
GA
ATHENS
GA
AUGUSTA
GA
DALTON
GA
MARTINEZ
GA
SMYRNA
GA
AUSTELL
GA
DULUTH
GA
ATLANTA
GA
ATLANTA
GA
DORAVILLE
GA
LAGRANGE
GA
LAGRANGE
GA
DECATUR
GA
ALBANY
GA
MCDONOUGH
GA
MARTINEZ
GA
30236-2500 17
31062
00
30161
05
31904
32
30909-3640 03
30263
17
30319
03
30680
10
30228
53
30308
48
30057
06
30316
17
30246
15
30339
17
30165-2747 17
30161
17
30319
30116
03
31032-9710 03
31201-1577 27
31201
27
30033
46
30907-8838 47
30342
36
30329
15
30606
05
30606
41
30327
17
30236
08
30278
03
30338
32
31210
15
30324-4644 04
30604
05
30245
27
30165
41
30207
33
31910
17
30740
01
30350
03'
30274-2537 19
30021
32
30606-2900 46
30909
03
30720
03
30907
15
30080
10
30001
15
30136
08
30312
31
30335
31
30340-2820 10
30240
01
30240
41
30030
41
31701-1922 53
30253
08
30907
32
Page No. 132
Composite State Board or Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MALCOM, GEORGE EDWARD JR
016259 1355 WOODSTOCK ROAD
ROSWELL
MALDONADO ROMAN, BERNARDO AURE 022441 157 JAMES MOORE CIRCLE
JACKSON
MALEY, MICHAEL LLOYD
034410 800 EAST DOYLE STREET
TOCCOA
MALIK, ANWAR KIBRIA
023763 283 MAYWOOD DRIVE
MARTINEZ
MALIZIA, ANTHONY ARMAND
026332 33 UPPER RIVERDALE RD SW, SUITE 112
RIVERDALE
MALKANI, ANJALI
036221 4997 AUDLEY LN
NORCROSS
MALL, GARY MICHAEL
035945 1590 ADAMSON PARKWAY, SUITE 260
MORROW
MALLARI, RAYMUNDO TAN
017855 238 PROFESSIONAL CT
RIVERDALE
MALLARY, STEPHEN DAGG
028600 THE PSYCHIATRIC CENTER, 567 ARLINGTON PLACE
MACON
MALLETT, JERRY KENNETH, JR 030647 509 GORDON AVENUE
THOMASVILLE
MALLON, JOHN EDWARD
034019 * 3301 GARDEN LAKES PARKWAY, 7-B
ROME
MALLON, SUSANE OTERO-VELEZ 037039 405 CALIBRE VININGS WAY
SMYRNA
MALLORY, JAMES DAVIS, JR
013408 6111 PEACHTREE DUNWOODY ROAD, BLDG C
ATLANTA
MALLORY, MARSHALL PHILLIPS 035289 2309 ASHFORD DRIVE
ALBANY
MALLOY, TYRONE CECIL
023086 2855 CANDLER RD,, SUITE 14
DECATUR
MALMBORG, .JOHN CHRISTMAN
019074 1206 ALICE STREET
WAYCROSS
MALMER, BRUCE ALAN
030826 353 PARKWAY DRIVE NE, SUITE 101
ATLANTA
MALMER, TERESA TOLSON
031633 1138 ZIMMER DRIVE
ATLANTA
MALONE, ELLIS LENDRUM
013773 1605 MULKEY ROAD, S.W., SUITE A
AUSTELL
MALONE, JOHN GREEN
037606 239 GREENE SET, APT A-1
AUGUSTA
MALONE, PATRICK THOMAS
015285 785 LAKE TOP WAY
ROSWELL
MALONE, RANDOLPH A
007846 509 GORDON AVE
THOMASVILLE
MALONE, RANDOLPH AUGUSTUS, IV 034412 511 GORDON AVE
THOMASVILLE
MALONE, STEPHEN BRIAN
028436 PO BOX 15238
SAVANNAH
MALONE, THOMAS NATHAN
013227 2039 - 10TH AVENUE
COLUMBUS
MALONE, THOMAS P
006942 6363 ROSWELL RD, ATLANTA PSY CLINIC P/A
ATLANTA
MALONE, VIRGINIA GROTHEER
006910 99 CONNEMARA RD
ROSWELL
MALONEY, JOHN MARTIN, III
022831 1295 HEMBREE ROAD, BLDG B STE 200
ROSWELL
MALONEY, MICHAEL JAMES
024982 ALLERGY & ASTHMA CLINIC OF NE GA, 520 JESSE JEWELL PA GAINESVILLE
MALONEY, SUSAN ANN
035946 3447-A NORTH DRUID HILLS RD
DECATUR
MALOON, ALAN
031470 MARIETTA NEUROLOGICAL ASSOC, 522 NORTH AVENUE
MARIETTA
MALOY, WILLIAM CHARLES
009552 1755 WILDWOOD ROAD
ATLANTA
MALSKY, PAUL MITCHELL
034188 415 PINE AVE, SUITE 100
ALBANY
MALVEA, BONNIE PHEROZE
027604 MOREHOUSE SCHOOL OF MEDICINE, 505 FAIRBURN RD.
ATLANTA
MAMELI, LOUIS
030648 THOMASTON OB/GYN, P O BOX 11.66
THOMASTON
MAMMEN, ANNAMMA THOMAS
036652 3614 OLD FERRY RD
MARTINEZ
MANCE, ROSALIND MARY
022095 459 SINCLAIR AVE NE
ATLANTA
MANCUSO, THOMAS JOSEPH
028815 1108 BERKSHIRE ROAD
ATLANTA
MANDEL, SAMUEL DAVID
018523 * ANESTHESIOLOGY DEPT., 84'0 PINE STREET, SUITE 700
MACON
MANDIS, MICHAEL
019726 DEKALB COUNTY HEALTH DEPT., 440 WINN WAY
DECATUR
MANDOCK, OFELIA SALDIVAR
037447 2113 DEFOORS FERRY ROAD, APT C1
ATLANTA
MANER, FREDERICK DEBELE
008152 709 BRADLEY POINT RD
SAVANNAH
MANFREDI, JOHN ANDREW
016101 2361-A LAWRENCEVILLE HWY
DECATUR
MANGANIELLO, LOUIS OJ
006357 820 ST SEBASTAIN WAY, SUITE 2 E
AUGUSTA
MANGEL, BARRY DAVID
038296 660 CHEROKEE STREET
MARIETTA
MANGRAVITI, JOSEPH JOHN
023184 5 LENOX CIRCLE
ROME
MANGUM, MICHAEL DURELL
030510 682 HEMLOCK STREET, SUITE 100
MACON
MAN I , MURUG I AH
019727 353 PARKWAY DRIVE NE, SUITE 101
ATLANTA
MANIS, ROBERT
013853 4167 ROSWELL ROAD NE
ATLANTA
MANJUNATH, BETTADAPURA RAMAKRI 028816 4166 HEATHCLIFF DRIVE
MARTINEZ
MANLEY, VALARIE WRIGHT
032783 130 BRAMBLEBUSH CHASE
FAIRBURN
MANN, BOB BAKER, JR
023185 PO BOX 609
NEWNAN
MANN, CHARLES HENRY, Ill
026591 1007 GREENFIELD DRIVE, PO BOX 929
TIFTON
MANN, CHRISTOPHER JAY
031285 2205 HANOVER STREET
ALBANY
MANN, DAVIDS
005031 2868 HILLANDALE CIRCLE
MACON
MANN, DILRAJ KAUR
038297 101 SAINT GEORGE BLVD, APT 4-K
SAVANNAH
MANN, FRANK RAMBO JR
005814 PO BOX 89
MCRAE
MANN, GEOFFREY STUART
037282 2967 APPLING CIRCLE
ATLANTA
GA 30075
12
GA 30233
08
GA 30577
32
GA 30907
32
GA 30274-2617 52
GA 30092-1753 32
GA 30260
08
GA 30274
11
GA 31201
33
GA 31792
32
GA 30165
10
GA 30080
03
GA 30328
33
GA 31707
36
GA 30034
15
GA 31501
15
GA 30312
03
GA 30306
32
GA 30001
17
GA 30901
23
GA 30076
33
GA 31792
32
GA 31792
04
GA 31416
17
GA 31901
15
GA 30328
33
GA 30075
12
GA 30076
53
GA 30501
32
GA 30033
32
GA 30060
23
GA 30306
05
GA 31701-2534 27
GA 30311
17
GA 30286
15
GA 30907
10
GA 30307
33
GA 30306
03
GA 31201
03
GA 30030
32
GA 30318
32
GA 31410-3509 17
GA 30033
16
GA 30902
44
GA 30060
05
GA 30161
GA 31201
17
GA 30312
03
GA 30342
33
GA 30907
17
GA 30213
32
GA 30264
01
GA 31794
GA 31707-3066 30
GA 31204-1956 10
GA 31419-9344 17
GA 31055
17
GA 30341
08
Page No. 133
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MANN, STEPHEN M
030137
MANN, THOMAS RICHARD
037607
MANNES, HARVEY A
017703
MANNING, DONALD E
023635
MANNING, DONALD HUBERT
011416
MANNING, JAMES HUNT
005353
MANNING, JOHANN RAY
008827
MANNING, MICHAEL JOSEPH
033397
MANNING, ROBERT JEROME
032243
MANNING-WILLIAMS, DAWN MICHELE 033640
MANNINO, DAVID MICHAEL, III 034892
MANNO, JOSEPH A III
017856
MANNS, WILLIAM JOSEPH
021181
MANOHAR, BESSIE ANNAPURNA PAMU 036813
MANOUKIAN, STEVEN VAHE
032244
MANRIQUE, RICHARD LEON
031286
MANSBERGER, ARLIE R JR
015797
MANSBERGER, JOHN ARLIE
023386
MANSFIELD, DONALD LEE
012349
MANSOUR, KAMAL A
014252
MANUS, RICHARD CHESLEY
009203
MANUS, WILLIAM ALAN
014935
MANZO, REYNALDO MABILANGAN 029203
MAPLES, RUSSELL VAUGHN
019557
MARAMREDDY, KRUPAVATHI
020129
MARAMREDDY, PADMANABHAREDDY 020130
MARASCALCO, ROBERT
018046
MARCHAND, ARTURO ENRIQUE
037609
MARCHANT, DEFORREST WYNN, JR 032245
MARCHETTI, ANTHONY JOHN
031471
MARCHMAN, HOLMES BAKER
037021
MARCHMAN, MARVIN LEE
011884
MARCHUK, JEROME MICHAEL
029346
MARCUM, JAMES MICHAEL
027087
MARCUS, DAVID EDWARD
034413
MARCUS, DENNIS MICHAEL
038552
MARCUS, JEFFREY ALAN
037283
MARCUS, JOSEPH BAER
015548
MARCUS, ROBERT DAVID
014840
MARCUS, ROBERT MARTIN
035469
MARCUS, SALLY JANE
028601
MARDER, SARA JOY
036814
MARDHEKAR, SURESH VISHNU
022594
MARGESON, RICHARD CLYDE
006943
MARGOLIS, BASIL
021416
MARINE, CHRISTOPHER DAVID
035292
MARINKOVIC, STEVAN
016478
MARINO, BRENDA LOIS
016392
MARIRA, DOUGLAS JAMES
029284
MARK, EDWARD KENNETH
029908
MARKEY, MATTHEW JAY
017067
MARKHAM, JOHN CALVIN, III
015287
MARKLE, CHARLES DAVID
011417
MARKLE, JANET TABB
035694
MARKOV, PETER
034658
MARKS, ASHER
006239
MARKS, IAN
032612
MARKS, KENNETH JAY
035293
150 LOUMAE ROAD
GRIFFIN
GA
P. 0. BOX 1389
FITZGERALD GA
1001 THORNTON RD., SUITE 205
LITHIA SPRINGS GA
WESLEY WOODS GERIATRIC HOSP, 1817 CLIFTON ROAD NE ATLANTA
GA
3020 SHRINE ROAD
BRUNSWICK
GA
643 KENNESAW AVE
MARIETTA
GA
106 ASPENWOOD COURT
EATONTON
GA
3645 CHERRY CREEK DR
CONYERS
GA
1828 PINE FOREST CIRCLE
DUBLIN
GA
1862 CHEDWORTH COURT
STONE MOUNTAIN GA
MAIL STOP F-39, 1600 CLIFTON ROAD
ATLANTA
GA
3193 HOWELL MILL RD, SUITE 329
ATLANTA
GA
1280 WEST PEACHTREE STREET NW, APT 2106
ATLANTA
GA
3340 AVOCET COURT
NORCROSS
GA
3445-H NORTH DRUID HILLS ROAD
DECATUR
GA
6941B ROSWELL ROAD, NE, #A208
ATLANTA
GA
DEPT OF SURGERY, MEDICAL COLLEGE OF GA
AUGUSTA
GA
PO BOX 520
THOMASVILLE GA
484 IRVIN COURT, SUITE 230
DECATUR
GA
1365 CLIFTON ROAD NE, DEPT OF THORACIC
ATLANTA
GA
4870 TIMBERLAND DRIVE
MABLETON
GA
GAINESVILLE FAMILY MEDICINE, 200 SOUTH ENOTA DRIVE, S GAINESVILLE GA
13206 LARGO DRIVE
SAVANNAH
GA
1415 RAINBOW CIRCLE
GRIFFIN
GA
300 UVALDA STREET
WAYCROSS
GA
415 ALBANY AVE
WAYCROSS
GA
690 MEDICAL PARK DRIVE
GAINESVILLE GA
MEDICAL COLLEGE OF GA, DEPT OF RADIOLOGY
AUGUSTA
GA
1938 PEACHTREE ROAD, SUITE 303
ATLANTA
GA
2913 LAKE FOREST DRIVE
AUGUSTA
GA
200 SOUTH ENOTA DRIVE, SUITE 130
GAINESVILLE GA
LAWRENCEVILLE MED CLINIC, INC, 15 HURRICANE SHOALS RO LAWRENCEVILLE GA
GA UROLOGY, PA, 29 S.W. UPPER RIVERDALE RD, #140
RIVERDALE
GA
1209 MEMORIAL DRIVE
DALTON
GA
1504 N. CROSSING WAY
DECATUR
GA
802 CARRIAGE COURT
AUGUSTA
GA
5555 PEACHTREE DUNWOODY RD, NE, SUITE 340
ATLANTA
GA
1435 PEACHTREE BATTLE AVE
ATLANTA
GA
2320 HAMILTON RD
COLUMBUS
GA
35 COLLIER RD., STE 250
ATLANTA
GA
760 KENNESAW AVE
MARIETTA
GA
1303 WEATHERSTONE WAY
ATLANTA
GA
SUITE 105, LANDMARK II, 5820 HAMILTON ROAD
COLUMBUS
GA
PO BOX 1100
ZEBULON
GA
5669 PEACHTREE DUNWOODY RD NE, SUITE 350
ATLANTA
GA
114 CITYLINE AVE
ATLANTA
GA
1247 SUMMIT CHASE DRIVE
SNELLVILLE GA
263 BRISTOL LANE
MARIETTA
GA
P O BOX 61343
SAVANNAH
GA
3067 WALTON WAY
AUGUSTA
GA
1140 TURNER ROAD
CUMMING
GA
1514 ANTHONY ROAD
AUGUSTA
GA
1790 MULKEY RD, SUITE 9-B
AUSTELL
GA
609 SPYGLASS ROAD
MARTINEZ
GA
70 MEDICAL CENTER DRIVE, SUITER
COMMERCE
GA
PO BOX 263
RABUN GAP
GA
523 N. PINEHILL ROAD
GRIFFIN
GA
2823 GALAHAD DRIVE
ATLANTA
GA
30223
17
31750
17
30057
52
30329
53
31520
36
30060-6906 41
31024
15
30208
10
31021
11
30087
03
30333
34
30327
27
30309
17
30092
31
30033
05
30328
08
30912
11
31799
50
30033
15
30322
48
30059
10
30501
10
31419
33
30223
17
31501
32
31501
17
30505
28
30912
36
30309
15
30909
17
30501
53
30245
10
30274
49
30720
33
30033
36
30909
27
30342
15
30327
31
31901
11
30309
17
30060-6909 32
30324
15
31993
03
30295-1100 11
30342-1701 17
30308
15
30278
33
30066
21
31420
32
30909
00
30131
17
30904
11
30001-1116 17
30907
36
30529
30568
17
30223
03
30345
33
Page No. 134
Composite State Board of Medical Examiner~ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MARKS, STUART DAVID
030348 2050 WALTON WAY, SUITE 201
MARKS, THOMAS WINDROW
011774 315 BOULEVARD, NE, SUITE 400
MARKS, WILLIAM PARKER, JR
030829 CORROLLTON EYE CLINIC, 160 CLINIC AVE
MARLER, ROBERT PHILIP
035947 667 LANIER PARK DR
MARLOW, JAMES EDWARD
009879 1714 CLEVELAND ROAD
MARLOWE, STEVEN
027866 3193 HOWELL MILLRD
MARMER, ROBERT H
017237 777 CLEVELAND AVE, SUITE 102
MARMOLEJO, ALFONSO
013656 2961 ORCHARD KNOB NW
MARON, HERMANN FRIEDRICH
019075 1399 OAKRIDGE CIRCLE
MARONI, BRADLEY JOHN
029909 2499 PEACHTREE ROAD, UNIT 705
MARQUEZ, RAMON RAGILES
020458 265 N FAYETTE DR
MARRANO, NEAL NICHOLAS
037022 2412 INVERLOCH CIRCLE
MARRERO, VICTOR
038553 #10 DAME KATHRYN DR
MARSCHALK, FREDERICK FERDINAND 010610 2330 WRIGHTSBORO ROAD
MARSH, ARTHUR C
032845 * 310 FOREST OAKS DRIVE
MARSH, DUNCAN RANDALL
022249 2100 PALMYRA ROAD
MARSH, ROBERT WILLIAM
019729 3163 TUCKER NORCROSS RD.
MARSHALL, JABEZ ORION
013066 ASSOC OF CORDELE OB/GYN, 712 7TH ST N
MARSHALL, JOHN D., JR.
026004 PO BOX 683
MARSHALL, JOHN FREDERICK
033398 130 NORTHWIND TRL
MARSHALL, JOHN JEFFREY
034895 7935 INNSBRUCK DRIVE
MARSHBURN, DANIEL GRIER
020772 353 PARKWAY DRIVEN E, SUITE 101
MARSHBURN, ROBERT PRESSLY
030139 PO BOX 399
MARSTON, BARBARA JEAN
035948 365 SHEPPARD PL NE
MARTELLI; MIGUEL JOSE
032428 7 ST ANDREWS COURT
MARTELLO, ALFRED JOHN
037284 7062 WIND RUN WAY
MARTENS, LESTER JOEL
007241 1305 REDMOND CIRCLE, BLDG 512
MARTENSON, EDGAR
009363 304 SHORTER AVE
MARTENSON, SVEN HEIT!
025930 304 SHORTER AVE
MARTIN, ALFRED MARSHALL
026592 1022 EULALIA ROAD
MARTIN, ANTHONY KEITH
036815 PO BOX 4965, 781 SPRING STREET
MARTIN, CHARMAINE BEVERLY
034192 155 SHADY BROOK WALK
MARTIN, CHRISTOPHER HARRIS 038554 1897 WWESLEY ROAD, NW
MARTIN, DAN CORRY
024031 3718 MERION DRIVE
MARTIN, DANIEL FRANK
029987 EMORY EYE CENTER - ROOM 4909, 1327 CLIFTO ROAD NE
MARTIN, DAVID EUGENE
032955 986 GENTRY LANE
MARTIN, DAVID MICHAEL
021757 1136 CLEVELAND AVE, SUITE 608
MARTIN, DEBORAH ANN
032246 2045 PEACHTREE ROAD, NE, SUITE 425
MARTIN, DONALD HUMPHREY
034509 25 THE LANDING
MARTIN, EARL THOMAS
028602 120 CARTER AVENUE
MARTIN, FREDERICK WATSON
022595 * 109 PROFESSIONAL PLACE
MARTIN, GEORGE JOHN, JR
037610 3333 GLENROSE TRAIL
MARTIN, GREGORY DEAN
037611 601-B OLD NORCROSS ROAD
MARTIN, HERMAN WILLIAM JR
016947 FOUR CONCOURSE PARKWAY, SUITE 212
MARTIN, JOHN EDWARD
025229 412 NORTHSIDE DRIVE, EAST, SUITE 400
MARTIN, JOHN MILTON
004756 1258 MERRY STREET
MARTIN, JOSEPH HENRY JR
025795 4185 RUNNYMEDE DRIVE, S.W.
MARTIN, LEE ALLEN, JR
027606 819 HONEYSUCKLE ROAD
MARTIN, LEILA MEADOWS
024983 1001 JOHNSON FERRY RD, NW
MARTIN, LEON
026594 DEKALB MED CTR - EM DEPT, 2701 N. DECATUR RD
MARTIN, LOUIS GERARD
012728 1743 COUNCIL BLUFF DRIVE NE
MARTIN, OLA JENELLE
034660 222 TUXWORTH CIRCLE
MARTIN, PAUL DWIGHT
029034 244 WINNONA DRIVE
MARTIN, RALPH HENRY
027607 208 SOUTH TENN. STREET
MARTIN, RANDOLPH PETER
013228 EMORY UNIV HOSPITAL D-433, 1364 CLIFTON RD NE
MARTIN, ROBERT MICHAEL
024032 122 STEERFORTH ROAD
MARTIN, ROGER PIERCE
016639 1285 SIMS STREET
MARTIN, SHELINA ESMAIL
036223 3333 GLENROSE TRAIL
AUGUSTA
GA 30904
27
ATLANTA
GA 30312
46
CARROLLTON GA 30117-4499 27
GAINESVILLE GA 30505
17
DALTON
GA 30721
10
ATLANTA
GA 30327
17
ATLANTA
GA 30315
27
ATLANTA
GA 30339
00
DECATUR
GA 30033
01
ATLANTA
GA 30305
53
FAYETTEVILLE GA 30214
01
DULUTH
GA 30136
17
SAVANNAH
GA 31411
10
AUGUSTA
GA 30904
34
ST SIMONS IS GA 31522
10
ALBANY
GA 31701-1320 46
TUCKER
GA 30084
01
CORDELE
GA 31015-3271 15
AMERICUS
GA 31709
01
FAYETTEVILLE GA 30214-7219 36
ATLANTA
GA 30350
05
ATLANTA
GA 30312
03
COMMERCE
GA 30529
00
ATLANTA
GA 30307-2107 17
BRUNSWICK
GA 31520
33
STONE MOUNTAIN GA 30087
03
ROME
GA 30165-1393 17
ROME
GA 30165
01
ROME
GA 30165
10
ATLANTA
GA 30319
MACON
GA 31208
41
FAIRBURN
GA 30213
17
ATLANTA
GA 30327
46
MARTINEZ
GA 30907
03
ATLANTA
GA 30322
27
MARIETTA
GA 30064-3881 31
EAST POINT GA 30344
17
ATLANTA
GA 30309
41
ATLANTA
GA 30350
10
BLACKSHEAR GA 31516
10
CARROLLTON GA 30117
15
ATLANTA
GA 30341
44
LAWRENCEVILLE GA 30245
41
ATLANTA
GA 30328-5346 33
STATESBORO GA 30458
41
AUGUSTA
GA 30904
17
LILBURN
GA 30247
08
GAINESVILLE GA 30501
36
ATLANTA
GA 30363
03
DECATUR
GA 30033
ATLANTA
GA 30345
36
DECATUR
GA 30033
DECATUR
GA 30030
01
CARTERSVILLE GA 30120
13
ATLANTA
GA 30322-0001 05
SAVANNAH
GA 31410
01
GAINESVILLE GA 30501
15
ATLANTA
GA 30341
33
Page No. 135
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MARTIN, STEPHEN MITCHELL MARTIN, TALMAGE MCKINLEY, JR MARTIN, THOMAS STANLEY MARTIN, WALLACE FORD MARTIN, WALTER DOZIER MARTIN, WILLIAM BOWIE MARTIN, WILLIAM DARRELL MARTIN, WILLIAM DEAN MARTIN, WILLIAM MCDONALD, JR. MARTIN, WILLIAM OWEN Ill MARTIN, YVETTE MARIE MARTIN, ZACHARY BERNARD, JR MARTIN, ZACK ZEKE MARTINDALE, ROBERT GEORGE MARTINEZ, ALBERTO CARLOS MARTINEZ, CARLOS OMAR MARTINEZ, ELOY EDILBERTO DIAZ MARTINEZ, ENRIQUE CABRERA MARTINEZ, JOSE RAMON MARTINEZ, MANUEL GUIANG MARTINEZ, RICARDO MARTINEZ, SANTOS FERNANDO MARTINEZ, VIRGINIA V. RAMOS MARTINEZ-MALDONADO, MANUEL MARTINO, JOSEPH ANTHONY, JR MARTONE, WILLIAM JAMES MARTORELL, GILBERTO JOSE MARTYNSKI, STANISLAW MARXER, FRANK BENEDICT MARYMAN, SANDRA DIANE MASHMAN, DARLENE ANN LEDRUT MASHMAN, WALTER EDWARD MASIOWSKI, MICHAEL LEONARD MASON, EDWARD M MASON, GAYLE LEE MASON, JAMES LEE MASON, KEVIN DENNIS MASON, MILES HERBERT Ill MASON, REGINALD DON MASON, THOMAS EMMETT MASOR, JONATHAN JAY MASROOR, MOHAMMAD A MASSAD, CHARLOTTE ANNE MASSEY, CLINTON EDWARD MASSEY, JOE BROWN JR MASSMAN, JAMES EDWARD MASTEN, MONTE WILLIAM MASTERS, ORLAN VINCENT WADE MATALONE, FRANK PETER MATAOSKY, MARK ALLEN MATEO, ELAINE FRANCES MATHENY, GARY LANCE, II MATHER, WILLIAM H MATHEW, KANDATH!L MATHEW MATHEW, RANJIT CHERIAN MATHEW, SUSHILA MARY MATHEWS, WAYNE STANLEY JR MATHEWS, WAYNE STANLEY, SR.
038860 3267 DUNBERY CHASE
MARIETTA
GA
006128 114 MILL STREAM COURT
CARROLLTON GA
030511 PO BOX 61191, SOUTHSIDE BRANCH
SAVANNAH
GA
026153 600 PROFESIONAL DRIVE, SUITE 250
LAWRENCEVILLE GA
004526 525 PECAN STREET, P. 0. BOX 70
DAWSON
GA
012937 * 870 COLLINS HILL ROAD, SUITE A
LAWRENCEVILLE GA
024841 804 COMMERCE BOULEVARD, SUITE A
RIVERDALE
GA
033642 308 TIMBER!DGE DRIVE
MARTINEZ
GA
029035 4765 HARRIS TRAIL, NW
ATLANTA
GA
009880 1938 PEACHTREE RD NW
ATLANTA
GA
035294 980 JOHNSON FERRY ROAD, SUITE 510
ATLANTA
GA
035471 ROME RADIOLOGY GROUP, 1104 MARTHA BERRY BLVD
ROME
GA
029348 P.O. BOX 803
LAWRENCEVILLE GA
037285 4583 OXFORD DRIVE
EVANS
GA
008993 231 LAKESHIRE DR, CORRINGTON WOODS
MILLEDGEVILLE GA
031793 330 HOSPITAL DRIVE, SUITE 312
MACON
GA
022596 6572 RIVER PARK DR
RIVERDALE
GA
028603 3114 A SHRINE ROAD
BRUNSWICK
GA
008640 PO BOX 1986
WAYCROSS
GA
024757 2908 NOBLE OAKS DR
SAVANNAH
GA
038045 CENTER FOR INJURY CONTROL, 1462 CLIFTON RD, NE
ATLANTA
GA
027311 P.O. BOX 677
MILLEDGEVILLE GA
028820 401 WICKERSHAM AVENUE
FT. BENNING GA
033917 225 POWERS COVE
ATLANTA
GA
037023 HUGHSTON SPORTS MED FOUNDATION, 6262 HAMILTON RD.
COLUMBUS
GA
035102 2830 RANGEWOOD TERRACE
ATLANTA
GA
027088 PEACHTREE CORNERS HEA~THCARE CTR, 6920 JIMMY CARTER B NORCROSS
GA
012844 206 CHILDRESS HOLLOW ROAD
CHICKAMAUGA GA
033643 3439-1 NORTH DRUID HILLS RD
DECATUR
GA
024035 DEKALB GRADY CLINIC, 30 WARREN STREET
ATLANTA
GA
033008 132 WINNONA DRIVE
DECATUR
GA
032956 132 WINNONA DRIVE
DECATUR
GA
037613 147 ANNESWOOD RD
AUGUSTA
GA
011887 315 BOULEVARD, NE, SUITE 500
ATLANTA
GA
023388 11685 ALPHARETTA STREET, SUITE 105
ROSWELL
GA
010613 1680 MANHASSET FARM RD
DUNWOODY
GA
028604 1333 OAKCREST STREET SW
ATLANTA
GA
015399 PO BOX 849
DULUTH
GA
034661 839 FIRESIDE WAY
STONE MOUNTAIN GA
032784 20 PARKSIDE CT, NE
ATLANTA
GA
026595 THE EMORY CLINIC, 1365 CLIFTON ROAD
ATLANTA
GA
017705 CANDLER PROFESSIONAL BLDG, 5354 REYNOLDS ST., SUITE 2 SAVANNAH
GA
026793 5455 MERIDIAN MARKS RD NE, SUITE 510
ATLANTA
GA
021023 2100 CENTRAL AVE, SUITE D-1
AUGUSTA
GA
012110 5505 PEACHTREE DUNWOODY ROAD, NE, #400
ATLANTA
GA
034415 MCG - RADIOLOGY, 1120 15TH
AUGUSTA
GA
035470 2103 ASBURY SQUARE
DUNWOODY
GA
015798 389 WESTVIEW DRIVE
ATHENS
GA
038861 2221 SPENCERS WAY
ST MOUNTAIN GA
037862 4023 DANIELLE DR
MARTINEZ
GA
035949 6104 BRIXWORTH PL, NE, APT 6104
ATLANTA
GA
036816 6520 SHANNON PARKWAY, SUITE C & D
UNION CITY GA
018048 5079 YEAGER ROAD
DOUGLASVILLE GA
021547 6507 PROFESSIONAL PL, SUITE E
RIVERDALE
GA
037286 2319 PRINCE AVENUE
ATHENS
GA
022250 111 HIGHLAND DR, SUITE A
RIVERDALE
GA
022834 426 WAVERLY DRIVE
AUGUSTA
GA
008829 2175 NORTHLAKE PARKWAY, SUITE 129
TUCKER
GA
30067
08
30117
41
31420
10
30245
31742
01
30243
01
30296
30907
36
30327
03
30309
27
30342
15
30165
36
30246-0803 17
30809
41
31061
17
31201
17
30274-2550 17
31520
05
31502
03
31406-2640 33
30322
08
31061
38
31905
03
30327
53
31908-9517 28
30345
53
30071
32
30707-8939 08
30033
17
30317
30030
03
30030
17
30907
08
30312
41
30076
17
30338
33
30311
32
30136
41
30083
30342
31
30322
17
31405
05
30342-1640 52
30904
44
30342
13
30912
36
30346
15
30606
13
30087
08
30907
17
30319
33
30291
28
30135
03
30274-2519 65
30606
11
30296-1115 32
30909-3121 03
30084-4105 32
Page No. 136
NAME
MATHIAS, PHIL A MATHIS, DAVID EDWIN MATHIS, JAMES WILLIAM MATKINS, RICKY CARTER MATORY, JOANN ELIZABETH MATOVU, FRANK SSEGUYA MATOVU, MOSES SEGUYA MATOVU, SARAH MUSOKE MATRICIA, DANIEL JAMES MATTESON, JACK E MATTHEW, ROBERT A MATTHEWS, EDWARD ALVIN MATTHEWS, SANFORD JOHN MATTHEWS, WARREN F MATTHEWS, WILLIAM DON MATTHEWSON, JANICE C MATTISON, EDWARD CRAIG MATTISON, RICHARD CRAWFORD MATTOX, GAIL ARIE MATTOX, HUITT EVERETT MATYAS, MICHAEL ALAN MAUGHON, TIMOTHY SCOTT MAULDIN, GREGORY LOY MAULDIN, JILL RENEE GOSSETT MAULDIN, JOHN WILLIAM MAULDIN, MARK ANDREW MAULSBY, GILBERT ORSON MAURIZI, CHARLES P MAURYA, VIJAY MAXA, JOHN EDWARD, JR MAXEY, CLARENCE 0 MAXEY, JOY ANN MAXWELL, GEORGE DAVID MAXWELL, JAMES WALTER MAXWELL, OLEN DALE MAXWELL, ROBERT B MAXWELL, THERESE ANN MAY, CHARLES BUSH MAY, ROBERT WILLIAM JR MAY, STEPHANIE ANNE MAY, STEPHEN C JR MAY, TERRENCE PATRICK MAY, WILLIAM EDWARD MAYBERRY, WILLIAM STOY MAYER, WALTER BREM JR MAYES, ALVA LOUIE JR MAYFIELD, GEORGE ROY MAYFIELD, MICHAEL EUGENE MAYFIELD, WALTER GAUTIER MAYFIELD, WILLIAM RODGER MAYHER, WILLIAM EDGAR Ill MAYLEBEN, DANIEL CHARLES MAYNARD, PATRICIA MAYNOR, MICHAEL LEE MAYO, EDWIN A MAYS, ALDINE MARCUS JR MAYS, ALLEN GLENN MAYS, WALLACE DAVID
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
016815 P. 0. BOX 1422 035103 857 ORANGE TERRACE 008506 2704 NOAK STREET, BLDG F OAK CENTER 037287 1470-B DRUID VALLEY DRIVE 035104 3449B N. DRUID HILLS ROAD 027730 4609 N. STRATFORD OAKS DRIVE 038046 505 FAIRBURN RD 032613 4609 NORTH STRATFORD OAKS DRIVE 031289 3850 SIDE STREET 033864 261-C MEDICAL WAY 006038 406 FIRST AVENUE 034896 1013 TALBOTTON ROAD 007660 1938 PEACHTREE RD, SUITE 207 009396 3300 BUCKEYE ROAD, SUITE 178 038047 1219 HUNTINGTON DR 014288 12 PERTHSHIRE DRIVE 037614 594 WIMBLEDON RD, APT 3122 009557 993 JOHNSON FERRY RD., N.E, BLDG F SUITE 300 018585 1170 CARLO WOODS DRIVE 033402 3226-D HAMPTON RD 036817 2402-E DUNWOODY CROSSING 031472 696 PIKE STREET NW, SUITE 580 036567 2151 FOUNTAIN DRIVE, SUITE 105 037615 2460 PEACHTREE RD, APT 411 005356 1081 HIGHWAY, 29 SOUTH 037288 3615 BARBADOS DRIVE 012226 RADIOLOGY ASSOC. OF COLUMBUS, P.O. BOX 2787 013409 103 GALE VISTA DRIVE 037616 321 CANDLEWOOD DRIVE 036225 3427-L NORTH DRUID HILLS RD 013658 761 LULLWATER ROAD 027731 2993 PIEDMONT RD, NE 009881 350 DUNCAN SPRINGS ROAD 010240 1010 PRINCE AVENUE 029489 1001 THORNTON ROAD, SUITE 310 014649 213 PEMBROKE PLACE 023637 P.O. BOX 1924, 1506 CHATTANOOG RD STE D 012522 380 HOSPITAL DRIVE SUITE 100
009206 * 200 S. TENNESSEE STREET
037289 3 PROFESSIONAL COURT 007848 565 GREERS CHAPEL DRIVE 032957 1038 MARYLAND AVE 019968 440 CHARTER BLVD, SUITE 1101
022444 * 1200 SUMMIT DRIVE
011775 25 PRESCOTT STREET, NE 007849 550 PROFESSIIONAL DRIVE 006241 7054 AMARILLO CIRCLE 034023 1105 PARKV!EW WAY 022837 1324 ROCKBRIDGE ROAD 035105 5669 PEACHTREE DUNWOODY RD NE, SUITE 390 010614 PO BOX 625 035950 PO BOX 724556 023088 3308 COMMODORE DR, PO BOX 13840 026336 2030 PEACHTREE ROAD, APT J-5 010812 3215 SHRINE ROAD
010242 * 1435 PATES CREEK RD.
033644 1035 AMSTERDAM AVENUE 021258 PO BOX 289
PERRY
GA
MACON
GA
VALDOSTA
GA
ATLANTA
GA
DECATUR
GA
MACON
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
RIVERDALE
GA
ALBANY
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
PEACHTREE CITY GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
BRUNSWICK
GA
ATLANTA
GA
LAWRENCEVILLE GA
SNELLVILLE GA
ATLANTA
GA
LAWRENCEVILLE GA
AUGUSTA
GA
COLUMBUS
GA
BONAIARE
GA
MARTINEZ
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
ATHENS
GA
LITHIA SPRINGS GA
THOMASVILLE GA
DALTON
GA
MACON
GA
CARTERSVILLE GA
ROME
GA
KENNESAW
GA
ATLANTA
GA
MACON
GA
WATKINSVILLE GA
ATLANTA
GA
MACON
GA
AUGUSTA
GA
LILBURN
GA
STONE MOUNTAIN GA
ATLANTA
GA
ALBANY
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
BRUNSWICK
GA
STOCKBRIDGE GA
ATLANTA
GA
AMERICUS
GA
31069-1422 15
31201
17
31602
41
30329
03
30033
32
31210-3111 17
30331
10
31210
10
30341
10
30274
33
31701
03
31904
05
30309
32
30341
31
30909
36
30269
30324
17
30342
47
30331
32
31520
17
30338
36
30245
46
30278
34
30305
15
30245
01
30909
08
31994-3899 36
31005
31
30907
33
30033
03
30307
03
30305
30606
41
30606
32
30057
33
31792
32
30720
16
31201-3898 15
30120
10
30165
10
30144
10
30306
05
31210
17
30677
10
30308
23
31201
32
30906
05
30247
33
30087
10
30342-1701 50
31702-0625 44
31139-1556 10
31211-2739 33
30309
08
31520
10
30281
10
30306
17
31709
Page No. 137
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MAYWEATHER, WILLIAM HAROLD 029490 10 PORCHESTER COURT
COLUMBUS
GA
MAZAT, BRUCE ARTHUR
036226 ROUTE 2 BOX 113-B
ELLAVILLE
GA
MAZIAR, HOWARD MICHAEL
015488 SUITE 1041, 3400 PEACHTREE ROAD
ATLANTA
GA
MAZIARZ, BRIAN WALTER
025703 1231 REEDER CIRCLE NE
ATLANTA
GA
MAZO, RICHARD
028045 340 EISENHOWER DRIVE, 1510 CENTRAL PARK
SAVANNAH
GA
MAZO, SUSAN O'DOWD GREEN
028044 MEMORIAL MEDICAL CENTER, PO BOX 23089
SAVANNAH
GA
MAZUMDAR, SHUBHANG N
019297 541 BENSON HURST DRIVE
MABLETON
GA
MAZUR, ROBERT ALEXANDER
037864 215 BOYD DRIVE
RICHMOND HILL GA
MAZUR, WLADYSLAW PIOTR
016640 540 WEATHERFIELD TERRACE NE
MARIETTA
GA
MAZZEO, PAUL
036227 604 TUXWORTH CIRCLE
DECATUR
GA
MC ALISTER, BRADWELL RUSTIN 015546 650 BROAD STREET SW
GAINESVILLE GA
MC ALLISTER, BETTY YVONNE POWE 025218 420 CHARTER BLVD, SUITE 103
MACON
GA
MC ALLISTER, KATHRYN C
016709 PO BOX 30
UPATOI
GA
MC ALLISTER, ROBERT WYMAN
003810 1627 TWIN PINES DRIVE
MACON
GA
MC ALLISTER, SAMUEL
029210 PO BOX 7726
TIFTON
GA
MC ALPINE, W. ESTHER
018821 P.O. BOX 22844
SAVANNAH
GA
MC ARTHUR, JOHN DAVIS
005614 601 N LANIER STREET
LYONS
GA
MCAVOY, JAMES DANIEL
018696 33 CHESTNUT STREET
ELBERTON
GA
MC BARRON, JANET
028300 2904 MACON ROAD
COLUMBUS
GA
MC BEAN, RALPH LACHLAN
024455 1013 TALBOTTON ROAD
COLUMBUS
GA
MC BEE, SARAH VIVIAN
026889 P.O. BOX 806, 696 C BREEDLOVE DRIVE
MONROE
GA
MC BRAYER, DANIEL ENOCH
018697 285 BOULEVARD NE, SUITE 520
ATLANTA
GA
MC BRIDE, MARK STEVEN
034406 2500 HOSPITAL BLVD, SUITE 290
ROSWELL
GA
MC BRIDE, THOMAS KENT
032237 1701 WATSON BLVD.
WARNER ROBINS GA
MC BRIDE, WALTER WILLIAM
009872 52 TOWER RD NW
MARIETTA
GA
MC BRIDE, WILLIAM
023629 730 PEACHTREE STREET NE, SUITE 1150
ATLANTA
GA
MC CABE, ROSS ROBERT
036568 134 OLD LOUISVILLE ROAD, BOX 288
OLIVER
GA
MC CAIN, ARTHUR HAMILTON
021744 4901 OXFORD ROAD
MACON
GA
MC CAIN, BRENDA LEE
035938 6221 TRAYMORE TRACE
ATLANTA
GA
MCCAMY, JOHN COSTON
010998 578 CAMPBELL HILL
MARIETTA
GA
MC CANN, JAMES WALKER JR
007838 653 CHEROKEE STREET
MARIETTA
GA
MC CANN, MARTIN PATTERSON
018521 920 RUDGATE ROAD
COLUMBUS
GA
MC CANN, SANDRA BRIGGS
018522 920 RUDGATE ROAD
COLUMBUS
GA
MC CARD, RAY HAROLD
009193 567 ARLINGTON PLACE
MACON
GA
MCCLARIN, WILLIAM MADDUX JR 009194 1408-B TEBEAU STREET
WAYCROSS
GA
MC GLEES, ERIC CARR
023630 1984 PEACHTREE ROAD,N.W., SUITE 505
ATLANTA
GA
MC CLOUD, MELODY THERESA
025885 2496 COLUMBIA DRIVE
DECATUR
GA
MCCLUSKEY, GEORGE MILTON, III 030342 6262 HAMILTON ROAD, PO BOX 9517
COLUMBUS
GA
MCCOLLAM, STEPHEN MASON
030820 2001 PEACHTREE ROAD, SUITE 705
ATLANTA
GA
MCCOLLOUGH, WILLIAM MARK
030161 THE MEDICAL TOWER, 425 - 3RD AVE - LOWER LEVEL
AlBANY
GA
MC CORD, CLINTON DUNCAN JR 009548 1984 PEACHTREE ROAD, N.W., SUITE #300
ATLANTA
GA
MCCORMICK, GERALD LANE
025219 318 WEST 5TH STREET
ROME
GA
MCCRACKEN, WILLIAM CARROLL 010231 2661 SAND POINT WAY
ROSWELL
GA
MC DANIEL, WILLIAM L JR
011409 P.O. BOX 2706
DALTON
GA
MC DEVITT, DANIEL THOMAS
037025 315 BLVD, NE, SUITE 316
ATLANTA
GA
MC DONALD, ALLEN PIERCE
013823 2001 PEACHTREE ROAD, N.E., SUITE 400
ATLANTA
GA
MC DONALD, WILLIAM MAFFITT 037292 1700 NORTHRIDGE ROAD
DUNWOODY
GA
MCDONOUGH, PAUL GERARD
010809 MEDICAL COLLEGE OF GA, DEPT OF OB-GYN
AUGUSTA
GA
MCELLIGOTT, THOMAS JOSEPH 037617 1015 CONYERS EXECUTIVE PARKWAY, SUITE 100
CONYERS
GA
MC EWEN, LUTHER MORRIS
033860 800 S WINDWARD DRIVE, SUITE 308
ST SIMONS IS GA
MC FADDEN, TERRI DENISE
032110 1276 SPENCER AVE
EAST POINT GA
MC GARITY, SEABORN SOLOMON JR 010236 820 ST SEBASTIAN WAY, SUITE 3-D
AUGUSTA
GA
MC GARITY, WILLIAM CECIL JR 021747 5243 SNAPFINGER WOODS DRIVE, SUITE 104
DECATUR
GA
MCGAUGHEY, WALTER NEWNAN, JR 034408 8 STEPHENSON AVE
SAVANNAH
GA
MC GEE, WILLIAM ANTHONY
036571 315 BRANDYWINE PLACE
AUGUSTA
GA
MCGINNESS, LARRY PHILIP
030343 743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
MCGLOTHLIN, JEFFREY COLLIN 036572 26 MULBERRY BLUFF DRIVE
SAVANNAH
GA
MC GRAW, WALKER COPELAND
009873 * MCGRAW INDUSTRIAL CLINICS, 6825 JIMMY CARTER BLVD STE NORCROSS
GA
31909
03
31806
36
30326
33
30306
31406
49
31403
32
30059
17
31324
10
30068
33
30033
23
30505
28
31210
10
31829
08
31211
33
31793
15
31403
32
30436
10
30635
10
31906
20
31904
05
30655
30312-4205 15
30076
28
31093
41
30060
17
30308
17
30449
08
31210
36
30082
47
30060
01
30060
27
31904
31
31904
36
31201
33
31501
06
30309
36
30034
15
31995
46
30309
28
31703
00
30309
47
30165
16
30075-5411 33
30722
10
30312
41
30309
46
30350
33
30912
15
30207
28
31522
01
30344
32
30901
33
30035
17
31405
03
30909-6029 05
30503
03
31406
23
30071
11
Page No. 138
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MC HAN, GREGORY SCOTT MCINTOSH, CYNTHIA MC KEE, CONSTANCE JEAN MC KEE, DAVID SMYTH MC KELLAR, ROBERT WRIGHT MC KENZIE, DAVID MYRON JR MC KENZIE, DONALD JULIUS MC KENZIE, VANESSA MC KINNON, FRANK W MC LAURIN, HUGH LOVE MC LEAN, FREDERICK LANIER MC LEAN, WILLIAM RUSSELL MC MICHAEL, ALICE OLIVIA MC MILLIAN, JAMES RUEL MC MULLAN, FRANCES DICKINSON MCMURTRY, STEVEN DOUGLAS MC NAIR, HAL HARRIS MC NAUGHTON, PHILIP ZEYER MC NEILL, LAURIE KEITH MC RAE, LUTHER CURTIS JR MC SWAIN, HELEN KNOX FUNK MCWHORTER, MILLARD HENRY MCALPIN, GLENN MARK MCCANN, DAVID GORDON C. MCCARTY, JULIE ANN WEISS MCCARVER, WILLIAM CULLEN JR MCCAUL, DEBRA ANN OLSON MCCAUL, JAMES FRANKLIN, IV MCCAUSLAND, KYLE EDWARD MCCHESNEY, JOHN ALLEN MCCLAIN, DEBORAH ANN MCCLATCHEY, PATRICIA RUTH MCCLATCHEY, WILLIAM M MCCLELLAN, CLARA ADAMS MCCLELLAN, MARION M JR MCCLELLAN, WILLIAM MARVIN JR MCCLENDON, JAMES EDDIE MCCLURE, CHARLES G MCCLURE, JAMES THOMAS MCCLURE, JOHN N JR MCCLURE, ROBERT MCCLUSKEY, LELAND CHESTER MCCOLLUM, MICHAEL EDWARD MCCOLLUM, WILLIAM MCCONNEL, FREDERICK MS MCCORD, DALE LYNN MCCORD, GEORGE MATHEWS JR MCCORD, JAMES WILLIAM MCCORD, JOHN MILLER MCCORD, SYMM HAWES MCCORMAC, ROBERT MICHAEL MCCORMICK, GLENN EDWARDS JR MCCORMICK, LINDA ANN BARSTOW MCCORMICK, RICHARD CLAY MCCORMICK, TALBOT GREEN III MCCOY, FRANK PETER MCCOY, GLENORA COOK MCCOY, JAMES ARTHUR
034654 103 BURNS PROF. BLDG
BLUE RIDGE GA
029918 105 KENSINGTON POND COURT
ROSWELL
GA
035689 4231 GLADNEY DRIVE
DORAVILLE
GA
006359 1163 JOHNSON FERRY ROAD, SUITE 170
MARIETTA
GA
024709 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA
009195 J108 WEDGEFIELD CROSSING
SAVANNAH
GA
009196 935 SOUTH BROAD ST
THOMASVILLE GA
034409 67 PARKSIDE CIRCLE
MARIETTA
GA
009198 652 CHURCH ST
MARIETTA
GA
031069 3780 EISENHOWER PARKWAY
MACON
GA
009875 407 MCPHAUL STREET, P.O. BOX 446
SYLVESTER
GA
009199 75 TOWER ROAD
MARIETTA
GA
014932 RT 28 PO BOX 988, PATE ROAD
MACON
GA
010237 330 TURNER MCCALL BLVD, SUITE 208
ROME
GA
021751 3200 DOWNWOOD CIRCLE NW, SUITE 200
ATLANTA
GA
030645 C/0 IMMEDIATE MED, 2014 E. VICTORY DRIVE
SAVANNAH
GA
009200 3623 J DEWEY GREY CIRCLE, SUITE 112; HUMANA HSP. PLAZ AUGUSTA
GA
019553 9A WATERS PROFESSIONAL SQUARE, 7805 WATERS AVENUE SAVANNAH
GA
037295 1303 4TH ST SW
MOULTRIE
GA
009201 *PO BOX 156
MT VERNON
GA
025638 105 COLLIER RD, NW, #5020
ATLANTA
GA
025510 116 SUMMERFIELD DRIVET
MACON
GA
037865 28 ROSCOE RD
NEWNAN
GA
038303 RR 4 BOX 408-D
DONALSONVILLE GA
038863 3433-T NORTH DRUID HILLS RD
DECATUR
GA
004642 1945 BLUE RIDGE DRIVE
GAINESVILLE GA
037290 2703 DOVER LANE
ALBANY
GA
036215 2703 DOVER LANE
ALBANY
GA
029917 2259 CUMMING ROAD, APT B
AUGUSTA
GA
035939 445 WKING AVE, PO BOX 886
SEA ISLAND GA
020456 1928 AVIS LN
TUCKER
GA
036570 105 RUMSON RD, APT 3
ATLANTA
GA
016949 35 COLLIER RD, SUITE 775
ATLANTA
GA
008496 4015 SOUTH COBB DRIVE, SUITE 140
SMYRNA
GA
008497 4905 COURTNEY DRIVE
FOREST PARK GA
017629 303 SMITH STREET
LAGRANGE
GA
022589 2612 MAX CLELAND BLVD
LI THON IA
GA
017630 1029 CHAFEE AVELINE
AUGUSTA
GA
037291 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
ROME
GA
006586 103 MOUNTAIN VIEW DR
CUMMING
GA
017631 5024 LAWRENCEVILLE HIGHWAY
LILBURN
GA
032608 PO BOX 9517
COLUMBUS
GA
038865 GRADY MEMORIAL, 69 BUTLER ST
ATLANTA
GA
005170 1022 E WASHINGTON STREET
THOMASVILLE GA
017632 600 PROFESSIONAL DRIVE, SUITE 120
LAWRENCEVILLE GA
012225 1000 JOHNSON FERRY RD, NORTHSJDE ONCOLOGY
ATLANTA
GA
011000 70 TOWER RD
MARIETTA
GA
010605 1514 ANTHONY RD
AUGUSTA
GA
024457 310 W 10TH STREET
ROME
GA
011001 PO BOX 450
GROVETOWN
GA
027618 3134 MARTHASVILLE COURT
GAINESVILLE GA
007839 755 COMMERCE DRIVE, SUITE 806
DECATUR
GA
034652 804 DIXIE STREET
CARROLLTON GA
035687 195 MYLES COURT
ATHENS
GA
024458 110 ROLLING BROOK TRAIL
FAYETTEVILLE GA
032945 1700 HOSPITAL SOUTH DRIVE, SUITE 102
AUSTELL
GA
033391 COBB MEDICAL GROUP, 3910 AUSTELL RD - SUITE 203
AUSTELL
GA
017852 1265 MELBENAN DRIVE, S.W.
ATLANTA
GA
30513
30075
33
30340-4705 33
30068
32
30914-3845 36
31405
01
31792
52
30068
17
30060
46
31206
10
31791
10
30060
32
31210
33
30165
32
30327
27
31404
10
30909
36
31406
06
31768-5818 32
30445
01
30309
25
31210
17
30263
41
31745-9804 10
30033
15
30501
10
31707
10
31707
53
30904
00
31561
17
30084-6109 03
30305
15
30367
37
30080
33
30050
32
30240
22
30058-4454 33
30904
23
30165
28
30130-2433 41
30247
06
31908-5917 46
30303
13
31792
31
30245
30
30342
36
30060-6983 36
30904
23
30165
30813
01
30506
31
30030
11
30117
30605
03
30214
30001
16
30001
10
30311
40
Page No. 139
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MCCOY, JOHN FRANKLIN JR
011407 2606 WILSON AVENUE
MCCOY, JOHN MARSHALL
007403 993-C JOHNSON FERRY ROAD, SUITE 240
MCCOY, MICHAEL JAMES
022590 696 PIKE STREET, SUITE 450
MCCRANEY, JOHN MALCOM JR
016256 330 CAMDEN ROAD
MCCRANIE, WILLIAM MORGAN
016541 1620 CENTRAL AVE
MCCRAY, EUGENE
027619 1037 GREENCOVE AVENUE NE
MCCRORY, JAMES HOLLIS
036818 777 HEMLOCK ST
MCCRORY, RODERICK JENKINS
014530 PO BOX 5297
MCCROSKEY, MARION ELIZABETH MO 009032 1606 WINDSOR PARKWAY NE
MCCUE, SEAN FRANCIS
017699 2770 HICANDALE CIRCLE, NORTH
MCCUISTON, CLAUDE FRED
007233 4905 LAVISTA RD, SUITE A
MCCULLOUGH, RICHARD EARL
015483 RT 4, BOX 2290
MCCULLOUGH, TONYA LEIGH LEWIS 034016 820 EAST 67TH STREET
MCCURDY, CARL DEAN
021745 1287 CHURCH STREET
MCCUTCHEN, WILLIAM, JR.
013369 5378 LAWRENCEVILLE HWY, SUITE 1-A
MCDANIEL, JAMES EDMONDS
021746 600 PROFESSIONAL DRIVE, SUITE 110
MCDANIEL, JAMES S
013063 211 PEACHTREE BATTLE AVE NW
MCDANIEL, JOHN STEPHEN
030162 739 BROOKRIDGE DR, NE
MCDANIEL, WESLEY BURTON, JR 026588 1325 MID BROADWELL RD
MCDANIEL, WILLIAM JEFFREY
031282 202 E MAIN STREET
MCDAVID, EDWARD CHANDLER
026794 4 MEDICAL ARTS DRIVE
MCDONALD, ANDREW TERRELL
029211 15 CAVENDER STREET
MCDONALD, BILLY WAYNE
028831 700 MITCHELL BRIDGE ROAD, APT 41
MCDONALD, HARRY C.
027223 PO BOX K
MCDONALD, JAMES KENNETH
007840 2100 CENTRAL AVENUE, SUITE 4
MCDONALD, LINDA THOMAS
028832 1420 EMORY RD.
MCDONALD, MILES HARRY
033859 106 COLAPARCHEE COURT
MCDONALD, VELVET LAVERN
036819 6325 SHANNON PKY
MCDONALD, WILLIAM MICHAEL
029735 BOX 618
MCDONNELL, DENNIS EDWARD
027084 3202 WALTON WAY
MCDONNELL, JEAN ELLEN MURRIN 027620 3202 WALTON WAY
MCDONOUGH, LOUIS ALLEN
006452 960 JOHNSON FERRY RD, NE, SUITE 435
MCDONOUGH, MICHEL
036820 940 BAKER AVENUE
MCDOUGAL, JOHN STEVEN
021018 818 SPRINGDALE
MCDOWELL, CHARLES WHEELER JR 010433 500 IRVIN COURT, SUITE C-120
MCDOWELL, ROBERT LEE
009033 4651 FLAT SHOALS ROAD, SUITE 7
MCDUFFIE, FREDERIC C
021019 2001 PEACHTREE RD , NE, SUITE 200
MCELHANNON, FAYETTE M JR
011977 1000 HAWTHORNE AVE, C/0 HAWTHORNE ORTHOPEDICS
MCELHANNON, REMBERT MURRAY 029736 1000 HAWTHORNE AVE, SUITE M
MCEVER, VIRGLE WASHINGTON JR 006950 1701 WATSON BLVD
MCEVER, VIRGLE WASHINGTON III 026589 1701 WATSON BLVD
MCEWAN, RICHARD PATRICK
035688 2485 DEMERE ROAD, SUITE 103A
MCFADDEN, DONALD DOULGAS
032609 641 HOSPITAL ROAD, SUITE 1
MCFADDEN, ISAAC JOSEPH II
011882 2550 WINDY HILL RD, SDUITE 314
MCFARLING, HARRY MONTGOMERY 023082 2001 PEACHTREE ROAD NE, SUITE 510
MCGAHEE, OLLIE ODELL JR
008500 111 COLONIAL WAY, BOX 937
MCGANN, WILLIAM FRANK, JR
031977 600 PROFESSIONAL DRIVE, SUITE 160
MCGARITY, WILLIAM C
005172 1365 CLIFTON ROAD, N.E., GENERAL SURGERY DEPT.
MCGAULEY, BRIAN THOMAS
037293 136 PEACHTREE MEMORIAL DRIVE, NC #7
MCGEE, ELIZABETH BISHOP
033633 760 KENNESAW AVE
MCGEE, THEODORE JACKSON JR 006132 1310 13TH AVENUE, SUITE 203
MCGHEE, JAMES ERNEST
036062 971 OAKWOOD CHASE CIR
MCGHEE, NELSON JR MCGHEE, PHILLIP LANIER
008150 MOREHOUSE SCHOOL OF MEDICINE, 720 WESTVIEW DRIVE SW 018043 * 609 OLD BREMEN ROAD
MCGILL, BRENDA JO COLE
035940 3838 CORINTH DRIVE
MCGINNIS, JOHN CHARLES JR 013290 14 LITTLE COMFORT ROAD
MCGINNIS, LAMAR SCOTT JR
007236 2045 RIVER NORTH RUN NW
MCGINNIS, MELISSA J
024022 PO BOX 669
TIFTON
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
MACON
GA
CORDELE
GA
ATLANTA
GA
MACON
GA
TUCKER
GA
TIFTON
GA
SAVANNAH
GA
JASPER
GA
LILBURN
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
ALPHARETTA GA
JASPER
GA
SANDERSVILLE GA
NEWNAN
GA
ATHENS
GA
TOCCOA
GA
AUGUSTA
GA
ATLANTA
GA
MACON
GA
UNION CITY GA
MONTEZUMA
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
DECATUR
GA
UNION CITY GA
ATLANTA
GA
ATHENS
GA
ATHENS
GA
WARNER ROBINS GA
WARNER ROBINS GA
ST SIMONS IS GA
COMMERCE
GA
MARIETTA
GA
ATLANTA
GA
JESUP
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
MARIETTA
GA
COLUMBUS
GA
STONE MTN
GA
ATLANTA
GA
CARROLLTON GA
GAINESVILLE GA
SAVANNAH
GA
ATLANTA
GA
CUMMING
GA
31794
32
30342
17
30245
15
30309
03
30904
15
30306
31208
32
31015
36
30319-2727 03
31204
46
30084
17
31794
17
31405
06
30143
10
30247
10
30245
23
30305
15
30306
33
30201
17
37347
10
31082
17
30263
17
30606
17
30577
10
30904-4128 33
30306
33
31210
03
30291-1538 15
31063
01
30909
41
30909
32
30342
32
30904
15
30306
17
30030
27
30291
01
30309
37
30610
46
30606
41
31093
41
31093
01
31522
10
30529
41
30067
03
30309
15
31545
10
30245
17
30322
41
30309
08
30060
32
31901
41
30083-5063 10
30310
15
30117
10
30506
17
31411
11
30328
41
30130
17
Page No. 140
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MCGLINN, JOAN FRANCES MCGOWAN, DIANE LYNNE WEBB MCGOWAN, JAMES PATRICK MCGOWAN, JOHN EDWARD JR MCGRADY, GENE ARTHUR MCGRATH, KENNETH GEORGE MCGREGOR, DALE LEE MCGREW, DEBORAH ANN MCGUGAN, ARTHUR DAVID MCGUIRE, WILLIAM PATRICK, III MCHUGH, JOHN CLAY MCINTIRE, CHRISTOPHER LEON MCINTIRE, JEFFREY NEAL MCKAY, CECILIA SMITH MCKAY, MARILYNNE MCKAY, PATRICIA SUE MCKAY, WILLIAM PAUL MCKEAN, LAWRENCE P MCKEE, EDWARD MICHAEL MCKEE, THOMAS WRAY MCKEMIE, CLARENCE ROGERS, III MCKENNA, MATTHEW T MCKENZIE, ANNE MARIE MCKENZIE, COLIN SEAWELL MCKENZIE, THERMUTUS MCKENZIE, TIMOTHY WAYNE MCKENZIE, WILLIAM JOSEPH JR MCKEOWN, RICK DARR MCKERNAN, JOHN BARRY MCKIE, KATHLEEN MOOD MCKIE, VIRGIL CRANSTON MCKINNEY, JAMES E MCKINNEY, RAYL MCKINNON, WILLIAM MARTIN MCKNIGHT, JAMES MCLANE, JOHN EDWARD MCLAREN, JOHN RANDON MCLAREN, JOHN ROBERT MCLAREN, NANCY MILLER MCLARIN, CALVIN WAYNE MCLARIO, DAVID JONATHAN MCLARNON, MICHAEL CHARLES MCLARTY, BARNEY ESTES MCLARTY, GARY LEE MCLARTY, WILLIAM T JR MCLAUGHLIN, WILLIAM ALOYSIUS MCLAURIN, EUGENE BRAMLETT MCLEAN, DONALD C MCLEAN, RONALD CRAIG MCLEAN, WILLIAM STARR MCLELLAN, SUSAN LESLIE FAVROT MCLEMORE, COLLEEN OWEN MCLENDON, CHRISTOPHER LEWIS MCLENDON, HAROLD LESLIE MCLENDON, JOE LEWIS MCLENDON, JULIAN KELLY, JR MCLENDON, KEITH MICHAEL MCLENDON, KENNON ALLEN
028036 2508 THOMPSON OVERLOOK 029049 105 HICKORY LANE 028833 105 HICKORY LANE 015956 2421 OAK GROVE VALLEY 030821 2619 CLAIRMONT ROAD, N.E. 034890 1459 MONTREAL ROAD, SUITE 405 025220 2509 SOUTH MAIN 037294 775 ST CHARLES AVE 017700 5354 REYNOLDS ST, SUITE 210 037027 714 SHERWOOD ROAD 024023 660-A LANIER PK DR, NE 031978 6431 SPRINGWATER DR 033142 119 MANDALAY RD 033456 LEE MEDICAL ARTS, US 19 NORTH 022015 1025 VISTAVIA CIRCLE 013280 222 ARROWHEAD BLVD. 026001 1914 CANTERBURY DR NW 032239 1000 HAWTHORNE AVE, SUITE 0 026152 STEPHENS CTY HOSP. LAB., P.O. BOX 947 022823 MEMORIAL MEDICAL CENTER, BOX 23089 038866 2243 OVERTON ROAD 035465 4520 CANDLER LAKE EAST 031979 1719 PINE RIDGE RD NE 033392 1920 WARM SPRINGS RD 019552 478 PEACHTREE ST. NE, SUITE 407-A 028834 3155 BOB CAT COURT
007841 * 5675 PEACHTREE-DUNWOODY RD,NE, SUITE 512
025636 2182 JANE CT 024838 130 VANN STREET, SUITE 220 024025 C/0 DEPT OF PEDIATRICS, MEDICAL COLLEGE OF GEORGIA 024026 1010 MILLEDGE ROAD 013064 1109 BURLEYSON RD, SUITE 104 011003 PO BOX 2406, 425 W3RD AVE, MED TOWER STE 550 017233 25 PRESCOTT ST NE, SUITE 5441 036216 1246 SPRING CREEK 011772 465 WINN WAY, SUITE 251 021749 5011 WEST SHORE DR 008679 633 19TH ST# B 030344 306 WESTCHESTER DRIVE 015398 999 PEACHTREE ST, NE #850 037619 EGLESTSON HOSP - PEDIATRICS, 1405 CLIFTON RD, NE 025551 1970 CLIFF VALLEY WAY, N.E., SUITE 210 037867 191 LOVE BRIDGE ROAD 035941 187 LOVEBRIDGE ROAD SE 013291 4015 SOUTH COBB DRIVE, SUIT 220 029354 * 2005 PIONEER STREET 024459 415 EISENHOWER DRIVE, SUITE 5 012261 1938 PEACHTREE ROAD NW, SUITE 507 030163 814 B GORDON AVENUE 025637 P.O. BOX 610 037868 2325 SAGAMORE HILLS 028356 1150 S. MILLEDGE AVENUE, P.O. BOX 5485 031627 330 HOSPITAL DRIVE, BLDG. C, SUITE 302 026892 3067 KIRK COURT 011004 SUITE 50 BUILDING 3, BACONSFIELD OFFICE PARK 038557 405 ALABAMA AVENUE 031628 80 GATEWOOD DRIVE 033393 5 STARLIGHT COURT
GAINESVILLE LAGRANGE LAGRANGE ATLANTA ATLANTA TUCKER MOULTRIE ATLANTA SAVANNAH ATLANTA GAINESVILLE COLUMBUS GAINESVILLE LEESBURG DECATUR JONESBORO DALTON ATHENS TOCCOA SAVANNAH AUGUSTA ATLANTA ATLANTA COLUMBUS ATLANTA MARTINEZ ATLANTA SMYRNA MARIETTA AUGUSTA AUGUSTA DALTON ALBANY ATLANTA ATLANTA DECATUR CONYERS COLUMBUS DECATUR ATLANTA ATLANTA ATLANTA CALHOUN CALHOUN SMYRNA WAYCROSS SAVANNAH ATLANTA THOMASVILLE DEMOREST DECATUR ATHENS MACON KENNESAW MACON BREMEN MARIETTA COLUMBUS
GA 30506-1871 08
GA 30240
30
GA 30240
17
GA 30345-3885 54
GA 30329
10
GA 30084
05
GA 31768-5818 01
GA 30306
32
GA 31405
06
GA 30324
17
GA 30505
52
GA 31904-2973 36
GA 30501
36
GA 31763
17
GA 30033
06
GA 30236
03
GA 30720-7034 41
GA 30606
04
GA 30577
31
GA 31403
32
GA 30904
41
GA 30319
10
GA 30324-4937 03
GA 31904-8000 28
GA 30308
15
GA 30907
10
GA 30342
15
GA 30080
36
GA 30060
GA 30912
32
GA 30904
32
GA 30720-3099 52
GA 31702
36
GA 30308
50
GA 30311
33
GA 30030
15
GA 30207
08
GA 31901-1537 36
GA 30030
32
GA 30309
05
GA 30322
32
GA 30329
10
GA 30701-4913 10
GA 30701
08
GA 30080
11
GA 31501
15
GA 31406
17
GA 30309-1296 04
GA 31782
00
GA 30535
46
GA 30033
17
GA 30604
GA 31201
47
GA 30144
15
GA 31211
27
GA 30110
10
GA 30068
03
GA 31909
10
Page No. 141
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MCLENDON, PHILIP LEE
031469
MCLENDON, REMBERT L
011005
MCLEOD, CLIPHANE WILTON
029212
MCLEOD, DONALD SCOTT
022591
MCLEOD, HUGH CARROLL III
019069
MCLEOD, JOHN W JR
004764
MCLEOD, KYLE BRANDON
038050
MCLEOD, NATALIE BOWEN
020457
MCLEOD, PAUL FRANZ
033394
MCLEOD, WALLACE N
006678
MCLEOD, WALLACE NORMAN JR 019723
MCMAHAN, ALAN PRICE
034017
MCMAHAN, HOWARD ANTHONY
024027
MCMAHAN, HOWARD CLEVELAND
022824
MCMAHON, JAMIN THOMAS
037028
MCMAHON, PATRICK JAMES
025460
MCMANUS, JOHN GERARD, JR
037620
MCMANUS, PAUL EMMET
030822
MCMICHAEL, JULIA ELLEN
018453
MCMICHAEL, ROBERTS
006953
MCMICHEN, JOHN WAYNE
037869
MCMICKEN, DAVID BRUCE
030504
MCMILLAN, MELISSA RICE
032781
MCMILLAN, VICTOR MAURICE
034186
MCNAGNY, SALLY ELIZABETH
030823
MCNAIR, WILLIAM P
007843
MCNAMARA, LADD RYAN
036573
MCNATT, EUGENE N
014286
MCNATT, JIM HUGH
022592
MCNEEL, LINEA ANN
034753
MCNEEL, MICHAEL JEFFREY
035096
MCNEELY, JAMES MICHAEL
030164
MCNEILL, ARCHIBALD A III
019070
MCNEILL, ARCHIBALD A JR
005617
MCNEILL, NORA
025224
MCNEILL, WILLIAM FRANK
030345
MCNICHOLL, JANET MOIRA
033918
MCPEAK, DENNIS MICHAEL
033862
MCPETERS, WILLIAM ARTHUR
028835
MCPHAIL, ALTHEA HILL
037296
MCPHAIL, JOHN ALEXANDER
030824
MCPHAIL, NANCI CLAIRE PLATT 030346
MCPHERSON, JAMES C JR
010811
MCQUAIG, CHARLES STEPHEN
018583
MCQUOWN, JAMES ALLAN, JR
038051
MCRAE, ANDREW THOMAS JR
011411
MCRAE, SYLVESTER
026893
MCROBERTS, MARTIN LANIER
026330
MCWHIRTER, WILLIAM ROY
012519
MEACHAM, JACK REEVES
009883
MEACHAM, LILLIAN MINNIE ROMINE 031072
MEACHER, DAVID EDWARD
029912
MEADERS, HENRY D
004534
MEADOR, KIMFORD JAY
018705
MEADORS, JASON L
005865
MEADORS, PATRICIA ANN HERNDON 021006
MEADOWS, JAMES ALLEN, Ill
025641
MEADOWS, JOHN RIEVES
024036
1090 S MILLEDGE AVE
ATHENS
GA
.2204 WEST DOUBLEGATE ROAD
ALBANY
GA
300 N. MAIN STREET
HINESVILLE GA
9590 MARSHCOVE CT.
ATLANTA
GA
570 ATLANTA COUNTRY CLUB DR
MARIETTA GA GA
1323 S MAIN STREET, MEDICAL CENTER
MOULTRIE
GA
DIVISION OF EMERGENCY MEDICINE, 69 BUTLER ST SE
ATLANTA
GA
3234 SKINNER MILL ROAD
AUGUSTA
GA
7347 TIDEWATER TRACE
STONE MOUNTAIN GA
340 BOULEVARD NE STE 505
ATLANTA
GA
1212 AUGUSTA WEST PARKWAY
AUGUSTA
GA
1126 LEXINGTON AVE
SAVANNAH
GA
1957 RIVER FOREST DRIVE
MARIETTA
GA
106 CARGILE ROAD
OCILLA
GA
1365 CLIFTON ROAD NE, PSYCHIATRY
ATLANTA
GA
1502 RIVERVIEW DRIVE
MARIETTA
GA
ROUTE 1 BOX 195 CODY RD
MT AIRY
GA
500 IRVIN COURT, SUITE C-120
DECATUR
GA
120 LAFAYETTE DRIVE N.E. #9
ATLANTA
GA
2869 NAPIER AVE
MACON
GA
37 CLARK TERR
SAVANNAH
GA
5107 DURBAN COURT
COLUMBUS
GA
PO DRAWER 2450
THOMASVILLE GA
119 W HILL STREET
THOMASVILLE GA
1144 ZIMMER DRIVE
ATLANTA
GA
PO BOX 57
SOPERTON
GA
975 JOHNSON FERRY ROAD NE, SUITE 400
ATLANTA
GA
KENNESTONE REGIONAL HEALTH CARE, 677 CHURCH STREET MARIETTA
GA
130 VAN ST SUITE 230
MARIETTA
GA
301 CARLYLE LAKE
DECATUR
GA
2460 PEACHTREE ROAD, NW, SUITE 906
ATLANTA
GA
3962 FOX GLEN DRIVE
WOODSTOCK
GA
RT 2 BOX 74 MCGARRAH RD
OCHLOCKNEE GA
PO BOX 389
CAMILLA
GA
945 CUMBERLAND RD NE
ATLANTA
GA
1687 ROSEMONT PLACE NE
ATLATNA
GA
606 COVENTRY RD, APT #3
DECATUR
GA
100 - 10TH STREET NW
ATLANTA
GA
2404 TARA DRIVE
ALBANY
GA
5995 EXETER CIRCLE
NORCROSS
GA
3 CAMERON LANE
SAVANNAH
GA
3208 DRESDEN WAY
AUGUSTA
GA
3125 RAMSGATE ROAD
AUGUSTA
GA
540-A W. THOMAS STREET
MILLEDGEVILLE GA
MILBY MEDICAL CENTER, 408 THOMASTON STREET, STE. B BARNESVILLE GA
2724 NORTH OAK STREET
VALDOSTA
GA
1031 20TH ST
COLUMBUS
GA
2301 WDOUBLEGATE DR.
ALBANY
GA
SUITE 105, LANDMARK II, 5820 HAMILTON ROAD
COLUMBUS
GA
BOX 160
SUMMERVILLE GA
EMORY UNIV-PEDIATRICS DEPT, 2040 RIDGEWOOD DR NE ATLANTA
GA
134 WATERFORD PLACE
MACON
GA
244 SEMINOLE DRIVE
MARIETTA
GA
MEDICAL COLLEGE OF GEORGIA, DEPT OF NEUROLOGY (BAN-31 AUGUSTA
GA
2704 NOAK ST BLDG D
VALDOSTA
GA
2002 STARFIRE DR NE
ATLANTA
GA
ST. JOSEPH'S MEDICAL OFFICE PARK, 11700 MERCY BLVD.# SAVANNAH
GA
777 HEMLOCK STREET, PO BOX 74
MACON
GA
30605-1336 01
31707
46
31313
15
30350
03
30067
28
31768
11
30303-3073 08
30909
17
30087
41
30312
06
30909
27
31404
41
30068
31774
10
30322
33
30067
17
30563
30030
27
30309
32
31204
10
31404
10
31907
08
31799
36
31792
37
30306
17
30457
11
30342
15
30060
31
30060
27
30033
33
30305
41
30188
00
31773
08
31730
10
30306
08
30329
31
30030
37
30309
52
31707
17
30071
31
31411
10
30909-3224 17
30909
01
31061
27
30204
10
31602
41
31901
31707
31904
03
30747
10
30322
09
31210
AS
30060
15
30912
23
31602
36
30345-3962 17
31419
17
31201
01
Page No. 142
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MEADOWS, WARNER E JR
008158 505 FAIRBURN ROAD, SUITE 205
MEALING, HENRY GETZEN JR
010725 MEDICAL COLLEGE OF GA HB 2030
MECCA, ANDREW THOMAS
036574 249 PINE BRANCH CIRCLE
MECREDY, REBECCA LOUISE RISHEL 030349 1126 MEDICAL CENTER DRIVE
MECREDY, TIMOTHY EDWARDS
030652 489 FALCON DRIVE
MEDART, WILLIAM SHERMAN JR 010813 6409 ABERCORN ST
MEDDERS, LARRY L
019078 2319 PRINCE AVENUE
MEDFORD, RUSSELL M
033147 2965 CRAVEY TRAIL
MEDINA, LEONARDO HUMBERTO
014399 217 UPPER RIVERDALE RD SW
MEDINA, OLGA DORA
015025 4120 RUNNYMEDE DRIVE
MEDINA, OSCAR DARIO
016105 4814 HIGHWAY 78
MEDLOCK, SUSAN LYNNELLE
022838 1092 OLD LATHEMTOWN RD
MEDRANO, PETER,PABLO
026597 103 WAYNE AVE
MEDURI, S!VARAMA KRISHNARAO 020055 1421 ROSS DR, SUITE 3
MEEHAN, PATRICK JOHN
038870 DIRECTOR, DIV OF PUBLIC HEALTH, 2 PEACHTREE ST, NW
MEEHAN, PETER LEO
013911 1365 CLIFTON ROAD NE
MEEKER, JACK FRANKLIN
031474 41 COTTON CROSSING
MEEKINS, JANICE LANELL
033919 3199 FLOWERS RDS
MEEKS, WILLIAM HUGH
009559 820 ST SEBASTIAN WAY, SUITE 4-C
MEEKS, WILLIAM HUGH, JR
036654 751 OBERLIN
MEES, DONALD ERICH JR
011983 3456 SPALDING DRIVE
MEGDAL, WILLIAM HOWARD
026005 650 OGLETHORPE AVE, SUITE 1
MEGOW, KIMBERLY D WETHERINGTON 032494 101 W. NORTHS!DE DR.
MEGUIAR, RAMON VERNON
018049 4750 WATERS AVE, SUITE 400
MEHOLIC, JOHN CHARLES
020131 4175 SOUTH ARBOR CIRCLE
MEHTA, HARSHAD A.
026598 2415 PINE COVE DR
MEHTA, JYOTI VINOD
032959 610 SOUTH 8TH STREET, SUITE 4
MEHTA, VINOD C
029913 546 BS 8TH ST
MEIER, WALTER LOUIS III
021183 1660 MULKEY ROAD, SUITED
HEINE, FREDERICK J
016106 RADIOLOGY ASSOCIATES OF COL., PO BOX 2787
MEINHOLD, ROLF WALTER
029727 3921 SHALLOWFORD RD, NORTH EAST
MEJIA, HUMBERTO
016740 P.O. BOX 92
MEJIA, IVAN
014075 1429 OGLETHORPE STREET
MELBY, KENNETH
026337 5665 PEACHTREE DUNWOOSY ROAD
MELCHER, RICHARD EARL
018526 1220 GEORGE C WILSON DRIVE
MELI, RICHARD JOSEPH
037621 3131 N DRUID HILLS RD, APT 6210
MELLINGER, ANNE KATHERINE
037297 2208 AZALEA CIR
MELLINGER, ELFRIEDE M
010763 956 HEARD AVENUE
MELLINGER, THEODORE J
010384 956 HEARD AVENUE
MELLITT, RICHARD JOSEPH
034416 615 WILLJVEE DRIVE
MELNIKOFF, GREGORY BORIS
033645 3962 SENTRY WALK
MELTON, DENNIS MITCHELL
030514 ATLANTA MEDICAL ASSOCIATES, 100 - 10TH STREET NW
MELTON, HOWARD LANEY
035697 PO BOX 849
MELTON, WILLIAM CLIFFORD
015682 19 PERRY STREET
MELVILLE, KIRK ALAN
031990 1010 OVERTON WAY
MELVIN, PERRY DAVID MEMAR, HUSHANG
014076 1410 RUSSELL PKWY
019299 * 651 INDIAN TRAIL ROAD
MEMENDEZ, JACK FERNANDO
009208 700 SPRING STREET
MENA, BENITO
015799 2150 PEACHFORD ROAD, BLDG. 2
MENA, JOSE MENDELSOHN, KEVIN BRUCE
037870 910 WOODHILL TRAIL
018706 * 41 PERIMETER WAY, N.W., SUITE 310-D
MENDENHALL, CHARLES MICHAEL 024842 THE MEDICAL TOWER, 425 - 3RD AVE - LOWER LOVEL
MENDEZ-ABRAHAM, RUBEN ARTURO 022165 4325 CLIPPER BAY ROAD
MENDIZABAL, JOSEE
020132 189 MEDICAL WAY STE B, PO BOX 1259
MENDOZA, EDWARD MARTIN
016261 3556 PEBBLE BEACH DRIVE
MERA!, PRAKASH
032248 165 ANNEX DRIVE
MERCADO, MARIA-GISELA
036413 2640 QUINN COURT
MERCED-BRUNO, DALIA REBECCA 036414 146 MARINERS WAY
ATLANTA
GA
AUGUSTA
GA
COLUMBUS
GA
AUGUSTA
GA
MARTINEZ
GA
SAVANNAH
GA
ATHENS
GA
ATLANTA
GA
RIVERDALE
GA
LILBURN
GA
LILBURN
GA
CANTON
GA
VADOSTA
GA
DALTON
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
AUGUSTA
GA
AUGUSTA
GA
DUNWOODY
GA
ATHENS
GA
VALDOSTA
GA
SAVANNAH
GA
MARIETTA
GA
TUCKER
GA
GRIFFIN
GA
GR! FFIN
GA
AUSTELL
GA
COLUMBUS
GA
MARIETTA
GA
MILLEDGEVILLE GA
MACON
GA
ATLANTA
GA
AUGUSTA
GA
DECATUR
GA
DECATUR
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
ADEL
GA
NEWNAN
GA
WATKINSVILLE GA
WARNER ROBINS GA
LILBURN
GA
MACON
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ALBANY
GA
DULUTH
GA
RIVERDALE
GA
AUGUSTA
GA
MILLEDGEVILLE GA
AUGUSTA
GA
SAVANNAH
GA
30331
41
30912-3146 07
31909
10
30909
01
30907
17
31405
01
30606
46
30345
30274-2598 49
30247
33
30247
10
30114
53
31602
33
30720-3053 34
30303
35
30322
46
31411
41
30341-5644 32
30901-2399 44
30909
10
30350
03
30606
03
31602
32
31404-6270 15
30066
08
30084
17
30223
21
30223
00
30001
36
31904
36
30062
10
31061
17
31201-1577 03
30342
34
30909
10
30033
36
30033-2611 32
30904
33
30304
33
30033
41
30068
32
30309
17
31620
41
30263
36
30677
08
31088
10
30247
10
31201
41
30338
33
30909
41
30339
30
31703
36
30136
33
30274-4914 15
30907
22
31061
33
30909
36
31419
31
Page No. 143
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MERCER, ALEXANDER JOHN
026006 4015 S COBB DR, SUITE 105
SMYRNA
GA
MERCER, CYNTHIA A
021025 1270 PRINCE AVENUE
ATHENS
GA
MERCHANT, VERNON EVANS
038053 428 AUMOND RD
AUGUSTA
GA
MEREDITH, CHARLES EYMARD
038558 2526 KINGLSEY DR, NE
MARIETTA
GA
MEREDITH, JOHN TODD
032249 824 PINE POINT CIRCLE
VALDOSTA
GA
MERIN, ROBERT GILLESPIE
034899 MEDICAL COLLEGE OF GA, 1120 15TH ST.,BIW 683
AUGUSTA
GA
MERLIN, HARVEY ERNEST
007531 612 CONWAY FOREST DRIVEN W
ATLANTA
GA
MERLIN, MARK CLIFFORD
031635 3941 GLENHURST DR
SMYRNA
GA
MERLINO, JOHN DAMIAN
027868 CRAWFORD LONG HOSP-CARIOLOGY, 550 PEACHTREE STREET ATLANTA
GA
MERLIS, PAUL
026339 1389 STEPHENS DRIVE
ATLANTA
GA
MERMIN, MARGARET NORTH
021760 1109 WEST PEACHTREE STREET
ATLANTA
GA
MERRILL, ARTHUR JESSE JR
015802 105 COLLIER ROAD NW, SUITE 1000
ATLANTA
GA
MERRILL, FREDERICK ARTHUR, III 034664 4604 COUNTRY MEADOWS LANE
MARTINEZ
GA
MERRILL, JONATHAN R
017859 117 ATHENS ST
HARTWELL
GA
MERRIMAN, SONYA JUNE
029038 5028 BETHANY DRIVE
HAHIRA
GA
MERRITT, BRADLEY S
016704 208 N CUTHBERT ST
COLQUITT
GA
MERRITT, GEORGE WARNER
009210 RT 1 BOX 132
VIDALIA
GA
MERRITT, HINTON J
005686 208 N CUTHBERT ST
COLQUITT
GA
MERRITT, JOHN CARY
013824 3001 LAKEVIEW PKY
VILLA RICA GA
MERRITT, ROBERT MARTIN MERRITT, THOMAS BURTON
037871 2444 DEODARA DR
010615 * ROUTE 1, BOX 131-B
AUGUSTA
GA
COBB
GA
MERRYMAN, JOHN E
014401 1673 BETHAVEN ROAD
RIVERDALE
GA
MERSBERGER, JEROME FRANCIS 022839 3055 RIVER NORTH PARKWAY
ATLANTA
GA
MERSEREAU, JOHN BRADFORD
014936 22 PARKSTONE COURT
STONE MOUNTAIN GA
MERTZ, KRISTEN JEAN
037872 1139 VISTA TRAIL, NE
ATLANTA
GA
MERVES, EDWARD
031476 5 WINDLASS COURT
SAVANNAH
GA
MERZ, CHRISTIAN L
020338 3993 LAWRENCEVILLE HWY SUITE 120, PO BOX 907
LILBURN
GA
MESSER, ALFRED AMES
010069 3332 VALLEY ROAD, NW
ATLANTA
GA
MESSINA, PHILIP ANTHONY
034199 WINDSONG PLANT AT EAGLES LANDING, 904 SWEETBAY COURT STOCKBRIDGE GA
MESSING, MARK JOSEPH
033148 MED. COL. OF GA. - ROOM #CK166, DEPT OF OB/GYN-DIV. G AUGUSTA
GA
METCALF, JAMES CRAWFORD
028188 6262 HAMILTON ROAD
COLUMBUS
GA
METCALF, JAMES MICHAEL
025461 1074 POLO CLUB DR
MARIETTA
GA
METOYER, GERILYN ANN
033149 1748 WEDGEWOOD OBVERLOOK
STONE MOUNTAIN GA
METTLER, KATHRYN WIEDL
024299 120 MOUNT VERNON DR.
DECATUR
GA
METTS, JAMES C JR
007533 PO BOX 202985
SAVANNAH
GA
METZGER, CHARLES R JR
009560 1462 MONTREAL RD, SUITE 109
TUCKER
GA
MEYER, ANDREW HOYT
035699 1330 N CROSSING DR NE
ATLANTA
GA
MEYER, CAROL FRANCES
011984 2523 TUPELO DRIVE
AUGUSTA
GA
MEYER, CAROLE MARTIN
029729 P.O. BOX 387
ELLIJAY
GA
MEYER, CHARLES ALOYSIUS, JR. 024300 818 AUMOND PL. EAST
AUGUSTA
GA
MEYER, GEORGE WILBUR
037029 4230 CLUB DRIVE
ATLANTA
GA
MEYER, JOHN DOUGLAS
015289 DEPT OF RADIOLOGY, 1000 JOHNSON FERRY RD, N.E.
ATLANTA
GA
MEYER, KENNETH EVAN
021259 1660 MULKEY ROAD, SUITED
AUSTELL
GA
MEYER, RICHARD DALE
033404 872 TRAILSIDE LN
MARIETTA
GA
MEYER, ROGER ALBERT
020581 1121 JOHNSON FERRY ROAD, SUITE 400
MARIETTA
GA
MEYER, THOMAS PEARSON
016394 752 HEMLOCK STREET
MACON
GA
MEYERS, JOHN JOSEPH, III
031477 4053 LAVISTA RD, SUITE 200
TUCKER
GA
MEYERS, S. NEIL
022841 PO BOX 3131
VALDOSTA
GA
MEYERS, STUART JOSEPH
036822 3117 PEACHTREE DRIVEN E
ATLANTA
GA
MEYERS, WILLIAM FRANKEL
033647 5455 MERIDIAN MARK ROAD, SUITE 560
ATLANTA
GA
MICHAEL, RICHARD PHILLIP
018314 2126 CONTINENTAL DRIVE NE
ATLANTA
GA
MICHAEL, SCOTT JAY
035474 1309 MILLSTEAD ROAD, SUITE H
CONYERS
GA
MICHAELIDES, KYRIAKOS MIKE 016644 1790 MULKEY ROAD, SUITE 6-A
AUSTELL
GA
MICHAELS, JOHN FRANCIS, JR. 029350 202 NORTH DAVIS DRIVE, PO BOX 2866
WARNER ROBINS GA
MICHAELS, MARTIN CRAIG
026157 711 SHIELDS RD
DALTON
GA
MICHAELSON, JEFFREY EVAN
037623 205 CARALYLE LAKE
DECATUR
GA
MICHELSEN, LUIS GUILLERMO
030515 2484 KING'S ARMS POINT
ATLANTA
GA
MICHIGAN, STEPHEN
019561 340 EISENHOWER DRIVE, 1510 CENTRAL PARK
SAVANNAH
GA
30080-6303 33
30606
15
30909
03
30062
33
31602
31
30912
03
30327
52
30080-5897 03
30365
05
30329
30309
17
30305
17
30907
30643-1903 41
31632
47
31737
17
30474
01
31737
01
30180-9793 27
30904
10
31735
33
30296
28
30328
08
30087
08
30324
35
31411
33
30247
30
30305-1149 33
30281
17
30912-3335 13
31909
23
30064
30088
17
30030
17
31403
17
30084-6929 32
30329-3570 05
30909
04
30540
36
30909
33
30319
17
30042
36
30001
01
30064-3077 03
30068
47
31201
05
30084
25
31604
46
30305-2751 36
30342
32
30343
33
30207-3800 52
30001
11
31099
33
30720
17
30033
17
30345
03
31406
49
Page No. 144
Composite State Board of Medical ExaminersRoster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MIDANI, MOHAMED M
019080
MIDDENDORF, WAYNE F
021418
MIDDLEBROOKS, MONROE CASTEEL 024301
MIDDLEBROOKS, TRACY WILLIAMS J 024986
MIDDLETON, FRANK F III
013067
MIDDLETON, HENRY M III
017636
MIDDLETON, MILTON G
007534
MIEHL, PHILIP JEFFREY
034900
MIELE, GERALD BRIAN
036416
MIELLO, MICHAEL CHARLES
024605
MIHALOVITS, KARLS
011776
MIKELL, JOEL EDWARD
009562
MIKELL, JULIA LECRAW
021741
MIKHAIL, MICHEL KALLINY
029493
MIKKILINENI, HYMAVATI S.
028440
MIKKILINENI, RAO SREERAMACHAND 023852
MIKOS, STEPHEN ELMER
034201
MIKOWSKI, STANLEY MICHAEL
038872
MIKRUT, ELIZABETH ZABOR
029730
MILAM, MARK JAY
032615
MILBURN, MERLE EDWARD, JR
032432
MILES, CURTIS RICHARD
025233
MILES, LAURENCE GERALD
022599
MILES, MARY RYAN
017878
MILESTO~E, RONALD
018528
MILLARD, JENNIFER LOUISE
034026
MILLEDGE, ROBERT DEMPSEY
008161
MILLEN, JAMES L
030834
MILLER, ALAN BRAD
036228
MILLER, ANDREW HEBB
038873
MILLER, ANTHONY EUGENE
032433
MILLER, BESS IRENE
023389
MILLER, BRUCE EARL
028048
MILLER, CECIL LE ROYCE
007851
MILLER, CEDRIC B
024038
MILLER, CHARLES WESLEY
033150
MILLER, CHESTER O III
011421
MILLER, DALLAS MARK
026898
MILLER, DANIEL STEPHEN
029494
MILLER, DAVID CRITCHERSON
014752
MILLER, DREW VINCENT
033405
MILLER, ELIZABETH A. STORY 029351
MILLER, FRANK ALBERT
025644
MILLER, FRANK FLETCHER
038559
MILLER, FRANK RICHARD
009563
MILLER, GAIL D
015549
MILLER, GARY MICHAEL
024844
MILLER, GEORGE DANIEL
009564
MILLER, GORDON CHASON
009888
MILLER, GREGORY VERN
033151
MILLER, JACK LEON
024987
MILLER, JAMES ALAN
018242
MILLER, JAMES PAUL
021549
MILLER, JAMES STANLEY
015401
MILLER, JAMES WILLIAM
019406
MILLER, JERI LYNNE
030835
MILLER, JERRY ALLAN, JR.
018708
MILLER, JOHN MARVIN
007852
2677 DEERFIELD CIRCLE ATHENS PULMONARY/ALLERGY P.C., 489 N MILLEDGE AVE 109 PROFESSIONAL COURT DRIVE 1505 WINTER STREET, SUITE D-1 414 5TH AVENUE 3514 LOST TREE COURT 1209 RIFTWOOD LANE 140 VANN STREET, SUITE 410 806 14TH AVE 385 HICKS FARM ANNEX 3188 ATLANTA STREET SE 112 MILL RACE ROAD 4 JACKSON BLVD, NEUROLOGICAL INST. OF SAVANNAH 163 ANNEX DRIVE 8721 N SHORE DR 8721 NORTH SHORE DRIVE 702 SUMMIT SPRINGS DRIVE 8 KEYSTONE DRIVE 4756 RIVERWALK TRAIL PO BOX 660 1722 GOLF LINK DR. 1260 UPPER HEMBREE ROAD, SUITED 4244 WIEUCA OVERLOOK 1292 ARMSTRONG MILL ROAD 3600 COCHISE DRIVE 4430 FALLOWFIELD LANE RADIOLOGY/X-RAY DEPT, 35 LINDEN AVENUE 818 ST SEBASTIAN WAY, SUITE311 4835 COLD STREAM DRIVE 1215 CLIFTON ROAD, NE 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS 1183 OXFORD ROAD, N.E. 1920 OAK BRANCH WAY 60 WEST PARK STREET, P.O. BOX 629 9401 ROBERTS DRIVE# 13D 4108 COTTONWOOD DRIVE 3715 NORTHSIDE PARKWAY, BLDG 100 SUITE 140 2704 NORTH OAK STREET, BLDG F 442 PARK AVES E PO BOX 595 5671 PEACHTREE DUNWOODY RD NE 5205 FREDRICK STREET 1502 BLUE RIDGE DRIVEN E 508 NOBLE OAKS DR 509 GORDON AVE 1004 MILLEDGE RD 522 NORTH AVE, NW 993-D JOHNSON FERRY RD., SUITE 290 1506 E. EVANS STREET 3561 OLD IVY LANE 2954 GREEN OAKS CIRCLE CANDLER GENERAL HOSPITAL, PO BOX 9787 610 -19TH STREET, DOCTORS HOSPITAL CAMPUS 700 OGLETHORPE AVE, PO BOX 5860 4750 WATERS AVE, SUITE 302 236 R!DGE CIRCLE 1230 AUGUSTA WEST PARKWAY 2307 NORTH PATTERS~N STREET
MARIETTA
GA
ATHENS
GA
EASTMAN
GA
AUGUSTA
GA
ALBANY
GA
MARTINEZ
GA
THOMASVILLE GA
MARIETTA
GA
ALBANY
GA
ACWORTH
GA
SMYRNA
GA
THOMASTON
GA
SAVANNAH
GA
MILLEDGEVILLE GA
JONESBORO
GA
JONESBORO
GA
DUNWOODY
GA
SAVANNAH
GA
LILBURN
GA
LAVONIA
GA
STONE MOUNTAIN GA
ROSWELL
GA
ATLANTA
GA
FRANKLIN
GA
ATLANTA
GA
LILBURN
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
STONE MOUNTAIN GA
BUFORD
GA
DUNWOODY
GA
BRASELTON
GA
ATLANTA
GA
VALDOSTA
GA
ATLANTA
GA
LAVONIA
GA
ATLANTA
GA
SAVANNAH
GA
GAINESVILLE GA
SAVANNH
GA
THOMASVILLE GA
AUGUSTA
GA
MARIETTA
GA
ATLANTA
GA
BAINBRIDGE GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
COLUMBUS
GA
ATHENS
GA
SAVANNAH
GA
DUBLIN
GA
AUGUSTA
GA
VALDOSTA
GA
30064
32
30601
34
31023
17
30904
32
31701
15
30907
11
31792
33
30060
03
31701-1329 09
30102
30080
33
30286
36
31405
23
31061
36
30236-4020 17
30236
17
30350
17
31406
03
30247
17
30553
10
30088-3776 32
30076
17
30342
08
30217
32
30339
33
30247
33
30308
36
30901
17
30360
03
30307
33
31901
10
30306
30087
03
30518
10
30350
30517
08
30327
33
31602
41
30312
10
30553
53
30342
28
31405
27
30501
33
31406
08
31792
32
30904
08
30060
23
30342
06
31717
05
30342
17
30345
31412
31
31901
17
30604
05
31404
05
31021
10
30909
32
31602
15
Page No. 145
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MILLER, JOSEPH IRVIN JR MILLER, KAREN FRANCES MILLER, KENNETH JOEL MILLER, KENT GERARD MILLER, LINCOLN PAUL MILLER, LISA DAWN MILLER, MARK ANDREW MILLER, MELINDA MILLER, MICHAEL. BRITT MILLER, PRESTON ROY JR MILLER, RICHARD JAY MILLER, ROBERT ALAN MILLER, ROBERT HENRY MILLER, ROBIN L. MILLER, SAMUEL JONES III MILLER, SAMUEL KI MILLER, STEPHEN B MILLER, WILLIAM ARTHUR MILLER, WILLIAM CHARLES, JR. MILLER, WILLIAM HARVEY MILLER, WILLIAM MICHAEL MILLETT, DAVID PHILLIPS MILLMAN, STANLEY L MILLNER, MICHAEL RAYMOND MILLS, JONATHAN SCOTT MILLS, JUDY CAROL WATKINS MILLS, LUTHER RICE, IV. MILLS, MARVIN LEON MILLS, RICHARD SCOTT MILLS, ROBERT ALLEN MILLS, SARA ANN MILNER, JAMES EDWARD MILNER, PAUL FREDERICK ARTHUR MILNER, RHONDA DAWES MILSAP, JAMES H JR MILTON, WILLIAM JACKSON SR MIMBS, JAMES WILBUR JR MIMS, ADRIENNE DENISE MIMS, GEORGE T JR MIMS, JOSEPH PAUL MIMS, OSCAR MCLENDON MINANOV, KRISTIJAN GEORGE MINASIAN, LORI MARAL MINASSIAN, JEFFREY HAMPAR MINER, FREDERICK PARKER CRAIG MINGUS, ROBERT PAUL MINKS, ERIN CONNOR MINKS, ROBIN DEAN MINOR, BYRON D MINOR, JAMES BARRY MINOR, RUSSELL BLAINE MINTER, KATHY LYNN MINTLOW, SAMUEL DAVIS MINTZ, STEPHEN MERRICK MIRANDA-HIDALGO, ANTONIO MIRATE, DONALD J MIRON, EDWARD JOSEPH MIRRA, SUZANNE S
011014 035952 020776 031636 032616 038874 035477 032617 027869 007243 018709 035295 019081 033866 021551 037030 018406 011719 024302 021552 033867 028049 015601 030654 032618 026601 011016 018710 038308 032252 035296 032434 019851 023157 008835 023768 013068 033152 007244 032786 006588 038876 037298 022601 026341 035953 034417 034665 007536 007998 035479 038309 028824 024988 018167 021261 024989 016398
1858 BRECKENRIDGE DRIVE NE
ATLANTA
GA
187 VIDEL BLVD
DECATUR
GA
325 HERTFORD CIRCLE
DECATUR
GA
1285 SIMS STREET
GAINESVILLE GA
3071-19 LENOX ROAD NE
ATLANTA
GA
3160 N. OAK COURT, SE
CONYERS
GA
926 WAVERLY WAY, APT A
ATLANTA
GA
1295 SWEET BOTTOM COURT
MARIETTA
GA
EOH DIV/EMORY SCH PUBLIC HEALTH, 1599 CLIFTON RD NE ATLANTA
GA
960 JOHNSON FERRY RD, SUITE 240
ATLANTA
GA
3805 GRAND FOREST DRIVE
NORCROSS
GA
PIEDMONT PROF BLDG - SUITE 3010, 105 COLLIER ROAD NW ATLANTA
GA
P.O. BOX 1956
BRUNSWICK
GA
4231 NORTHSIDE DRIVE
ATLANTA
GA
CLARK HOLDER CLINIC, 303 SMITH STREET
LAGRANGE
GA
2305-C SPRINGHOUSE LANE
MARTINEZ
GA
1365 CLIFTON RD NE, DEPT OF RHEUMATOLOGY
ATLANTA
GA
5223 PAULSEN ST
SAVANNAH
GA
203 SOUTH SHIRLEY AVE, PO BOX 570
DOUGLAS
GA
2704 NOAK CENTER, SUITE F
VALDOSTA
GA
SMITHKLINE BEECHAM CLINICAL LAB, 1777 MONTREAL CIRCLE TUCKER
GA
1701 COLUMBIA AVE
COLLEGE PARK GA
1970 CLIFF VALLEY WAY NE, SUITE 107
ATLANTA
GA
5843 DE OSTA DRIVE
VALDOSTA
GA
1457 HAZELNUT PARK
ACWORTH
GA
2605 LAKEVIEW TRACE
MARIETTA
GA
1433 GLENN AVENUE
AUGUSTA
GA
102 GROSS CRESENT, SUITE 301
FORT OGLETHORP GA
380 HILLANDALE CIRCLE
MARIETTA
GA
857 SUMMERCHASE COURT
WOODSTOCK
GA
802 SAN ANTONIO DRIVE NE
ATLANTA
GA
1107 PEACHTREE ROAD
AUGUSTA
GA
713 BRANSFORD ROAD
AUGUSTA
GA
10 HARRIS GLEN
ATLANTA
GA
1984 PEACHTREE RD, NW, SUITE 505
ATLANTA
GA
516 STUART COURT
SAVANNAH
GA
PO BOX 15
MILLEDGEVILLE GA
915 FOREST OVERLOOK TRAIL
ATLANTA
GA
787 CAMPBELL HILL STREET NW
MARIETTA
GA
35 COLLIER ROAD NW, SUITE 670
ATLANTA
GA
122 PASTIME DRIVE
THOMASVILLE GA
3448-C M DRUID HILLS RD
DECATUR
GA
503 STEVENS CREEK ROAD
MARTINEZ
GA
1147 SPRINGDALE ROAD
ATLANTA
GA
P. 0. BOX 14517
AUGUSTA
GA
8155 WINGED FOOT DRIVE
DUNWOODY
GA
4106 MILL STREET
COVINGTON
GA
4140 B TATE ST
COVINGTON
GA
RADIOLOGY ASSOC. OF DEKALB., PC, 755 COMMERCE DR., SU DECATUR
GA
960 JOHNSON FERRY ROAD, SUITE 140
ATLANTA
GA
7 JOHN MADDOX DRIVE
ROME
GA
344 S COLUMBIA DR# A
DECATUR
GA
3241 LINDA CIRCLE
CONYERS
GA
1311 MILSTEAD AVE
CONYERS
GA
2343 ELON WAY
DECATUR
GA
2707 N. FORREST STREET
VALDOSTA
GA
109 HOSPITAL DRIVE
CALHOUN
GA
417 LANDOVER DRIVE
DECATUR
GA
30345
48
30030
15
30030
17
30501
25
30324-2480 17
30208
32
30307
08
30060
15
30329-4251 01
30342
17
30092
12
30309
47
31521
08
30342
53
30240
15
30907
41
30322
37
31405
36
31533
41
31602
41
30084
31
30337
30329
33
31636
36
30101
08
30062
30904
31
30742
05
30064
17
30188
10
30306
06
30909
16
30909
16
30327
30309
36
31405
31061
33
30331
10
30060
11
30309
41
31792
17
30033
05
30907
17
30306
33
30919-0517
30338
03
30209
15
30209
30030
36
30342
05
30165-1413 17
30030-4108 17
30208
17
30207
25
30033
01
31602-2057 27
30701
10
30030
31
Page No. 146
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MIRRA, THEODORE ROBERT
033778 1022 VISTAVIA CIRCLE
MIRZA, SHAHINA
027297 2639 HICKORY COVE DR
MIRZA, TARIQ HUSSAIN
032961 141 S CHEROKEE RD
MISCH, DIANE MARIE JANKOWSKI 037299 608 BAYTREE COURT
MISCH, DONALD ARTHUR
036229 608 BAYTREE COURT
MISULIA, ANDREW GEORGE
032253 P.O. BOX 458, BROAD STREET
MITCH, WILLIAM EVANS
030145 NEPHROLOGY DEPT, 1365 CLIFTON ROAD
MITCHELL, ALAN LYNN
034901 3125 ST ANDREWS DRIVE
MITCHELL, ALEXANDER ROBERT 013993 4920 WELLINGTON DRIVE
MITCHELL, BRUCE LEROY
031292 130 N GROSS ROAD, SUITE 203
MITCHELL, CHARLES CRAIG
021027 PO BOX 1326
MITCHELL, CHARLES WILLIAM
035297 2036 BROOKWOOD VALLEY CIRCLE
MITCHELL, DOROTHY EILERS
022602 1200 WOODS CIRCLE NE
MITCHELL, EDMUND MANSFIELD 037624 210 SOUTHLAND STATION, APT 104
MITCHELL, FRANK LEITH
023091 412 GLENCASTLE DRIVEN W
MITCHELL, JAMES HOWARD
030516 209 GREEN STREET
MITCHELL, JAMES KEY
008166 401 SOUTH MAIN STREET, SUITE B 7
MITCHELL, JESSE ROBERT
027870 4839 POOL MILL ROAD
MITCHELL, JOHN CHESTER
009565 1430 HARPER ST
MITCHELL, JOSEPH BLAKE
038879 4113 HERITAGE RIDGE
MITCHELL, JOSEPH R JR
010618 3504 CEDAR VALLEY DRIVE
MITCHELL, MARVIN MAX
015602 3910 AUSTELL ROAD, SUITE 101
MITCHELL, OSCAR CHAMBERS
011525 PO BOX 250268
MITCHELL, PARK ROBERT
012941 833 CAMPBELL HILL STREET, KENMAR BUILDING SUITE 250
MITCHELL, PAUL GEORGE
027871 653 CHEROKEE STREET
MITCHELL, RICHARD M
017863 2001 PEACHTREE RD NE, SUITE 510
MITCHELL, SHARON SONIA
037874 302 GENERAL STEWART WAY, APT 18-B
MITCHELL, STEPHEN WYATT
029495 PO BOX 1326
MITCHELL, WILLIAM EDGEFIELF JR 009213 35 COLLIER RD NW SUITE 710
MITCHUM, ROBERT KEITH
025889 PO BOX 134
MITTELMAN, JONATHAN SAMUEL 026158 575 WEST PIKE STREET
MITTENTHAL, MARK JAY
017864 993 JOHNSON FERRY ROAD, BLDG D, SUITE 200
MIXSON, ELIZABETH ANNE BARNES 038056 1678 OAK LANE, NE
MIZE, ROGER DAVID
022253 33 CHESTNUT DRIVE
MIZE, SHANNON
018866 208 HUDSON STREET
MIZRAHI, GABRIEL NAKA
021553 * 532 THE NORTH CHACE
MLAVER, BERNARD
026798 4480 NORTH SHALLOWFORD RD, SUITE 222
MOAK, THOMAS EDWIN
020777 105 COLLIER RD NW, SUITE 4080
MOBASSER, SHAPOUR
016743 980 JOHNSON FERRY RD NE, SUITE 780
MOBLEY, COMMODORE THEARON JR 021764 160 LITTLE JOHN TRAIL N.E.
MOBLEY, JAMES RAY
021765 4391 DEERWOOD LANE
MOBLEY, LETITIA FAITH MCDOWELL 034902 1340 VICTORIA FALLS CT
MOBLEY, MICHAEL CHARLES
019470 4750 WATERS AVE, SUITE 452
MOBLEY, ROBERT EDWARD, JR
032787 1340 VICTORIA FALLS COURT
MODDRELL, GWENDOLYN LOUISE 025511 2106 WELLS DR
MODE, DONALD GENE
038310 827 MILLEDGE RD, APT F-10
MOD I , THOMAS A
016108 975 JOHNSON FERRY ROAD NE, SUITE 400
MODROWSKI, JOHN JOSEPH
023391 1296 THE BY WAY
MODUGNO, ROBERT
029496 1305 HEMBREE ROAD, SUITE 101/102
MOELLER, WILLIAM KEHNE
026342 2151 FOUNTAIN DRIVE, SUITE 201
MOESCH, DEAN VINCENT
027873 9 MEDICAL ARTS CENTER
MOFFETT, KATHRYN S
035480 480 PEACHTREE HILL AVE,# I-7
MOGELNICKI, STANLEY ROBERT 018052 640 TANGLEWOOD TR.
MOHAN, BH KRISHNA
019407 6507 PROFESSIONAL PL, SUITE E
MOHAN, PALGHAT V
018110 704 BREEDLOVE DRIVE
MOHAN, RAMANUJAM
021554 V.A MEDICAL CENTER 116AU
MOHNEY, MARK WILLIAM
031800 95 COLLIER RD NW, SUITE 3000
MOJCIK, MICHAEL STEPHEN
026159 2200 FOUNTAIN DRIVE
DECATUR
GA
LILBURN
GA
SOCIAL CIRCLE GA
MARTINEZ
GA
MARTINEZ
GA
LUMPKIN
GA
ATLANTA
GA
DULUTH
GA
MACON
GA
KINGSLAND
GA
ALBANY
GA
ATLANTA
GA
ATLANTA
GA
WARNER ROBINS GA
ATLANTA
GA
WARNER ROBINS GA
ALPHARETTA GA
DOUGLASVILLE GA
AUGUSTA
GA
EVANS
GA
SMYRNA
GA
AUSTELL
GA
ATLANTA
GA
MARIETTA
GA
MARIETTA
GA
ATLANTA
GA
HINESVILLE GA
ALBANY
GA
ATLANTA
GA
HINESVILLE GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
ELBERTON
GA
CUMMING
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
EVANS
GA
ATLANTA
GA
SAVANNNAH
GA
~TLANTA
GA
COLUMBUS
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ROSWELL
GA
SNELLVILLE GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
RIVERDALE
GA
MONROE
GA
AUGUSTA
GA
ATLANTA
GA
SNELLVILLE GA
30033
36
30247
33
30279-8830 17
30907
33
30907
33
31815-0458 10
30322
53
30136
36
31210
31
31548
17
31702
05
30309
41
30324
13
31088
10
30327
26
31098
25
30201
11
30135
30910-3699 15
30809
10
30080
15
30001
46
30325
10
30060
15
30060
27
30309
15
31313
10
31702
05
30309
41
31313
01
30245
30342
50
30329-2516 33
30635
17
30130
10
30328
01
30338
15
30309-1708 17
30342-1607 15
30309
17
30809
10
30311
32
31404
33
30311
10
31906-1533
30904-4386 49
30342
15
30306
30076
15
30278
28
31405
36
30305
32
30327
03
30274-2519 17
30655
17
30904-6285 33
30309-1735 27
30278
15
Page No. 147
NAME
MOLINA, FERNANDO MOLINA, RICHARD DENISON MOLINARI, VINCENT G. MOLINARO, JOHN ROBERT MOLITOR, MICHAEL G MOLKNER, KENNETH CURT MOLL, FRANCIS KEITER, Ill MOLL, FRANCIS KETER, JR MOLL, JEFFREY MATTHIAS MOLLOD, MICHAEL MOLNAR, EDMUND M MOLOCK, EMILY SUZANNE MOLYNEAUX, EVA,N 'wALKER MONCINO, MARK DANIEL MONDA, DOMINIC ANTHONY MONE IT, 'w!LL!AM MONES, MARGARET ELIZABETH MONET, DARLENA MARY MONETT, ROBERT ALAN MONGAN, PATRICK FRANK MONITZ, THEODORE ALLEN MONLEY, JOSEPH PAUL MONSON, DAVID KEVIN MONTALDI, DAVID HERBERT MONTALVO, CARLOS M MONTALVO-RODRIGUEZ, LUIS F. MONTANA, EDUARDO MONTANA, EDUARDO MONTEMAYOR, KAREN ANNE MONTERO, NESTOR LAZARO MONTES, EDUARDO M. MONTES, ISMAEL MONTGOMERY, DAVID HARROP MONTGOMERY, GARY L MONTGOMERY, THOMAS A MONTGOMERY, THOMAS B MONTGOMERY, 'w!LLIAM KEITH MONTICCIOLO, DEBRA LOUISE MOODY, CHESTER DALE MOODY, GERALD ED'wARD MOODY, JOHN EDGAR MOODY, JOHN MILTON MOODY, MARY ELIZABETH MOODY, RICHARD ALFRED MOON, ELLIOTT CLARK MOONEY, ALFONSO JOHN Ill MOORE, ANNE CAROLYN MOORE, BERNICE 'wALDO, JR MOORE, BURNESS E MOORE, CHARLES MICHAEL MOORE, CHARLES 'wALTON CARY MOORE, CLIFF JR MOORE, CYNTHIA ANN MOORE, DANIEL 'w MOORE, DAVID BAKER MOORE, DAVID BRIAN MOORE, DAVID KEITH MOORE, FLORENCE LORETTA
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
032111 100 JOHN MADDOX DRIVE
ROME
GA
024039 2675 N DECATUR RD STE 603
DECATUR
GA
022603 84 SOUTH SIDE CHURCH STREET
ELLI JAY
GA
014289 3406 KAMEL CIRCLE
AUGUSTA
GA
017637 2004 ADAMS-REEVES RD SE
DEARING
GA
009566 2550 'w!NDY HILL ROAD,# 302
MARIETTA
GA
034903 107 LENOX PL
MARTINEZ
GA
038561 507 'w!CKERSHAM AV
FT BENNING GA
029731 120 GOSHEN ROAD
THOMASTON
GA
037031 3833 NOAK ST EXT, #189
VALDOSTA
GA
008326 103 PROFESSIONAL TO'wER
COLUMBUS
GA
026344 3540 DULUTH PARK LANE, SUITE 150
DULUTH
GA
005239 3564 MOUNTVILLE RD
HOGANSVILLE GA
035478 SCOTTISH RITES CHILDRENS HOSP, 5455 MERIDIAN MARK RD, ATLANTA
GA
022445 325 BRIARCLIFF DR
THOMASV! LLE GA
034204 4373 'w!CKERSHIRE 'wAY
NORCROSS
GA
032962 1316 RIDGECREST LANESE
SMYRNA
GA
037625 795 HAMMOND DR NE, #710
ATLANTA
GA
019408 755 COMMERCE DRIVE, SUITE 914
DECATUR
GA
022021 DEPT OF FAMILY PRACTICE, MEDICAL COLLEGE OF GA
AUGUSTA
GA
031994 CARDIAC DISEASE SPECIALISTS, 285 BOULEVARD, NE STE 4 ATLANTA
GA
033650 229 ASHFORD CIR
LA GRANGE
GA
031074 1491 LACHONA CT, NE
ATLANTA
GA
030147 2358 HO'wELL MILL ROAD N 'w
ATLANTA
GA
013868 104 S'wEETGUM DRIVE
MILLEDGEVILLE GA
024990 2979 FOXHALL CIRCLE
AUGUSTA
GA
011778 1121 JOHNSON FERRY ROAD, SUITE 220
MARIETTA
GA
035954 3857 ASHFORD RIDGE, NE
ATLANTA
GA
031995 2525 CUMBERLAND PARK'wAY
ATLANTA
GA
031637 4470 N SHALLO'wFORD RD, SUITE 201
ATLANTA
GA
025512 SOUTH FULTON HOSPITAL, 1170 CLEVELAND AVE
EAST POINT GA
014843 37 COVE DRIVE
SAVANNAH
GA
035701 1202 BRIARCLIFF GABLES CIRCLE
ATLANTA
GA
034095 5455 MERIDIAN MARK RD NE
ATLANTA
GA
007538 1010 PRINCE AVE
ATHENS
GA
036230 2508 DRUID OAKS, NE
ATLANTA
GA
031638 1105 N. FIFTH AVE
ROME
GA
035955 2ND FLOOR-EMORY CLINIC-BREAST IM, 1327 CLIFTON ROAD N ATLANTA
GA
036231 720 DENARDS MILL ROAD
MARIETTA
GA
034205 PO BOX 734
SANDERSVILLE GA
009889 910 RIBERBEND DRIVE
MILLEDGEVILLE GA
034904 605 BRANNEN STREET
STATESBORO GA
033154 1646 C SALEM 'wOODS DRIVE
CONYERS
GA
009567 2499 ODUM HIGH'wAY
JESUP
GA
011018 5 LAVISTA-PERIMETER OFFICE PARK, SUITE 101
TUCKER
GA
017406 311 JONES MILL ROAD
STATESBORO GA
034667 1242 MOORE'S MILL RD, N.'w.
ATLANTA
GA
006687 105 COLLIER RD N'w SUITE 3020
ATLANTA
GA
021419 6355 RIVER OVERLOOK DRIVE, N.'w.
ATLANTA
GA
030655 1645 PINEFIELD ROAD
004815 * 700 E SECOND AVE, SUITE F
MARIETTA
GA
ROME
GA
004927 * 300 'wEST 6TH ST., PO BOX 1108
ROME
GA
034905 2405 CHARLESTON OAKS LANE
DECATUR
GA
038562 COBB NEUROSURGICAL ASSOC, 80 LACY ST
MARIETTA
GA
027227 655 'w!LL ST.
GRIFFIN
GA
032255 4039 BROOKSIDE PARK'wAY
DECATUR
GA
027875 ROUTE 7, BOX 7074
CLEVELAND
GA
014187 MEDICAL-SUGICAL CENTER, BOX 63
MILLEDGEVILLE GA
30161
10
30033-6134
30540
15
30909
17
30808
10
30067
33
30907-1477 28
31905
28
30286
03
31602
17
31901
41
30136
30230
01
30342
32
31792-3934 08
30092
32
30080
36
30328-5520 08
30030
10
30912
10
30312
05
30240-8839 10
30329-3411 46
30318
15
31061
17
30907
30068
32
30319
32
30339
32
30338
47
30344
31419
41
30329
05
30342
34
30606
48
30329
17
30165
25
30322
36
30067
08
31082
03
31061
01
30458
10
30208
15
31545
01
30084
15
30458
10
30327
30309
17
30328-3504 33
30066
08
30161
17
30162-1108 01
30030
53
30060
44
30223
41
30034
10
30528
31062
27
Page No. 148
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MOORE, FREDERICK STEPHEN
022254 663 LANIER PARK DRIVE
GAINESVILLE GA
MOORE, GARY ARLAN
036232 3789 MILLER'S FERRY RD, SW
CALHOUN
GA
MOORE, GEORGE RICHARD
012525 WOMEN'S MEDICAL CENTER, INC., 107 HIGHLAND DRIVE
RIVERDALE
GA
MOORE, HAROLD EARL, JR.
029216 3873 BROOKWATER POINT
DECATUR
GA
MOORE, HOLLAND VICTOR
015961 MED COLL OF GA, THORACIC SURGERY DEPT.
AUGUSTA
GA
MOORE, JAMES CLARENCE
029915 PO BOX 8109
WARNER ROBINS GA
MOORE, JAMES LEWIS
021556 2325 PRINCE AVENUE
ATHENS
GA
MOORE, JOHN EVERETT
018053 315 BLVD NE, SUITE 224
ATLANTA
GA
MOORE, JOHN GAMMON
024303 980 JOHNSON FERRY ROAD, SUITE 220
ATLANTA
GA
MOORE, KAREN ANNE
029497 145 15TH STREET, APT 406
ATLANTA
GA
MOORE, KAREN RENEE
038563 973 OAK ST, SW
ATLANTA
GA
MOORE, MALCOLM SIDNEY, JR
031996 1429 OGLETHORPE ST
MACON
GA
MOORE, MARGARET JANE DONOVAN 036233 2995 RIVERMEADAE DRIVE
ATLANTA
GA
MOORE, MARILYN DORIS
027698 767-5 HOUSTON MILL ROAD
ATLANTA
GA
MOORE, MELVIN ROBERT
016647 69 BUTLER ST SE, DIV OF ONCOLOGY
ATLANTA
GA
MOORE, NOLAN CORDILL, JR
033408 980 JOHNSON FERRY ROAD, SUITE 860
ATLANTA
GA
MOORE, NORMAN CHARLES
030350 MED CENTER OF CENTRAL GEORGIA, 777 HEMLOCK STREET, P. MACON
GA
MOORE, PERRY
009215 1620 N JEFFERSON STREET
MILLEDGEVILLE GA
MOORE, PHILIP C
034906 4118 BROCKETT CREEK DRIVE
TUCKER
GA
MOORE, RICHARD ALAN
020779 740 HILL PINE DRIVE, NE
ATLANTA
GA
MOORE, RODNEY ENGLERTH
028827 PO BOX 340
CLEVELAND
GA
MOORE, SONDI SAADIA
031294 648 MCGILL PLACE
ATLANTA
GA
MOORE, STEVEN LYONS
030152 1230 AUGUSTA WEST PARKWAY
AUGUSTA
GA
MOORE, TERRENCE JOHN
024991 7 MALLARD COURT
MIDLAND
GA
MOORE, THOMAS JOSEPH
035481 THE EMORY CLINIC ORTHOPEDICS, 20 LINDEN AVE NE SUI ATLANTA
GA
MOORE, WILLIAM W JR
005037 400 PEACHTREE DUNWOODY CR
ATLANTA
GA
MOORES, RUSSELL RAY
011130 2204 KINGS WAY
AUGUSTA
GA
MOORHEAD, FRANKIE LAURA MOORHEAD, JAMES FRANKLIN
021555 720 DELMAR AVES E
033651 * 5500 ALLEN DRIVE
ATLANTA
GA
COLLEGE PARK GA
MOORMAN, ANTHONY J
036417 7210 THIMBLEWOOD WAY
COLUMBUS
GA
MOORMAN, LARRY RUSSELL
014938 1803 OLD OCILLA ROA
TIFTON
GA
MOORMAN, WILLIAM FRED BRIGHAM 030351 1010 PRINCE AVE
ATHENS
GA
MOOSAJEE, RAZIUDIN YUSUFALI 023483 2400 MT ZION PARKWAY
JONESBORO
GA
MORA, CHRISTINA THERESA
032256 EMORY CLINIC - ANES, 1365 CLIFTON ROAD
ATLANTA
GA
MORAD!, MEHRDAD
031075 5445 PEACHTREE RD
DUNWOODY
GA
MORALES, ANTONIO IVAN
034207 4529 HOLSTEIN HILL DRIVE
NORCROSS
GA
MORALES, JOHN MARK
038882 7 LANYARD COURT
SAVANNAH
GA
MORALES, RALPH WILLIAM
031480 HUGHSTON SPORTS MEDICINE HOSP, 100 FRIST CT
COLUMBUS
GA
MORALES, VICTOR A
016744 1181 WILD AZALEA LANE
ATHENS
GA
MORAN, ANTONIO, JR
034669 3116 SHRINE ROAD
BRUNSWICK
GA
MORAN, JOHN SCHILLING
032963 2187 SHASTA WAY
ATLANTA
GA
MORAN, MARTIN
011890 993 JOHNSON FERRY RD, SUITE 110
ATLANTA
GA
MOREE, LAMAR HOUSTON, JR
022844 406 - 1ST AVE
ALBANY
GA
MOREHEAD, GLEN PAUL
031076 SPALDING ONCOLOGY SERVICES, 230-D WEST COLLEGE STREET GRIFFIN
GA
MOREHEAD, LARRY WAYNE
017243 181 PATRICIA LANE
FAYETTEVILLE GA
MORELAND, ADELE ANN MORELAND, CARVIN COLUMBUS
024304 1267 INTERSTATE PARKWAY
008838 * 333 ALCOVA STREET
AUGUSTA
GA
MONROE
GA
MORELAND, ERNEST CHLOE
032620 5429 RALSTON COURT
MORELAND, ROBERT HAMILTON JR 008168 * 24 DUKES DRIVE
DUNWOODY
GA
GARDEN CITY GA
MORELAND, STEVEN C
015493 105 COLLIER RD, NW, SUITE 5020
ATLANTA
GA
MORELL, RENE' A
018825 582 CONCORD ROAD, SUITE A
SMYRNA
GA
MORENO, HUGO A SANCHEZ
009397 1136 CLEVELAND AVE, SUITE 500
EAST POINT GA
MORENO, JORGE LUIS IRIZARRY 022255 375 MCDONOUGH RD.
JACKSON
GA
MORENO, RAYMOND GARZA
031077 PO BOX 7372
TIFTON
GA
MORETZ, MCCOY LEE
025236 958-A JFH PKWY, SUITE 107
CARTERSVILLE GA
MORETZ, WILLIAM HENRY, JR
024465 SOUTHERN OTOLOGIC CLINIC, PC
AUGUSTA
GA
MORGAN, BARRY W. MORGAN, CLARENCE ELBERT,JR
025554 9375 HOGANSVILLE RD
033410 * 2124 BRIARWILLLOW DR, NE
HOGANSVILLE GA
ATLANTA
GA
30505
11
30701
08
30296
15
30034
10
30902
48
31095-8109 I7
30606
15
30312
40
30342
30361
32
30310
17
31201-1577 27
30327
32
30329
33
30303
17
30342
41
31208
33
31061
36
30084
03
30306
17
30528
10
30312
10
30909
32
31820
03
30308
28
30342
44
30904
16
30312
32
30349
01
31904
15
31794
27
30606
06
30236
30335
03
30338
13
30092-1381 03
31411
05
31908
28
30606
21
31520
19
30345
17
30342
32
31701
03
30223
19
30214
03
30909
06
30655
01
30338
25
31408
10
30309
15
30082
15
30344
15
30233
08
31793
17
30120
30
30901-2616 30
30230-2325
30345
17
Page No. 149
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MORGAN, CLAUD EDWARD
037301 2430-I DUNWOODY CROSSING
ATLANTA
GA 30338
08
MORGAN, DAVID L
007248 2295 SAGAMORE HILLS DRIVE
DECATUR
GA 30033
32
MORGAN, DISKIN GILFORD
007249 PO BOX 1243
DOUGLAS
GA 31533
41
MORGAN, FREDERICK DANIEL
026901 4759 ROCKBRIDGE RD, SUITE C
STONE MTN
GA 30083-4248
MORGAN, GWENDOLYN VICKERY
024040 814 BROOKFIELD PKWY.
MARTINEZ
GA 30907
MORGAN, HARVEY VAUGHAN
007250 1944 COLONIAL DRIVE
SAVANNAH
GA 31406
10
MORGAN, JAMES CALVIN Ill
017244 CLARK-HOLDER CLINIC, 303 SMITH STREET
LAGRANGE
GA 30240
27
MORGAN, JAMES FRANCIS
014404 GA TECH STUDENT HEALTH SERVICE, 275 - 5TH STREET
ATLANTA
GA 30318
01
MORGAN, JOEL LELAND
031295 893 NORTH BELAIR ROAD
EVANS
GA 30809
33
MORGAN, JULIETTE
035958 20 DELTA PLACE
ATLANTA
GA 30307
53
MORGAN, KENWORTH DAN
028297 2751 CREST HIGHWAY
THOMASTON
GA 30286
36
MORGAN, MAE ALS!E TRAMMELL 022902 1332 OAKCREST DRIVE SW
ATLANTA
GA 30311
17
MORGAN, MARY ELIZABETH
007251 2622 SPRINGWOOD DRIVE
AUGUSTA
GA 30904
11
MORGAN, PHILIP EDWARD
019971 4833 BLYTH COURT
ATLANTA
GA 30338-5021 26
MORGAN, RANDALL DAVID
030839 40 PARK LANE
ATLANTA
GA 30309
03
MORGAN, ROBERT LEE
031639 455 BOLAND STREET, PO BOX C
SPARTA
GA 31087
10
MORGAN, ROBERT THEODORE
009893 BOX 672
ADEL
GA 31620
10
MORGAN, RONALD GENE
030352 4781 CASTLEWOOD DR
LILBURN
GA 30247
33
MORGAN, SIDNEY JOSEPH JR.
021262 105 ROCKYFORD ROAD
SYLVANIA
GA 30467
10
MORGAN, STANLEY CLIFFORD
035106 1118 WINSTON AVENUE
SAVANNAH
GA 31404
15
MORGAN, STEPHEN MORGAN
014650 33 UPPER RIVERDALE ROAD, SUITE 127
RIVERDALE
GA 30274
01
MORGAN, TOBY SCOTT JR
012408 107 JOHN MADDOX DR
ROME
GA 30161
30
MORGAN, VICKI CELENE WILLIAMS 025645 980 HIGHWAY 29 SOUTH
LAWRENCEVILLE GA 30245
32
MORGAN, WILLIE EDWARD
028826 108 HOLLY DRIVE
WARNER ROBBINS GA. 31088
01
MORGAN, ZEBULON V JR
009037 495 WINN WAY, SUITE B-220
DECATUR
GA 30030
17
MORGAN-GIBBS, CARLA LEE
034419 1430 HARPER ST, BLDG A
AUGUSTA
GA 30910
15
MORGANSTERN, STEVEN LEE
020582 3280 HOWELL MILL RD., SUITE 217 EAST WING
ATLANTA
GA 30327
52
MORIN, DENIS MARCEL
024466 PO BOX 659
BUCHANAN
GA 30113
MORLEY, ANDREW PAUL JR
014939 755 COMMERCE DRIVE, SUITE 333
DECATUR
GA 30030
10
MORLEY, JOHN JAY
022845 12345 MERCY BLD
SAVANNAH
GA 31419
53
MORLEY, WALTER BIEL
030840 116 MIMOSA DRIVE, .
THOMASVILLE GA 31792
19
MORRELL, SCOTT MARTIN
029218 1380 MILSTEAD AVE, SUITED
CONYERS
GA 30207
28
MORRIS, ARCHIE J JR
008170 * PO BOX 1328
VIDALIA
GA 30474
41
MORRIS, BEATRIZ BLANCO
032098 515 NELSON FERRY ROAD, APT A
DECATUR
GA 30030
32
MORRIS, CATHERINE LAVERNE DAVI 032435 120 WALESKA ROAD
CANTON
GA 30114
17
MORRIS, CLELL VANDIVER
019564 2090-A PRINCE AVE
ATHENS
GA 30606
23
MORRIS, DAVID HOUSTON
028828 422 CANTON ROAD
CUMMING
GA 30130
10
MORRIS, DENISE ANN KING
035482 3222 SHRINE ROAD, SUITE A
BRUNSWICK
GA 31520
53
MORRIS, DON AMEACHE
026010 340 BOULEVARD NE, SUITE 608
ATLANTA
GA 30312
46
MORRIS, DOUGLAS CLAUDE
015804 550 PEACHTREE STREET NE
ATLANTA
GA 30365
05
MORRIS, ELSIE COLEMAN
023392 2754 NORTH DECATUR ROAD, SUITE 111
DECATUR
GA 30033
04
MORRIS, HENRY PHILIP, JR.
030353 565-D RESEARCH DRIVE
ATHENS
GA 30605
10
MORRIS, JONATHAN BEN
029043 307 LOST CREEK DRIVE
KENNESAW
GA 30144
08
MORRIS, LARRY ALLEN
010621 650 BROAD ST SE
GAINESVILLE GA 30505
32
MORRIS, LAWRENCE EDWARD, JR 031997 DEPT OF ONCOLOGY EMORY UNIV, SCHOOL OF MED 69 BUTLE ATLANTA
GA 30303
17
MORRIS, LENOX KYLE
033157 226 ALCOVY PLACE, SUITE D-14
MONROE
GA 30655
10
MORRIS, ROBERT JOSEPH
034420 1310 SUMMIT POINTE WAY
ATLANTA
GA 30329
31
MORRIS, ROBERT LORENZO
034908 710 PEACHTREE ST., NE, #510
ATLANTA
GA 30308
10
MORRIS, ROBERT ORR JR
020781 211 EARLWOOD DRIVE
DUBLIN
GA 31021
01
MORRIS, STEPHEN LEE
024992 PO BOX 15238
SAVANNAH
GA 31416
17
MORRIS, STEVEN J
016400 20 LINDEN AVE NE, BOX 27
ATLANTA
GA 30365
11
MORRIS, WAYNE SAMUEL
019733 270 HAWTHORNE AVE
ATHENS
GA 30606-2816 17
MORRIS-ROBINSON, GLENDA FAE 023770 KAISER PERMANENTE-SOUTHWOOD OFF!, 2400 MT ZION PARKWA JONESBORO
GA 30236-2500 32
MORRISON, CHARLES WILSON JR 008997 1431 CARTECAY DRIVE, NE
ATLANTA
GA 30319
47
MORRISON, JAMES JEFFREY
029044 582 CONCORD ROAD,, SUITED
SMYRNA
GA 30082
10
MORRISON, JAMES PATRICK III 013776 1010 PRINCE AVENUE
ATHENS
GA 30601
32
MORRISON, JOHN TAYLOR
032112 675 WPEACHTREE ST NE, ROOM 401
ATLANTA
GA 30375
26
MORRISON, JOSEPH V JR
011426 4600 WATERS AVE, SUITE 100
SAVANNAH
GA 31499-3001 32
Page No. 150
NAME
MORRISON, MARTHA A. MORRISON, MICHAEL JAMES MORRISON, PETER SETH MORRISON, WILLIAM N MORRISSY, RAYMOND MORROW, HOLLIS G MORROW, JAMES ROWLEY, JR MORROW, JOHN GORDON III MORROW, RICHARD CRAIG MORTIMER, WYNDHAM GEORGE MORTON, BENJAMIN D III MORTON, DONALD GENE MORTON, SUSAN WHEATLEY MORTON, WILLIAM JACOB MORTON, WILLIAM JOSEPH MOSELEY, JAMES W MOSELEY, JOHN LEIHUGH MOSELEY, THOMAS HENRY JR MOSES, BILL HENRY, JR. MOSES, KEITH CORNELL MOSES, SHARON RENEE MOSES, TIMOTHY ALAN MOSHEV, JACOB MOSS, BENJAMIN F JR MOSS, HAROLD WILLIAM MOSS, SAMUEL WATSON MOSS, SEABORN THOMAS MOSS, THOMAS HUDSON, JR MOSSMAN, PAUL ANTHONY MOTCHAN, GEORGE CHARLES MOTIWALA, SHABBIR SULEMAN MOUSA, MOUSA ELHAMMALI MOUSSAKHANI, JOSEPH MOWERY, DAVID BRUCE MOYE, BEN H MOYE, DANIEL DICKERSON MOYE, ROBERT JAMES JR MOYE, STANLEY JAMES MOYER, LEROY NATE MOYERS, DONNA SUE MOYERS, JOSEPH HARRIGAN MUCHA, TEODORO EDGARDO MUENCH, JEAN ALICE MUHAMMED!, MUHAMMED ASLAM MUHANNA, NABIL LUTFI MUHANNA, SHAJIH MUINA, ANTONIO FELIX MUJICA, JUAN ANTONIO MUKHERJEE, SUKDEB MULCHAHEY, KRISTI MORGAN MULHERIN, CHARLES S MULHERIN, JOSEPH A JR MULHERIN, JOSEPH L MULHERIN, WILLIAM B MUL!CK, ARTHUR LESLIE MULINARE, JOSEPH MULKEY, ARNOLD P MULL, MICHAEL STEVEN
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
024467 * 3711 STONEWALL CIR 027613 3903 SOUTH COBB DR, SUITE 108 021766 225 TRIMBLE CHASE COURT 007956 4312 VILLAGE OAKS LANE 024993 SCOTTISH RITE HOSPT., 5455 MERIDIAN MARK RD STE 400 013474 1533 BEECH VALLEY WAY 037628 GWINNETT PRIMARY CARE, 870 COLLINS HILL RD 015211 3466 WADDESTON WAYNE 025646 100 PROFESSIONAL PARK, SUITE 301 029045 130 HELMSLEY DRIVE 021558 4827 WESLEYAN WOODS DRIVE 007957 PO BOX 1177, 319 BY PASS 031357 2500 HOSPITAL BLVD, SUITE 210 009894 4553 N SHALLOWFORD ROAD, SUITE 80-C 008520 220 FIRST ST SE 030518 4 RIVERPINE DRIVE 030153 653 SOUTH 8TH STREET 019566 2841 N. PATTERSON ST 025237 103 FAIRVIEW PARK DRIVE 029734 3515 WHEELER RD, BLDG. D, STE. D 030154 4849 PAULSEN STREET, SUITE 204 037875 3542 INTERLACHEN CT 017245 1810 MULKEY ROAD, SUITE 101 006449 820 ST. SEBASTIAN WAY, SUITE 3-D 018054 1136 CLEVELAND AVE, SUITE 605 033158 KAISER CUMBERLAND OFFICE, 2525 CUMBERLAND PARKWAY 021559 2016 REDMOND CIRCLE 008521 6000 JOE FRANK HARRIS PKY NW, SUITE C 034527 420 CHARTER BLVD, SUITE 103 023093 3005 CREEKSIDE WAY 036581 5300 WOODRUFF FARM ROAD, APT 96 035704 1136 CLEVELAND AVENUE, SUITE 410 012847 2675 NORTH DECATUR ROAD, SUITE 412 037629 100 JOHN MADDOX DR 011987 3024 N PATTERSON ST 022847 125 KING AVENUE 018318 9222 FEAGIN ROAD 035959 1909 ABERDEEN RD, SUITE 105 011020 * 1175 PEACTREE ST NE 1208 022023 5354 RAEYNOLDS STREET, SUITE 202 033159 99 PEACHTREE BATTLE AVE NW 016819 3614 J DEWEY GRAY CIRCLE 023192 2965 JOHNSON FERRY ROAD 033153 777 CLEVELAND AVE, SUITE 516 023643 715 JESSE JEWELL PKWY, SUITE 304 015027 203 MEDICAL WAY, SUITE A 037303 959 HIGHLAND TERRACE NE, APT 2 023193 6584 PROFESSIONAL PL, SUITE B 035483 MEDICAL COLL OF GA =PSYCHIATRY, 1515 POPE AVE 034209 2550 WINDY HILL RD, SUITE 115 005366 2205 CRESTWOOD DRIVE 008522 8 STEPHENSON AVE 005039 2212 CRESTWOOD DRIVE 009571 125 KING AVE 023094 820 JETT FERRY MANOR 022448 1136 LULLWATER RD NE 003719 110 EAST COLLEGE AVENUE 025804 4654 STEPPING STONE LANE
ATLANTA
GA
SMYRNA
GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
CARROLLTON GA
ATLANTA
GA
MACON
GA
MOULTRIE
GA
ROSWELL
GA
ATLANTA
GA
CAIRO
GA
ROME
GA
GRIFFIN
GA
VALDOSTA
GA
DUBLIN
GA
AUGUSTA
GA
SAVANNAH
GA
MARTINEZ
GA
AUSTELL
GA
AUGUSTA
GA
EAST POINT GA
ATLANTA
GA
ROME
GA
ADAIRSVILLE GA
MACON
GA
MARIETTA
GA
COLUMBUS
GA
EAST POINT GA
DECATUR
GA
ROME
GA
VALDOSTA
GA
ATHENS
GA
MACON
GA
ALBANY
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
AUGUSTA
GA
MARIETTA
GA
ATLANTA
GA
GAINESVILLE GA
RIVERDALE
GA
ATLANTA
GA
RIVERDALE
GA
AUGUSTA
GA
MARIETTA
GA
AUGUSTA
GA
SAVANNAH
GA
AUGUSTA
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
MILLEN
GA
KENNESAW
GA
30339
30080
28
30342
03
30338
52
30342
28
30306
01
30243
10
30319-2545 03
30117
22
30327
03
31210
31
31776-1177 53
30076
25
30338
52
31728
10
30165
36
30223
52
31602
12
31021
41
30909-1853 27
31405
15
30907
52
30001
15
30901
33
30344-3618 30
30339
17
30165
10
30103-2419 01
31210
10
30066
03
31907
10
30344
17
30033
13
30165-1420 10
31602
27
30606
46
31206
41
31701
47
30361
15
31405
15
30305
36
30909
05
30062
30315
22
30505
17
30274
50
30306
17
30274-4942 06
30912
33
30067
13
30904
41
31405
03
30904
41
30610
28
30350
36
30307
32
30442
41
30144
25
Page No. 151
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MULL, RICHARD THEODORE
024044 C/0 JOHN WESLEY BENTLEY, P.O. BOX 369
LINCONTON
GA
MULLAN, ROBERT JOHN
032437 1428 BROOKVALLEY LANE NE
ATLANTA
GA
MULLER, DONNA SUE
027615 2715 COSMOS DRIVE
ATLANTA
GA
MULLER, GERALD BRUCE
009896 211 FAIRWAYS DR
THOMASVILLE GA
MULLER, THOMAS UPSON
031298 958 JOE FRANK HARRIS BLVD, PROF BLDG 1 SUITE 102
CARTERSVILLE GA
MULLER, THOMAS WALTER
028191 * DEPT OF PSYCHIATRY -MCG
AUGUSTA
GA
MULLIGAN, CAROL MANCUSI-UNGARO 026003 PO BOX 21883
ST SIMONS ISLE GA
MULLIGAN, OLIVIA FLOSSIE
019973 2151 FOUNTAIN DRIVE, SUITE 302
SNELLVILLE GA
MULLINIKS, ROBERT C JR
011891 1700 HOSPITAL SOUTH DRIVE, SUITE 502
AUSTELL
GA
MULLINS, DAVID ELLSWORTH
016649 2047 PRINCE AVENUE
ATHENS
GA
MULLINS, JOHN DAVID
020782 35 COLLIER RD, SUITE 675
ATLANTA
GA
MULLINS, SPENCER G JR
006690 805 CAMPBELL HILL STREET, SUITE 100
MARIETTA
GA
MULLINS, STEPHEN CHRISTOPHER 028829 3210 HUXLEY DRIVE
AUGUSTA
GA
MULLINS, WILLIAM BERNARD
007855 1402 WALTON WAY
AUGUS.TA
GA
MULLIS, EARL NICHOLAS, JR. 031999 103 FAIRVIEW PARK DRIVE
DUBLIN
GA
MULLIS, KENNETH L
012527 103 MCBURNETTE ROAD, SE
SILVER CREEK GA
MULLOY, ANTHONY LYSANDER
033411 879 DEERCREST CIRCLE
EVANS
GA
MULLOY, LAURA LYNGBY
033412 879 DEERCREST CIRCLE
EVANS
GA
MULNER, RONALD PAUL
034909 1218 RIVER RIDGE DRIVE
AUGUSTA
GA
MULVANEY, DAVID JOHN
034910 537 TABLE MOUNTAIN DR
MACON
GA
MUMTAZ, FARZANA BEGUM
036419 PO BOX 95052
ATLANTA
GA
MUNDAY, TONA LEIGH
037982 2784 CRAVEY FOREST LANE
ATLANTA
GA
MUNDY, HARCOURT BRENT
024468 C/0 MUNDY UROLOGY CLINIC, 104 DOCTORS DRIVE
CARROLLTON GA
MUNN, DAVID HILL
033160 PEDIATRIC HEMATOLOGY/ONCOLOGY, MCG - 1120 - 15TH STRE AUGUSTA
GA
MUNNA, JOHN CHARLES
015603 755 MOUNT VERNON HIGHWAY, SUITE 270
ATLANTA
GA
MUNOZ, JUANA L
010385 1136 CLEVELAND AVE, SUITE 321
EAST POINT GA
MUNSAYAC, LUMAWIG
015028 P.O. BOX 518 MAIN STREET
LUMBER CITY GA
MURAD, MADELAINE DIANE MURBACH, JACK WESLEY
024713 3310 CHASE ROAD
034911 * PO BOX 15547
ATLANTA
GA
SAVANNAH
GA
MURD!SON, KENNETH ALEXANDER 037876 3484 RHODES HILL DRIVE
MARTINEZ
GA
MURDOCK, ROBERT NELSON
016519 6310 BROOKSTONE BLVD.
COLUMBUS
GA
MURO, KAREN
037304 1170 BUICE DRIVE
LILBURN
GA
MURPHEY, ALEXANDER T
005778 8124 SIR GALAHAD DRIVE
EVANS
GA
MURPHY, ANA ALVAREZ
036830 3308 CHATHAM ROAD
ATLANTA
GA
MURPHY, CHARLES ALLEN
032258 1031 GREENCOVE AVE NE
ATLANTA
GA
MURPHY, CHARLES ORLANDO
037305 5877 EARLWANE DRIVE
LITHONIA
GA
MURPHY, CHRISTINE HENRY
019974 1282 WESLEY PLACE, N.W.
ATLANTA
GA
MURPHY, DAVID WAYNE
030157 113 ATHENS STREET
HARTWELL
GA
MURPHY, DENNIS MARK
027616 304 SHORTER AVE, SUITE 201
ROME
GA
MURPHY, DOUGLAS ALFRED
024995 1606 WEST PACES FERRY ROAD
ATLANTA
GA
MURPHY, FREDERICK BRUCE
027617 2507 RIVER OAK DR.
DECATUR
GA
MURPHY, HARVEY JACK
010246 5354 REYNOLDS ST. STE. 420
SAVANNAH
GA
MURPHY, JOHN JOSEPH
033870 2615 TANGLEWOOD RD
DECATUR
GA
MURPHY, KENNETH GERARD
035484 854 CROSS FIRE COURT
MARIETTA
GA
MURPHY, KEVIN PAUL
037877 8537 PAR CT
MIDLAND
GA
MURPHY, LISSA PHELPS
031245 GORDON AVE APTS
THOMASVILLE GA
MURPHY, MARK ELLIOTT
038565 23 SHERBOURNE RD
SAVANNAH
GA
MURPHY, MICHAEL JENNINGS
013231 1306 TROUPE STREET
AUGUSTA
GA
MURPHY, MICHAEL REED
019975 1282 WESLEY PLACE, N.W.
ATLANTA
GA
MURPHY, RALPH A JR
006254 49 WILLOW GLEN NE
ATLANTA
GA
MURPHY, SEAN THOMAS
036235 500 DUNNELLY COURT
ALPHARETTA GA
MURPHY, TERRENCE PATRICK
033413 5505 PEACHTREE DUNWOODY RD NE, SUITE 250
ATLANTA
GA
MURPHY, THOMAS JAMES
030158 PO BOX 5860
ATHENS
GA
MURRAY, BYRON LAMAR JR
007856 311 4TH ST
WAYNESBORO GA
MURRAY, DARRELL W
008523 1221 OLD POWDER SPRINGS RD
MABLETON
GA
MURRAY, DOUGLAS ROBERT
012179 1365 CLIFTON ROAD NE
ATLANTA
GA
MURRAY, HORACE HERNDON, II 012529 2001 PEACHTREE RD, N.E., SUITE 400
ATLANTA
GA
MURRAY, HUGH G JR
012733 3060 PHARR COURT NORTH NW, 210
ATLANTA
GA
30817
17
30333
30345
31792
15
30120
30
30912
33
31522
03
30278
17
30001
15
30606
17
30309
41
30090
41
30909
31
30902
31
31021
10
30173
10
30809
09
30809
22
30909
03
31210-2761 41
30347-0052 10
30345
36
30117
52
30912
32
30328
47
30344
32
31549
01
30341
31416
33
30907- 0 32
31904
08
30247
22
30809
17
30305
15
30306
32
30058
41
30327
36
30643
00
30165
44
30327
48
30033
36
31405
41
30033
17
30064
03
31820
28
31792-6660 08
31419
17
30904
27
30327
03
30342
17
30202
10
30342-1713 30
30604
05
30830
01
30059
11
30322
41
30309
28
30305
36
Page No. 152
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
MURRAY, PAUL MICHAEL
029046 285 BOULEVARD NE, SUITE 435
ATLANTA
GA 30312
05
MURRAY, SAMUEL DEBOSE, JR
021028 44 MEDICAL ARTS CENTER
SAVANNAH
GA 31499
46
MURRAY, SCOT ALEXANDER
036831 3767 HIGHBROOKE COURT
DULUTH
GA 30136
17
MURRAY, SHAYNE ELAINE
030159 3867 HOLCOMB BRIDGE RD, SUITE 8
NORCROSS
GA 30092
01
MURRAY, STUART WILSON
031080 1 WATER WITCH CROSSING
SAVANNAH
GA 31411
03
MURRAY, THOMAS GREER
023194 710 BROAD STREET SE
GAINESVILLE GA 30505
MURRAY, VALERIE ANN
035705 5677 PEPPERBUSH DRIVE
FAYETT EV ILLE GA 28304
33
MURRAY, WILLIAM
009898 1 SOUTH PRADO,# 3A
ATLANTA
GA 30309
08
MURRAY, WINFIELD WARD
020379 505 FAIRBURN ROAD, SUITE 209
ATLANTA
GA 30331
25
MURRELL, KEVIN JOSEPH
020888 144 AVONDALE DRIVE
AUGUSTA
GA 30907
33
MURRELL, SAMUEL EDWIN, III
036236 449 PRINCETON WAY
ATLANTA
GA 30307
28
MURRO, ANTHONY MICHAEL
028299 403 CAMBRIDGE WAY
MARTINEZ
GA 30907
23
MUSANI, SADRUD\N LUTAFALI BHAN 022449 490 PEACHTREE STREET, SUITE 362-C
ATLANTA
GA 30308
17
MUSARRA, ELMER ANTHONY II
013069 792 CHURCH STRET, SDUITE 103
MARIETTA
GA 30060
47
MUSE, ANDREW DELONE JR
008842 740 PRINCE AVE, BLDG 1A
ATHENS
GA 30606
41
MUSEY, VICTORIA CECILIA
018169 69 BUTLER STREET, SE
ATLANTA
GA 30303
09
MUSGROW, DEIRDRE MARIETTA
032000 1605 DEFOORS WALK
ATLANTA
GA 30318
17
MUSHET, GEORGE RICHMOND
008843 UNIVERSITY MEDICAL CENTER, 820 ST SEBASTION WAY SUITE AUGUSTA
GA 30902
23
MUSKUS, ANDREW MICHAEL
022848 6440 W NEWBERRY ROAD,# 508
GAINSVILLE GA 32605
15
MUSNGI, FELIPE REYES, JR
023195 337 JEFFERSON STREET
STATHAM
GA 30666
MUSOKE, ELIZABETH J
034912 4302 BRIARCLIFF GABLES CIRCLE
ATLANTA
GA 30329
15
MUSSELMAN, DOMINIQUE LILY
033653 1111 CLAIRMONT ROAD, APT J-2
DECATUR
GA 30030
33
MUSSER, A WENDELL
022024 3510 MIDVALE COVE
TUCKER
GA 30084
17
MUSSER, ELLYN ZUNKER
010324 2480 WINDY HILL RD, SUITE 303
MARIETTA
GA 30067
32
MUSSO, CARLO ANTHONY
033871 2840 EMERALD DRIVE
JONESBORO
GA 30236
08
MWANGI, ANTHONY KIMANI
033654 5030 CHADWICK COURT
DECATUR
GA 30035
01
MYERS, ALBERT ABRAHAM
011021 275 W PIKE STREET, SUITE C
LAWRENCEVILLE GA 30245
10
MYERS, ALLEN RAY
011429 100 ARROWOOD LANE
ATLANTA
GA 30201
10
MYERS, GEORGE HUNTER
035706 1825 MARTHA BERRY BLVD
ROME
GA 30165
05
MYERS, JAMES S JR
010622 1307 MORTON DRIVE
DALTON
GA 30720
36
MYERS, ROBERT CHARLES
016818 POP BOX 540
MORGANTON
GA 30560
01
MYERSON, GARY EDWARD
021770 960 JOHNSON FERRY ROAD, NE, SUITE 300
ATLANTA
GA 30342
17
MYGATT, GEORGE GARNER
020462 2550 WINDY HILL ROAD, SUITE 204
MARIETTA
GA 30067
52
MYLES, ROBERT TYTAN
038567 6262 HAMILTON ROAD
COLUMBUS
GA 31909
10
NA, SONG HUM NABORS, WILLIAM LEDFORD NACCARATO, SERGIO ROBERT NADEL, GLEN LEE NAFFIS-SAHELY, DARIUS NAGEL, ALAN FRANCIS NAGENDRA, ANEGUNDI K NAGLER, STEPHEN MICHAEL NAGPAL, SATWANT KAUR NAGUSZEWSKI, ROBERT KENNETH NAGUSZEWSKI, WILLIAM KEITH NAHAJ, FOAD NAHMIAS, ANDRE JOSEPH NAHMIAS, BRIGITTE B NAIB, ZUHER MOHAMED NAIDEN, VJNTONNE ALTHEA NAIDU, SARVESWAR I NAIDU, SUBRAMANYAM KOMM! NAIK, ASMIKA DOLATRAI NAIK, DOLATRAI GULABBHAI
-N-
038059 030841 038568 034674 016111 027411 017471 018057 023300 032792 032965 017070 010623 010624 010070 031482 016401 019570 035707 035960
2115-H POWERS FERRY RD 5669 PEACHTREE DUNWOODY ROAD, SUITE 100 2120 TOWN MANOR DRIVE 1240 UPPER HEMBREE ROAD, SUITE E 5455 MERIDIAN MARK ROAD, #570 743 SPRING STREET NE, PO BOX 1865 314 FOREST POINTE DRIVE 993-F JOHNSON FERRY ROAD, SUITE 380 1336 COLUMBIA DR, SUITE C 304 SHORTER AVE, SUITE 201 304 SHORTER AVE, SUITE 201 1365 CLIFTON RD NE, PLASTIC SURGERY DEPT 747 HOUSTON MILL RD, #3 859 VISTAVIA CR 2540 FAIROAKS RD 4150 SNAPFINGER WOODS DRIVE, SUITE 104 6507 PROFESSIONAL PL, SUITED 6564 PROFESSIONAL PL 213 RIDGETOP DRIVE 213 RIDGETOP DRIVE
Page No. 153
MARIETTA ATLANTA KENNESAW ROSWELL ATLANTA GAINESVILLE MACON ATLANTA DECATUR ROME ROME ATLANTA ATLANTA DECATUR DECATUR DECATUR RIVERDALE RIVERDALE MARTINEZ MARTINEZ
GA 30067
17
GA 30342
52
GA 30144
08
GA 30076
GA 30342
32
GA 30503
03
GA 31210
49
GA 30342
41
GA 30032-2894
GA 30165-4268 23
GA 30165-4268 23
GA 30307-1013 47
GA 30329
32
GA 30033
17
GA 30033
31
GA 30035
13
GA 30274-2519 46
GA 30274-2520 09
GA 30907
10
GA 30907
31
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
NA! K, JAYE SH H
033253 625 DE KALB INDUSTRIAL WAY
DECATUR
GA
NAIK, MADHAV V
014313 301 MEDICAL DR SUITES 503-4
LAGRANGE
GA
NAIQUE-PANVELKAR, GOPAL VISNUM 037307 823 RUDGATE RD
COLUMBUS
GA
NAIR, HEMACHANDRAN
024996 P.O. BOX 1470, 1025 KIRKLAND LANE
DOUGLAS
GA
NAIR, RADHAKRISHNAN V
023485 6635 LAKE DR
MORROW
GA
NAIR, VJMALA PARAMESWARAN
018058 403 SOMERSET CLOSE
MARIETTA
GA
NAJAK, ZEEBA D
017472 4555 N. SHALLOWFORD ROAD, SUITE 106
ATLANTA
GA
NAJJAR, DAVID JONATHAN
035961 9125 BROCKHAM WAY
ALPHARETTA GA
NAJJAR, OMAR ABDALLAH
021771 755 COMMERCE DRIVE, SUITE 333
DECATUR
GA
NAKANO, PHILLIP HIROTO
024310 600 PROFESSIONAL DRIVE, SUITE 140
LAWRENCEVILLE GA
NAKASHIMA, ALLYN KIYO
023197 1701 GROVE PARK WAY
DECATUR
GA
NALL, KENNY CHARLES
036237 610 19TH STREET, DOCTORS HOSPITAL CAMPUS
COLUMBUS
GA
NALLEY, JAMES FRANK
028196 205 HAWKINS STORE ROAD, SUITE B-1
KENNESAW
GA
NANES, MARK STUART
030842 4738 VERMACK RIDGE
DUNWOODY
GA
NANFRO, JOHN JOSEPH
029741 318 WEST 5TH STREET
ROME
GA
NAPOLI, VICTOR M NARAIN, HAROLD
015292 9 KING'S WALK 027879 * 75 PIEDMONT AVE, SUITE 508
ATLANTA
GA
ATLANTA
GA
NARDELLIOLKOWSKA, KRYSTYNA M 021915 1018 MCCONNELL DR
DECATUR
GA
NARDO, JOHN MICHAEL
017071 36 LENOX POINTE, N.E.
ATLANTA
GA
NARUN, LAWRENCE GLENN
035708 7302 SLOAN SQ NE
ATLANTA
GA
NARUSEVICJUS, LILY SALOMIJA 037308 1722 TROTTERS LANE
STONE MOUNTAIN GA
NASH, DEARING A
006457 5720 COLONIAL DRIVE
SAVANNAH
GA
NASH, MARSHALL LAWRENCE
032438 2675 N DECATUR ROAD, SUITE 401
ATLANTA
GA
NASH, MICHAEL LAWRENCE
018407 PO BOX 15238
SAVANNAH
GA
NASH, WILLIAM DONNIE NASSAR, GABRIEL FERES
037630 1423 FOXCROFT LOOP
012848 * 1136 CLEVELAND AVE, SUITE 600
COLUMBUS
GA
EAST POINT GA
NASSAR, GEORGE MICHEL
036655 3446 BUFORD HWY APT F-4
ATLANTA
GA
NASSAR, VICTOR HANNA
017541 1847 FISHER TRAIL
ATLANTA
GA
NASSERY, GHARZAI M
016113 PO BOX 519
BOWDON
GA
NATARAJ, AMRUTHAVARSHINI NARAH 024609 6494 CAPE COD DRIVE
COLUMBUS
GA
NATARAJAN, GOKARNESAN
032623 181 UPPER RIVERDALE RD SW# A, SUITE 6
RIVERDALE
GA
NATHAN, DANIELE
004401 PO BOX 1179, 405 WESTVIEW DRIVE
FORT VALLEY GA
NATHAN, LAWRENCE
037309 EMORY UNIV - OB/GYM, 69 BUTLER ST, SE
ATLANTA
GA
NATION, THOMAS C
006458 506 DOGWOOD AVE
DOUGLAS
GA
NATRAJAN, PUTHUGRAMAM KRISHNAN 018531 903 15TH ST
AUGUSTA
GA
NAVARRO, ROMULO PEREZ
023646 101 BOWENS MILL ROAD, PO BOX 739
DOUGLAS
GA
NAVAS, JORGE PEDRO
034914 2483 KINGS ARM'S DRIVE
ATLANTA
GA
NAVE, PAUL LEWIS
037310 PEDIATRIC ASSOC. OF SAVANNAH, 4600 WATERS AVE., SUITE SAVANNAH
GA
NAVIN, THOMAS RANDALL, III
031641 510 MARSH CREEK COURT
ATLANTA
GA
NAWROCKI, JOSEPH WILLIAM
028839 1803 WIMBLEDON DRIVE
THOMASVILLE GA
NAYAK, KALPANA M. REDDY
026049 1138 LYNN DRIVE
WAYCROSS
GA
NAYAK, KAMLESH DHIRUBBHAI
032003 8954 HOSPITAL DRIVE, SUITE 125-D
DOUGLASVILLE GA
NAYAK, MANEL DINESH CHANDRA 025931 1138 LYNN DRIVE
WAYCROSS
GA
NAYAK, MINA CHUDGAR
032004 351 MOCKING BIRK LANE
SMYRNA
GA
NAYLOR, IRVIN HART, JR.
035962 2674 GLENROSE HILL
CHAMBLEE
GA
NEAL, ALIMAM BUTLER
019084 1325 TROUPE STREET
AUGUSTA
GA
NEAL, GREGORY EUGENE
036239 1112 LEXINGTON AVE
SAVANNAH
GA
NEAL, JULE CODY JR
004890 380 HOSPITAL DR
MACON
GA
NEAL, MARY JOYCE
029357 920 - 3RD AVE
ALBANY
GA
NEAL, RUTH ELIZABETH
019180 3731 PEBBLE BEACH DRIVE
MARTINEZ
GA
NEAL, THOMAS FORTSON, JR
035963 23212 PLANTATION DRIVE, NE
ATLANTA
GA
NEALY, ROBERT JOHN
008844 1144 VINE STREET
GAINESVILLE GA
NECHTMAN, CARL MANDEL
011430 1450 ANTHONY ROAD
AUGUSTA
GA
NECKMAN, CHARLES BRADLEY
024471 165 SHERIDAN POINT LANEN E
ATLANTA
GA
NEDOBA, BARRY GEORGE
034424 3500 PIEDMONT ROAD, SUITE 300
ATLANTA
GA
NEE, GUY
037034 115 EAST YORK STREET
SAVANNAH
GA
NEEL, JULIAN BLACKBURN
004891 809 S. HANSELL STREET
THOMASVILLE GA
NEELAGARU, NARASIMHULU
031081 PO BOX 359
COMMERCE
GA
30033
33
30240
41
31904
32
31533
30260-2355 46
30067
38
30338
32
30202
10
30030
10
30245
17
30033
17
31901
34
30144
32
30338
17
30165
16
30307
11
30303
15
30033
27
30324
33
30329-4302 17
30087
17
31406
26
30033
23
31416
22
31904
10
30344
15
30329
17
30345
31
30108
36
31904
30274-4943 28
31030
01
30303
15
31533
31
30901
15
31533
30345
05
31404
32
30328
17
31792
10
31501
10
30134
05
31501
30082
15
30341
17
30904
03
31404
41
31201-3898 15
31701
32
30907
36
30324
17
30501
13
30904
30
30342-2092 05
30305
17
31402
17
31792
41
30529
01
Page No. 154
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
NEELAMURTHY, VENKATAPPA NEELD, JOHN BRUCE JR NEELEY, BRUCE CARLTON NEELY, BENJAMIN BELTON NEGREA, CRISTINA MARIA NEGREA, OVID!U GHEORGHE NEGRI, FRANCISCO JOSE NEGRIN, ARNOLD FERNANDEZ NEGRIN, NEIL JAY NEGRIN, VICENTE A NEGRON, FREDDIE JOSE NEGRON, GEORGE LUIS NEGRON-RUBERO, LILLIAN IVETTE NELSON, CLIFFORD CONRAD NELSON, DANIEL RAY NELSON, DAVID ERNEST NELSON, DAVID MONROE NELSON, DONALD RICHARD NELSON, ELLIS HAROLD NELSON, ETHEL MAE READ NELSON, HOMER SHERIDAN NELSON, JOHN FREDERICK NELSON, KENNETH ERIC NELSON, NINA PATRICE NELSON, NORMAN CROOKS, JR NELSON, RENDON CLIVE NELSON, ROBERT ANTHONY NELSON, ROBERT LEE NELSON, ROGER T. NELSON, STUART JAMES NELSON, WILLIAM HENSON, JR. NELSON, WILLIAM HOWARD NEMEROFF, CHARLES BARNET NEMEROFF, JEFFREY BRIAN NEMETH, EVA MARIA NESBIT, ROBERT RAYMOND JR NESHEIM, STEVEN RONALD NESSOULI, TAREK ANIS NETTLES, JOE LEE NEUBERGER, STEPHEN MARK NEUFELD, JOCELYN IR NEULINGER, SHARON MARCIA NEUMAN, ALAN MARK NEUMANN, WILLIAM THOMAS NEVALA, WAYNE MICHAEL NEVIUS, PATRICIA CAROL NEWAY, MODEL NEWBERRY, DAN CLIVE NEWBORN, ODIE V. NEWBY, FRANK DAVID NEWCOM, SAMUEL RALPH NEWELL, JOSEPH PAUL NEWELL, KAREN CULLINS NEWKIRK, CASSANDRA FELECIA NEWLAND, HILLERY REID JR NEWLIN, LUCION K NEWLON, JAMES LEWIS NEWLON, JULIA MARIE
022849 555 RESEARCH DRIVE 012180 3025 RIVER NORTH PARKWAY 035709 WESLEY WOODS HEALTH CENTER, 1841 CLIFTON ROAD NE 010249 BOX 626 N WASHINGTON ST 031082 412 PARTRIDGE DRIVE 031083 425 3RD AVENUE, SUITE 100 018712 8954 HOSPITAL DRIVE, SUITE 125-C 031544 8 SKIP JACK LANE 022610 1668 MULKEY ROAD, SUITE A 014759 2006 MARKWOOD PL 036420 THE MEDICAL BUILDING, 425 THIRD AVE SUITE 400 027621 340 EISENHOWER DR, CENTRAL PK STE 530 037631 2717 DOVER LANE 036833 FULTON CO MEDICAL EXAMINERS, 50 COCA COLA PLACES E 032005 156 CLINIC AVENUE 032966 4001 FOXGLOVE ROAD 031085 P.O. BOX 30683 024847 104 FAIRVIEW PARK DRIVE 012533 730 RAVENEL RD 024999 WILDWOOD SANITARIUM AND HOSP. 008527 P.O. BOX 956 029742 202 OBERON TRAIL 027229 695 LOST CREEK CIRCLE 035485 906 LENOX WAY 035486 360 HOSPITAL DRIVE, SUITE 220 027622 4575 DAIRY WAY 032261 167 RIVERSIDE DRIVE
022951 * ROUTE 4 BOX 370
025000 WILDWOOD SANITARIUM AND HOSP. 034425 HB-2010, MEDICAL COLLEGE OF GEORGI 029052 DEPT OF PSYCHIATRY - MERCER MED, 1550 COLLEGE STREET 032262 126 AUSTIN AVE 034916 4224 WHITEWATER CREEK RD 037311 2513 DRUID OAKS NE 036834 3086 SPRING BRANCH WAY 016402 2235 WALTON WAY 025001 5201 ANTELOPE LANE 026905 SOUTHEASTERN HEALTH SERVICES, P.O. BOX 724147 012849 800 E 70TH ST, PO BOX 22787 038313 311 WILTON DR 012354 135 GATEWOOD PLACE 028611 1217 CUMBERLAND ROAD, N.E. 035710 3201 ARBOR GATES DRIVE 025647 3130 WALTON WAY 034426 210 OLD BELAIR ROAD SOUTH 025648 6667 VERNON WOODS DRIVE NE, SUITE B-45 038570 620 PEACHTREE ST, NE APT 16-15 008960 SUITE 105, LANDMARK II, 5820 HAMILTON ROAD 020137 720 S MAIN STREET 038314 2747 CRAVEY DR NE 026607 69 BUTLER ST. 035301 2520 E ALBERSON DRIVE 032264 5925 SOUTHLAND DRIVE 022169 105 ADRIAN PLACE NW 012534 1199 PRINCE AVE. 005780 1207 LAKEVIEW DRIVE 026606 P.O. BOX 20 032006 410 GREENMONT WALK COURT
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
LYONS
GA
ALBANY
GA
ALBANY
GA
DOUGLASVILLE GA
SAVANNAH
GA
AUSTELL
GA
AUGUSTA
GA
ALBANY
GA
SAVANNAH
GA
ALBANY
GA
ATLANTA
GA
CARROLLTON GA
TUCKER
GA
SAVANNAH
GA
DUBLIN
GA
AUGUSTA
GA
WILDWOOD
GA
MACON
GA
LOOKOUT MTN GA
STONE MOUNTAIN GA
ATLANTA
GA
MACON
GA
NORCROSS
GA
MACON
GA
GRAY
GA
WILDWOOD
GA
AUGUSTA
GA
MACON
GA
JESUP
GA
ATLANTA
GA
ATLANTA
GA
TUCKER
GA
AUGUSTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
SAVANNAH
GA
DECATUR
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
GROVETOWN
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
MOULTRIE
GA
ATLANTA
GA
ATLANTA
GA
ALBANY
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATHENS
GA
VALDOSTA
GA
WOODSTOCK
GA
ALPHARETTA GA
30605
32
30328
03
30322
33
30436
01
31707
17
31703
17
30134
48
31411
33
30001
28
30907
33
31701-1985 34
31406
33
31707
32
30303
31
30117
15
30084
26
31410
01
31021
17
30909
36
30757
31
31298
11
30750
36
30088
33
30324
17
31201
27
30092
36
31201
28
31032
10
30757
41
30912-1001 17
31207
33
31545
10
30327
33
30329
36
30084
33
30904
41
30087
32
30339
31405
46
30030-5105 32
30607
03
30306
17
30324
15
30909
17
30813
17
30328
32
30308
10
31904
03
31768
10
30345-1417 17
30303
31707
10
30088
10
30327
33
30606
31
31602
32
30188
01
30201
10
Page No. 155
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
NEWMAN, CHARLES L
035109 2566 TANGLEWOOD RD
DECATUR
GA
NEWMAN, CHERYL LYNN
030167 3411 WHEELER ROAD
AUGUSTA
GA
NEWMAN, JACK RILEY
009335 * PO BOX 3820
JACKSON
GA
NEWMAN, JOSEPH WILLIAM
038315 1724 RIVER CHASE TRL
DULUTH
GA
NEWMAN, NANCY JEAN
031642 18 LULLWATER ESTATE ROAD
ATLANTA
GA
NEWMAN, PHILIP ELLIS
023487 1400 WELLBROCK CIRCLE, SUITE 100
CONYERS
GA
NEWMAN, STUART JAY
030357 5671 PEACHTREE DUNWOODY ROAD NE, SUITE 400
ATLANTA
GA
NEWSOM, BRUCE CAMERON
005869 2424 HUBBARD ROAD
COLUMBUS
GA
NEWSOM, NEAL HILLEY
007858 35 COLLIER RD NW, SUITE 390
ATLANTA
GA
NEWTON, JOHN STEWART
011433 7 HOSPITAL PARK, PO BOX 663
MOULTRIE
GA
NEWTON, MAURY C JR
018532 787 CAMPBELL HILL ST NW
MARIETTA
GA
NEWTON, MILLEDGE CLARK
008622 380 HOSPITAL DRIVE
MACON
GA
NEWTON, NANCY ELIZABETH
024311 1058 CLIFTON RD.
ATLANTA
GA
NEWTON, PHILIP THOMAS JR
019572 500 NORTH THOMAS RD
FT OGLETHORPE GA
NEWTON, RALPH GEORGE JR
006048 PO BOX 6535
MACON
GA
NEWTON, WILLIAM MARK
032265 94 BRISTLECONE CT
AUGUSTA
GA
NEWTON, WILLIAM MCKINLEY JR 008176 2047 SMITH ROAD
MOULTRIE
GA
NEWTON, WILLIAM ROSS
008528 440 CHARTER BLVD, SUITE 3301
MACON
GA
NEWTON, ZACHARIAH B III
012735 980 JOHNSON FERRY ROAD, #220
ATLANTA
GA
NEYLAN, JOHN FRANCIS
031299 EUSM, RENAL DIV, 1364 CLIFTON RD
ATLANTA
GA
NEZHAT, CAMRAN
019573 5555 PEACHTREE DUNWOODY RD NE, SUITE 276 MEDICAL QUAR ATLANTA
GA
NEZHAT, CEANA
030415 5555 PEACHTREE DUNWOODY, SUITE 276
ATLANTA
GA
NEZHAT, FARR REZA
024610 5555 PEACHTREE DUNWOODY RD NE, SUITE 276
ATLANTA
GA
NGUYEN, CAN XUAN NGUYEN, CHAT VAN
028197 2502 CHAMBLEE TUCKER RD,# 102
020891 * 533 MORELAND AVE SE
CHAMBLEE
GA
ATLANTA
GA
NGUYEN, DICH VAN
036656 1029 CLEVELAND AVENUE
ATLANTA
GA
NGUYEN, HIEU THI
033163 2801 N DECATUR RD, SUITE 350
DECATUR
GA
NGUYEN, HONG VAN
018809 3305 LIMBER TWIG LANE
AUGUSTA
GA
NGUYEN, HUNG QUOC
036240 3421 OLD SAVANNAH ROAD
AUGUSTA
GA
NGUYEN, LIEN DUC
024046 2277 TRISTAN CIRCLE
ATLANTA
GA
NGUYEN, TOAN THANH
036836 THE KAUFMAN CLINIC, 565 W. PEACHTREE ST, NE
ATLANTA
GA
NGUYEN, TU HUU
031300 591 GRAYSTONE PLACE
EVANS
GA
NICHOLAS, EDMUND MARK
007253 3280 HOWELL MILL RD., N.W., SUITE 331
ATLANTA
GA
NICHOLAS, ROBERT LOYD
021422 1710 HARTS RUN
CHAMBLEE
GA
NICHOLS, CARL WOODROW JR
014942 1648 BERKELEY LANEN E
ATLANTA
GA
NICHOLS, DAVID MONROE JR
012660 1140 HAMMOND DRIVE, BLDG G-7225
ATLANTA
GA
NICHOLS, EVANS JOHN
008177 2000 ACWORTH DUE WEST RD
KENNESAW
GA
NICHOLS, FENWICK TATTNALL 111 020585 MED COL OF GA HB-2060, DEPT OF NEUROLOGY
AUGUSTA
GA
NICHOLS, FENWICK TATTNALL JR 004893 12 MEDICAL ARTS BLDG, PO BOX 22757
SAVANNAH
GA
NICHOLS, JOSEPH JACOBS, JR 035712 2001 PEACHTREE ROAD NE, SUITE 540
ATLANTA
GA
NICHOLS, MICHELLE LYNNETTE 038890 MOREHOUSE SCHOOL OF MEDICINE, 505 FAIRBURN RD, SW ATLANTA
GA
NICHOLS, POMEROY JR
006749 3036 BRANSFORD RD
AUGUSTA
GA
NICHOLS, SR. JOSEPH J.
008529 2001 PEACHTREE RD, NE# 540
ATLANTA
GA
NICHOLS, WILLIAM HILTON, JR 006256 591 SUNSET DRIVE
CANTON
GA
NICHOLSON, F. PETER
021423 804 COMMERCE BLVD, SUITED
RIVERDALE
GA
NICHOLSON, GEORGE T
004766 ROUTE 1 BOX 677
MOUNT AIRY GA
NICHOLSON, HEIDI THERESA
034210 630 VALLEY HALL DRIVE
DUNWOODY
GA
NICHOLSON, ROMERO
030844 680 CHURCH STREET, SUITE 2
MARIETTA
GA
NICHOLSON, THEODORE ROOSEVELT, 029920 2349 BOWWOOD CT.
VILLA RICA GA
NICHOLSON, WILLIAM LANIER
008845 2 HOSPITAL ST
HIAWASSEE
GA
NICHOLSON, WILLIAM LAWRENCE 013070 3228 SHRINE RD
BRUNSWICK
GA
NICKELSEN, NEIL R
013568 976 KILLIAN HILL RD., BLDG. A SUITE C
LILBURN
GA
NICKERSON, JOHN F
011131 50 WOODCREST AVE NE
ATLANTA
GA
NICKOLA, DAVID FARIS
012850 2675 N DECATUR RD, SUITE 309
DECATUR
GA
NICOL, CHARLES F
017866 340 BLVD., N.E., SUITE 143
ATLANTA
GA
NICOL, MARK DOUGLAS
028612 7775 SAGEBRUSH DR
ATLANTA
GA
NICOLA, KIM RICHARD
027881 1976 MINERAL SPRINGS RD.
DALTON
GA
NICOLAIS, VINCENT MICHAEL
034676 PO BOX 7635
COLUMBUS
GA
30033
41
30909
00
30233
01
30136-5360 10
30307
23
30207
27
30342
27
31909-1326 41
30309
15
31776
27
30060
17
31201
17
30307
30742
00
31208
52
30909
10
31768
08
31210-4831 32
30342
15
30322
23
30342
15
30342
09
30342-1710 01
30341
10
30316
10
30344
10
30033
53
30906
33
30906-3815 33
30345
30308
17
30809
31
30327
52
30341
33
30329
31
30328
33
30144
15
30912
23
31405
17
30309
41
30331
10
30909-3006 44
30307
53
30114
10
30296
52
30563
00
30350
08
30060
15
30180
00
30546
11
31520
30
30247
32
30309
11
30033-6131 03
30312-1267 23
30350-4733 36
30720
31908
Page No. 156
NAME
NIELSON, CRAIG MORGAN NIEMER, PAULA KATE NIEVES, LUDMILA NIEVES, RAFAEL A NIEVES, YANIRE NIEVES-NEIRA, WILBERTO NIEWENHUIS, JAMES CALVIN NIJEM, RICHARD J NIJEM, WILLIAM CHARLES NINAN, PHILIP THOPPIL NINCIC, ALEXANDER NINO, HOMERO F NIREN, EILEEN SUZETTE NIREN, LAWRENCE STUART NISH, WILLIAM ANDERSON NIX, DILLARD L NIX, EDWARD OLIVER NIXON, BRUCE JAMES NIXON, DANIEL WALKER NIXON, GEORGE ARCHER NIXON, KATHLEEN T NODAL, RONALDO RAMON NOE, ROBIN LEE MILLER NOE, STEPHEN RAYMOND NOE, SUSAN NOEL, EWELL CARLYLE JR NOEL, RAYMOND COLLEYMORE NOGGLE, JOE DILLARD, JR. NOGUERAS, PABLO JUAN NOH, KYUNG MEE NOIROT, GILBERT ALAN NOJI, ERIC KIKUO NOLAN, THOMAS ROBERT NOLEN, JOHN HENRY JR NOLLER, STEPHEN ASHLEY NOLTIMIER, LOUIS A NOLTING, SARA FRANCES NORA, FELICIANO CALMA NORDENBERG, DALE FREDRIC NOREN, RICHARD LOWELL NORMAN, JOHN TOOMBS NORMAN, JOYCE NORMAN, LESLIE CAROL NORMAN, LINDA KAY NORMAN, MICHAEL A NORRIS, CLARENCE EUGENE NORTELL, GUIA PARADERO NORTHUP, JOHN D JR NORWOOD, LYLE ALFRED JR NORWOOD, WILLIAM F JR NOVACK, STEVEN J NOVEY, EDWARDS. NOWAKOWSKI, JAMES FELIX NOWLIN, PHILLIP WESLEY NOYD, WILLIAM WALTER NUDELMAN, MITCHELL SCOTT NUGENT, ELIZABETH WEBB NUGENT, JEFFREY TALBOTT
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
013825 034677 032266 021564 036657 036421 038891 015405 018111 025239 014202 010386 027412 030358 031804 005180 011022 036584 013071 022854 034044 009688 030846 028844 037878 011023 029224 026351 032967 036585 037879 033165 010353 016404 018170 020138 015497 014017 036241 032440 036586 034427 026608 038318 013994 036587 022855 016651 019574 008848 030168 021265 033659 036588 021187 034031 012535 012536
1100 N MADISON 625 DRUID OAKS 2475 VILLAGE DRIVE, SUITE 104 6584 PROFESSIONAL PLACE, SUITE C 2504 N. CROSSING WAY 3131 NORTH DRUID HILLS ROAD, APT 9004 1779 NORTH ROCK SPRINGS RD 1700 N PATTERSON ST, PO BOX 1086 PO BOX 1143, 1700 NORTH PATTERSON STREET PSYCHIATRY DIVISION, 1365 CLIFTON RD. EMORY UNIV. 3636 PEACHTREE RD, $301 5654 QUEENSBOROUGH DRIVE 11685 ALPHARETTA HWY, SUITE 290 5367 REDFELD ROAD 3717 INDIAN SPRINGS ROAD 650 PINE FOREST DRIVE 3756 LAVISTA ROAD, SUITE 100 675 WHITE SULPHUR ROAD, THE ATRIUM - SUITE 260 AMERICAN CANCER SOCIETY, 1599 CLIFTON ROAD 4210 QUAIL SPRINGS CIRCLE 625 CRESTHILL AVE NE 2183 NORTHLAKE PARKWAY, SUITE 102 109 MUIRFIELD ROAD 109 MUIRFIELD ROAD 2336 HAPPY CIRCLE 5775 GLENRIDGE DRIVE, BLDG C. 2704 NOAK STREET, SUITE A-1 P.O. BOX 639 PO BOX 14220 216 NORTH DECATUR LANE 12300 APACHE AVE, APT 911 1245 UNIVERSITY DRIVE NE 45 RUMSON WAY, N.E. 130 VANN STREET, SUITE 230 KENNISTONE GATES 770 PINE STREET, SUITE 480 945 MYRTLE STREET NE
COBB HOSPITAL & MEDICAL CENTER, 3950 AUSTELL ROAD
100 JOHN MADDOX DRIVE 807 WCROSSING WAY 1416 OAKRIDGE CIRCLE 3217-D POST WOODS DRIVE, NW 3500 RHODES HILL DRIVE 1233 MANOR OAKS COURT GREENLEAF SERVICES, 1217 MEMORIAL DRIVE, STE. #2 2675 N DECATUR RD,, SUITE 614 7828 GRAY SHOALS DRIVE 3688 CLOUDLAND DRIVE, NW SAVANNAH DIAGNOSTIC ASSC, PC, 12345 MERCY BOULEVARD 6262 HAMILTON RD 105 COLLIER RD NW, SUITE 4060 REHAB MED., MEMORIAL MED. CENT., 4700 WATERS AVENUE 2090-A PRINCE AVENUE 1833 BALLY BUNION DRIVE 34 BELMONTE CIRCLE 1012 CARLYLE LAKE 7000 PEACHTREE DUNWOODY ROAD, BLDG. 9, SUITE 300 110 BLACKLAND DR NW 2001 PEACHTREE ROAD, SUITE 705
ALBANY ATLANTA KINGSLAND RIVERDALE DECATUR DECATUR ATLANTA VALDOSTA VALDOSTA ATLANTA ATLANTA ATLANTA ROSWELL ATLANTA GAINESVILLE ATHENS TUCKER GAINESVILLE ATLANTA MARTINEZ ATLANTA TUCKER MACON MACON AUGUSTA ATLANTA VALDOSTA DEMOREST AUGUSTA DECATUR SAVANNAH ATLANTA ATLANTA MARIETTA MACON ATLANTA AUSTELL ROME DECATUR DECATUR ATLANTA MARTINEZ .DUNWOODY DALTON DECATUR COLUMBUS ATLANTA SAVANNAH COLUMBUS ATLANTA SAVANNAH ATHENS DULUTH ATLANTA DECATUR ATLANTA ATLANTA ATLANTA
GA 31701
17
GA 30329
GA 31548
32
GA 30274
32
GA 30033
17
GA 30033
15
GA 30324
31
GA 31601
GA 31603
11
GA 30332
33
GA 30319
52
GA 30338
36
GA 30076
GA 30338
03
GA 30506
06
GA 30606
30
GA 30084
33
GA 30501
44
GA 30329
19
GA 30907
GA 30306
36
GA 30084
15
GA 31210
27
GA 31210
08
GA 30906
17
GA 30328
15
GA 31602
17
GA 30535
GA 30919
26
GA 30033
36
GA 31419
10
GA 30306
08
GA 30305
41
GA 30060
27
GA 31201
05
GA 30309-4146 33
GA 30001
31
GA 30165
39
GA 30033
32
GA 30033
03
GA 30339
10
GA 30907
08
GA 30338
GA 30720
33
GA 30033
23
GA 31904
10
GA 30327
36
GA 31419
11
GA 31995-3299 28
GA 30367-3701 32
GA 31403
00
GA 30306
23
GA 30136
08
GA 30311
10
GA 30033
10
GA 30328
10
GA 30342
05
GA 30309
28
Page No. 157
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
NUNEZ, DENIS A NUNEZ, WILLIAM DAVID NUNGE, MARK RICHARD NUNN, ROGER E NUNNEMANN, RUDOLF GEORG NUNNERY, EDWIN W NUSBICKEL, FREDERICK RUTLEDGE NUTT, ALFRED WALTER NUTT, RICHARD L JR NWOSU, CLEMENT CHIGASA NWOSU, EUGENE AZUBIKE NYHOFF, DOUGLAS ALAN NYSHADHAM, SWAROOP NARAIN NZERIBE-UDOM, RITA CHINYERE NZERUE, CHIKE MAGNUS
030169 016116 038892 013781 030848 023649 031805 027882 013232 033504 035489 031643 031483 029505 038893
3864 POINTE BLEUE DRIVE 118 ROLLING GREEN 1470 LINKWOOD LANE 4196 KNOLLCREST CIRCLE 3104 SHRINE ROAD 2160 FOUNTAIN DRIVE, P.O. BOX 587 PO BOX 2968 3745 KEG POINTE ROAD 2302 STARLING ST 770 PINE STREET, SUITE 410 405 LEE BLVD 2529 WESTMINISTER HEATH 400 BROOKWOOD DRIVE 1132 DRUID PARK AVE EMORY UNIV - RENAL DIV, 1364 CLIFTON ROAD, NE
DECATUR
GA
PEACHTREE CITY GA
DECATUR
GA
MARTINEZ
GA
BRUNSWICK
GA
SNELLVILLE GA
THOMASVILLE GA
APPLING
GA
BRUNSWICK
GA
MACON
GA
SAVANNAH
GA
ATLANTA
GA
WEST POINT GA
AUGUSTA
GA
ATLANTA
GA
30034
10
30269-1239 03
30033
08
30907
10
31523-3401 52
30278
31799
46
30802
43
31520-4215 03
31201
17
31405-5616 17
30327
52
31833
41
30909
08
30322
17
-0-
0 1 BARR, THOMAS BAYARD, JR.
024472
O'BOYLE, TIMOTHY EDWARD
032795
O'BRIEN, BARBARA ATTURA
028427
O'BRIEN, DAVID PATRICK III 014085
O'BRIEN, DENNIS ARTHUR
025893
O'BRIEN, JOHN FRANCIS
019575
O'BRIEN, JOHN JOSEPH
038319
O'BRIEN, MARK STEPHEN
012946
O'BRYAN, ROGER LEON
028447
0 1 CALLAGHAN, JAMES HOWELL
013826
O'CARROLL, PATRICK WILLIAM 031644
O'CONNELL, MICHAEL JOSEPH
011813
O'CONNOR, DENNIS STEPHEN
034428
O'DONOGHUE, GERALD TERRENCE 023774
O'HANLON, MILES EDWARD
036837
O'HARA, BRENDAN LINUS
033416
O'KEEFFE, EDWARD ROBERT
034680
O'NEAL, FREDRICK LEE, JR
033419
O'NEAL, JAMES PATRICK
013854
0 1 NEAL,PAMELA
021033
0 1 NEAL, PHYLLIS JOHNSON
004748
O'NEILL, MICHAEL JEFFERY
030175
O'NEILL, TIMOTHY JOHN
038320
O'NEILL, WILLIAM CHARLES
028056
0 1QUINN, JAMES LAWTON
009225
0 1QUINN, MARY HAMBY
024686
O'REAR, SHAUN PARSONS
027233
O'REILLY, MICHAEL JOSEPH
034682
O'ROURKE, THOMAS LAWRENCE
016710
O'SHAUGHNESSEY, WILLIAM JOHN J 007551
O'SHAUGHNESSY, CHARLES OWEN 033420
O'SHEA, JOHN STEWART
033169
O'SHEA, KEVIN JOSEPH
038574
O'SHEA, PATRICIA NANCY ALLEN 033170
OAKES, GARY KENT
031806
OAKLEY, GODFREY PORTER JR
012737
OAKLEY, LISA ANNE
028845
OAKMAN, JAMES HOWARD
036242
OBADINA, ABIODUN OLUFEMI
032268
114 CHERRY STREET, SUITE E-1 1111 PROFESSIONAL BLVD 6061 KINGS MOUNTAIN WAY 1365 CLIFTON RD, UROLOGY DEPT. 324 COVERED BRIDGE PLACE TOCO HILLS PROF BLDG - SUITE N, 2910 N. DRUIDS HILLS 2604 NOBLE OAKS DR 1900 CENTURY BLVD NE, SUITE 4 7 BRIDGECREEK COURT 9039 JODECO ESTATES COURT 4108 JOHN ALDEN COURT 2507 ALICE ST PO BOX 30907 110 SPUR 40 5 BRIDGEVIEW DRIVE 3901 GLENHURST DRIVE 10 HALF PENNY CIRCLE 217 ROLLING PINES RD 3061 PEACHTREE DRIVE, N.E. 20 CAMP COURT 818 SHERWOOD DR 710 E PONCE DE LEON AVE, APT 4 619 SPRING CREEK LN 113 KIRK CROSSING DRIVE PO BOX 2406 3212 WHEELER ROAD 210 HIGH RIDGE DRIVE 805 CAMPBELL HILL ST, SUITE 100 14250 PHILLIPS ROAD 618 ORANGE ST 103 MAIN ST 576 PELHAM ROAD 7244 SAYBROOK DRIVE 576 PELHAM RD PO BOX 13118 2224 KODIAIC DR NE 251 MARTIN RIDGE DR 3450 BRECKINRIDGE BLVD, APT. 1014 3730 SETON HALL DR
MARIETTA
GA
DALTON
GA
STONE MOUNTAIN GA
ATLANTA
GA
SMYRNA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
COLUMBUS
GA
JONESBORO
GA
STONE MOUNTAIN GA
WAYCROSS
GA
SEA ISLAND GA
ST MARY'S
GA
ROME
GA
SMYRNA
GA
SAVANNAH
GA
ROME
GA
ATLANTA
GA
CARROLLTON GA
ELBERTON
GA
DECATUR
GA
MARTINEZ
GA
DECATUR
GA
AUGUSTA
GA
AUGUSTA
GA
ATHENS
GA
MARIETTA
GA
ALPHARETTA GA
MACON
GA
SAVANNAH
GA
ATLANTA
GA
MIDLAND
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
MARIETTA
GA
DULUTH
GA
DECATUR
GA
30060
30720
27
30087
15
30322
49
30080
33
30329
06
31406-2639 10
30345
44
31904
01
30236
01
30083
10
31501
28
31561
31
31558
10
30161
33
30080-5897 08
31411
30165-1795 10
30305
08
30117
17
30635
03
30030
00
30907-4947 03
30030-3773
30903
31
30909
30606
03
30090
30201
53
31298
17
31408-1413
30324
32
31820
10
30324
31
31416
15
30345
32
30064-2626 17
30136
10
30034
32
Page No. 158
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
OBEIDIN, MOHAMMED HISHAM
036838 OAKGROVE PROF BLDG, HWY 11, BLDG 3, BOX 859
OBENSHAIN, MICHAEL EDWARD
036839 343 SUMMER PLACE
OBERLE, MARK W.
027623 PHPPO (E20), CENTER FOR DISEASE CONTROL
OBIALO, CHAMBERLAIN IHEANYL 038321 DEPT OF MEDICINE, 720 WEST VIEW DRIVE, SW
OBIEKWE, SAMUEL R
035490 3374 AZTEC RD, #34-C
OBSUSIN, ALISA NAN
032008 3280 HOWELL MILL RD, T-25
ODDSDOTTIR, MARGRET
036422 2016 CASTLEWAY LANE
ODERINDE, JULIUS BADE
036658 1800 WESLEYAN DRIVE, SUITE 108
ODOM, JOHN WESLEY
033661 4750 WATERS AVE, SUITE 211
ODOM, LAWRENCE DUDLEY
017016 5354 REYNOLDS STREET, SUITE 333
ODOM, STEPHEN JOSEPH
038895 COBB SURGICAL ASSOCIATES PC, 1810 MULKEY ROAD, SUITE
ODOM, SYDNEY HOWARD
038896 100 TIMBERLINE PLACE
ODUNUKWE, CHUKWUKADIBIA JONATH 037882 1550 TERRELL MILL RD, APT 224
OEHLER, RICHARD LAWRENCE
037883 6007 SLOAN PLACE
OEHRLEIN, FREDERICK ELLSWORTH 032442 741 JONES CREEK DRIVE
OETTING, GREGORY MARTIN
038575 PA UN MED CTR - # 4C, 820 ST SEBASTIAN WY
DETTINGER, CARL WILLIAM
018409 828 WEST PEACHTREE ST, SUITE 302
DETTINGER, JEFFREY MARC
036589 151 OLD BELAIR ROAD
OFFERMANN, MARGARET KENNEDY 032627 2965 CRAVEY TRAIL
OFILI, ELIZABETH ODILILE
038322 DEPT OF MEDICINE, 720 WEST VIEW DRIVE SW
OFORI, MICHAEL KWABENA
034755 600-I EXECUTIVE LANE
OGAN, OKORONKWO UCHENNA
034679 520 BON AIR DRIVE
OGBURN, CHARLES LAWTON JR
019576 618 ORANGE STREET
OGDEN, JOHN ANTHONY
035716 303 PARKWAY DRIVE, NE
OGDEN, SAMUEL LUSK
030170 109 ALLEN MEMORIAL DRIVE
OGLESBY, JAMES WILBUR
008534 ROUTE 3 BOX 375A
OH, JUNG HEE
020893 763 WMB, EMORY UNIVERSITY
OH, SANG W
016117 HWY 121 S PO BOX 529
OKAFOR, GEORGE EMENIKE
037036 2879 TORREYA WAY
OKEHI, CUKUEMEKA OBINNA
021567 840 PINE STREET, SUITE 900
OKEL, BENJAMIN BOYD
009398 2193 N DECATUR RD
OKORIE, JONAH NDUKA
015182 4344 NAPIER AVE, APTE C-5
OKORO, CASIMIR CHUKWUMEKA
037037 480 CEDAR CREEK DRIVE
OKOYE, OGUGUO C
033417 2414 BOWDOIN DR
OKUN, PHILIP
015295 1970 CLIFF VALLEY WAYNE, SUITE 107
OLAOELE, ALAWODE
036423 2592 LAUREL RIDGE DRIVE
OLANSKY, ALAN JOSEPH
022453 478 PEACHTREE ST, SUITE 607-A
OLANSKY, DAVID CHARLES
022614 478 PEACHTREE ST, SUITE 607-A
OLANSKY, SIDNEY OLDHAM, HARRY MATTHEWS JR
008963 478 PEACHTREE STREET, N.E., SUITE 607-A
009903 * 2258 WRIGHTSBORO ROAD,# 300
OLEEN, EDWARD LUTHER
028198 425 - 3RD AVE, SUITE 100
OLIVER, DAVID STEVEN
038323 5201 FREDERICK ST
OLIVER, IZHAK
020139 1810 MULKEY RD., SUITE 204
OLIVER, JOHN HENRY
024851 3020 PARK AVENUE
OLIVER, MARY SUSAN
024049 4278 OLD CLUB ROAD EAST
OLIVER, RADAMES A.
029290 3755 TAILBOARD WAY
OLIVER, RICHARD THOMAS
013947 1935 CLIFF VALLEY WAY NE# 202
OLIVER, ROBERT WALTER, JR.
008535 508 ACADEMY AVE
OLIVER, THOMAS HAYDEN
027624 195 KING AVE
OLIVER, THOMAS WOOTEN JR
021772 4278 OLD CLUB ROAD EAST
OLLINS, ROBERT J
021568 790 CHURCH STREET, SUITE 325
OLMEDO, EDUARDO JAVIER
034036 582 CONCORD ROAD, SUITE C
OLMSTED, WILLIAM LAWRENCE
022030 800 CANTON ROAD
OLSEN, TIMOTHY WAYNE
038324 1309 CARRIAGE PLACE CT
OLSON, CLYDE LEWIS
012661 2 JACKSON BLVD, PO BOX 13919
OLSON, DAVID ALBERT
034429 347 OAKDALE ROAD
OLSON, GARY W
020465 1436 BROADRICK DRIVE, SUITE B
OLSON, JEFFREY JAMES
033418 5853 ASHRIDGE COURT
WINDER
GA
PEACHTREE CITY GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
SAVANNAH
GA
SAVANNAH
GA
AUSTELL
GA
ALPHARETTA GA
MARIETTA
GA
ATLANTA
GA
EVANS
GA
AUGUSTA
GA
ATLANTA
GA
GROVETOWN
GA
ATLANTA
GA
ATLANTA
GA
KENNESAW
GA
AUGUSTA
GA
MACON
GA
ATLANTA
GA
BREMEN
GA
LEESBURG
GA
ATLANTA
GA
REIDSVILLE GA
MARIETTA
GA
MACON
GA
DECATUR
GA
MACON
GA
ATHENS
GA
AUGUSTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
SAVANNAH
GA
AUSTELL
GA
AUGUSTA
GA
MACON
GA
MARTINEZ
GA
ATLANTA
GA
DUBLIN
GA
ATHENS
GA
MACON
GA
MARIETTA
GA
SMYRNA
GA
MARIETTA
GA
DECATUR
GA
SAVANNAH
GA
ATLANTA
GA
DALTON
GA
STONE MOUNTAIN GA
30680
41
30269
17
30333
10
30310
22
30340-3277 41
30327
17
30345
41
31210
10
31404
41
31405
15
30001
41
30202
03
30067
41
30329
17
30907
03
30901
44
30308
22
30813
28
30345
19
30310
05
30144
41
30907
31298
17
30312
46
30110
00
31763
41
30322
17
30453
41
30067
17
31201
15
30033
17
31210
08
30605-3406 17
30909-4521 10
30329
33
30033
52
30308
06
30308
06
30308
06
30904
15
31703
17
31405-4596 30
30001
17
30909
15
31210
03
30907
01
30329-2415 15
31021
41
30606
52
31210
36
30060
17
30082
28
30060
17
30033
27
31405
27
30307
23
30720
17
30087
44
Page No. 159
NAME
OLSON, LARRY DEAN OLSON, RICHARD ARTHUR OLSON, STEVEN PETER OLUFS, RICHARD DEAN OLUTADE, BABATUNDE 0 OMONUWA, SMITH T.M. ONA, NORVIN !LAO ONG, ANTONIO L ONG, CECILIA B ONORATO, IDA MARIE OORTMAN, EVERT H. OPRYSKO, JOHN L ORAKA, EMEKA SAMMY ORAN, ERDOGAN ORANGIO, GUY ROBERT ORDONEZ, CARLOS ORENSTEIN, WALTER A ORGAN, BRIAN CHRISTOPHER ORLET, HERMANN KARL OROSZ, JUDY !NEZ ORR, ALEXANDER STEPHENS ORR, DONALD STEVEN ORR, JAMES BAXTER ORR, MARGARET ANN ORR, STEPHEN WYNN ORR, WILLIAM W ORR, WILLIAM WOOD, JR. ORRIS, GARY STEVEN ORTEGA, HERNANDO J ORTENZI, LISA ORTIZ, JESUS ORY, HOWARD WILLIAM OSBON, REGINALD DUANE OSBORN, KEITH DAVID OSBORNE, ANDREW MICHAEL OSBORNE, WILLIAM ELTON OSBORNE, WILLIAM REGINALD OSBURN, DIANE JEWEL BAUCUM OSER, ERIC RICHARD OSGOOD, KEVIN AVERILL OSLEEB, CRAIG STEVAN OSMAN, OSSAMA TAWAKOL OSMON, CARLOS A OSTA, SALIM MOUTAZ OSTEEN, CHRISTOPHER LAMONT OSTMAN, DAVID LEE OSTROW, STOSH OTHMAN, MUFID ATA OTIS, JOHN BURRELL OTSUKI, JUKO OTT, DOUGLAS ERNEST OTTE, MICHAEL T OTTO, KATHARINE CUMMING OTTS, JOHN CALVIN OUZTS, HARVEY G OVERSTREET, ALPHONZO, JR OVERSTREET, LATHAN WYATT OVERTON, JOSEPH THOMAS, JR
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
034681 715 JESSE JEWEL PARKWAY, SUITE 305 029924 PAPP CLINIC, PO BOX 609 033663 761 HOUSTON MILL, APT 4 037313 412 OCEAN BLVD, PO BOX 20367 031546 3168 TERRAMAR DR 038061 MOREHOUSE FAMILY PRACTICE CTR, 505 FAIRBURN RD 037634 950 STEVENS CREEK DRIVE, APT F-8 017712 PO BOX 764, FRASER DRIVE 017713 220 FRASER DRIVE 032798 833 DREWRY ST, NE 024852 OAK GROVE PROF PK, PO BOX 1055 034211 TUCKER MEDICAL CENTER, 4445 COWAN ROAD 035302 12285 BROADWELL ROAD 016480 1791 MULKEY ROAD, SUITE 101 027883 50 OLD STRATTON CHASE 016952 1170 CLEVELAND AVE, X-RAY DEPT SO FULTON HOSPITAL 018172 50 BATTLE RIDGE DRIVE 030418 25 PRESCOTT, SUITE 3426 027097 1220 GEORGE C WILSON DR., P.O. BOX 3726 014540 4451 FORREST DR. 010254 5657 STONEHAVEN DRIVE 026609 478 P'TREE ST., N.E., SUITE 107A 025241 GLENN BLDG, 25 PRESCOTT ST NE 030520 1452 WINSTON PLACE 030176 3725 ZOAR ROAD 005624 2009 VINEV!LLE AVE 027415 700 SUNSET DRIVE, SUITE 201 037636 4265 SINCLAIR SHORE ROAD 009690 2163 NORTHLAKE PARKWAY, SUITE 103, BLDG #1 023395 880 CRESTMARK DRIVE, #200 013664 304 STUART ST 017257 882 BARTON WOODS RD 032009 149 WEATHERBY DRIVE 029225 77 COLLIER ROAD, SUITE 2000 035491 2454 RIVERLOOK DRIVE 033664 4750 WATERS AVE, SUITE 400 027625 1406 HUNTSMAN GLEN 029059 1640 POWERS FERRY RD, BLDG 9 SUITE 100 028302 2001 PEACHTREE ROAD, SUITE 705 035719 280 MAYWOOD DRIVE 036840 5455 MERIDIAN MARK ROAD, STE 410 037038 940 ORANGE TERRACE 016653 1700 HOSPITAL SOUTH DRIVE, SUITE 102 015631 3226-G HAMPTON AVE 027099 8 STEPHENSON AVE 032445 25 HERON NEST DRIVE 019577 13 CORPORATE SQUARE, NE, SUITE 107 020786 682 HEMLOCK ST, SUITE 320 012738 315 BOULEVARD NE, SUITE 240 029226 631 SIBLEY FOREST
016118 * 250 CHARTER LANE SUITE 101
035111 907 HIGHLAND TERRACE 036841 2975 CYNTHIA DRIVE 017714 23 ERIN OFFICE PARK 014976 700 OGLETHORPE AVE, PO BOX 5860 034431 1307 DE SOTO FALLS CT. 036659 2631 WESTCHESTER DRIVE 038900 510 COVENTRY ROAD, APT 8C
GAINESVILLE GA
NEWNAN
GA
ATLANTA
GA
ST SIMONS ISLE GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
HINESVILLE GA
HINESVILLE GA
ATLANTA
GA
WINDER
GA
TUCKER
GA
ALPHARETTA GA
AUSTELL
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
MARTINEZ
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
LI THON IA
GA
MACON
GA
ATHENS
GA
CUMMING
GA
TUCKER
GA
LITHIA SPRINGS GA
SAVANNAH
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
RIVERDALE
GA
MARIETTA
GA
ATLANTA
GA
MARTINEZ
GA
ATLANTA
GA
MACON
GA
AUSTELL
GA
BRUNSWICK
GA
SAVANNAH
GA
SAVANNAH
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
MARIETTA
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
DUBLIN
GA
ATHENS
GA
ATLANTA
GA
EAST POINT GA
DECATUR
GA
30501
30264
41
30329
08
31522
32
30341
17
30331
10
30907
10
31313
10
31313
32
30306
10
30680
30084-4830 10
30201
36
30001
05
30328
41
30344
36
30342
32
30308
41
30914-3726 47
30907
32
30087
15
30308
23
30308
30
30033
17
30058
00
31200
32
30606
33
30131
08
30084
41
30057
15
31405
33
30307
35
31210
36
30309
28
30904
03
31404-6270 15
30296
17
30067
15
30309
28
30907
08
30342
31201
33
30001
16
31520
19
31405
03
31410
15
30329
01
31201
17
30312
31
30067
08
31210
15
30306
36
30319
33
31021
15
30604-5860 05
30311
15
30344
15
30030
06
Page No. 160
NAME
OVETSKY, RONALD MURRAY OVIEDO, JOSE ROBERTO OWEIDA, STEVEN WASSEL OWEN, BOONE BOUKNIGHT, JR OWEN, HUGH THOMAS OWEN, JAMES ELVIN OWEN, RALPH GLEN, JR OWEN, RALPH GLEN,SR OWENS, DAVID SMITH OWENS, JOSEPH HENRY OWENS, JOSEPH LAWRENCE, JR. OWENS, ROGER DOUGLAS OWINGS, FRANCIS BARRE OXFORD, WILLIAM MICHAEL OYESIKU, NELSON MOBOLANLE OZMENT, RANDALL ROBERT
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
023855 5505 PEACHTREE DUNWOODY ROAD, SUITE 370
ATLANTA
GA 30342
013415 610 SOUTH 8TH STREET, SUITE F
GRIFFIN
GA 30223
03
026907 140 VAN STREET, SUITE 340
MARIETTA
GA 3006D
50
009577 615 LONDONBERRY ROAD NW
ATLANTA
GA 30327
33
032010 ST. JOSEPH'S MEDICAL OFFICE, 11702 MERCY BLVD, STE 1 SAVANNAH
GA 31419
06
035112 212 EAST YORKTOWN DRIVE
LAGRANGE
GA 30240
08
034917 2923 STRATFORD DR.
AUGUSTA
GA 30909
30
010628 1314 COMFORT ROAD
AUGUSTA
GA 30909
15
034037 ONE FAIRFIELD PLAZA
AVONDALE ESTAT GA 30002
36
032011 317 CONAWAY ROAD
BLOOMINGDALE GA 31302
33
007552 156 HAMPTON PT
ST SIMONS ISL GA 31522
48
017869 667 LANIER PARK DRIVE
GAINESVILLE GA 30501
17
016654 478 PEACHTREE NE
ATLANTA
GA 30308
41
011435 405 WMAIN ST
THOMASTON
GA 30286
41
031484 4830 CLAYMORE CT
STONE MOUNTAIN GA 30088
44
032012 5667 PEACTREE DUNWOODY ROAD, SUITE 300
ATLANTA
GA 30342
27
-P-
PACE, RONALD DAVID PACK, DAVID KYUNGSEON PACKER, ROBERT MILFORD III PADHIAR, DHANRAJ N. PADHIAR, NIRMALA PADOVE, LEE BRIAN PAEZ, DANIEL FRANCISCO PAFUMY, JOSEPH, II PAGADALA, SUMANTH PAGAN-GARCIA, CARMEN JUDITH PAGANO, JOSEPH PETER, JR PAGE, CROCKETT HENRY PAGE, DONALD A. JR. PAGE, GEORGE MELVIN PAGE, JOHN ANTHONY PAGE, MALCOLM IRVING PAGE, THOMAS EDWARD PAGSISIHAN, FRANCISCO MUSNGI PAI, GANESH PANDURANG PAINE, CLARENCE MATHEWS JR PAINE, DAVID HANSELL PAINTER, LAVONNE MAE PAJARO, JULIO EDUARDO PAKULA, AMY LEE THORNHILL PALAY, BERNARD HARRY PALAY, DAVID ANDREW PALAZZOLO, JAMES VINCENT PALERINO, ROBERT GEORGE PALIN, JOSEPH STEPHEN PALLAS, CHRISTOPHER WILLIAM PALMER, BRIAN MICHAEL PALMER, ELLISON CAPERS, JR PALMER, FRED LANGLEY PALMER, GEORGE ALBAN PALMER, JACK ROLES PALMER, JAMES L D PALMER, PENNY MARILYN PALMER, ROBERT OTIS
029925 1984 PEACHTREE ROAD, N.W., SUITE 515 018829 1462 MONTREAL ROAD, SUITE 407 018716 P.O. BOX 899, 1506 ALICE ST. 022615 207 NORTHSIDE DR 022857 207 NORTHSIDE DRIVE 029748 1000 JOHNSON FERRY ROAD NE 014845 2855 CANDLER ROAD, SUITE 7 033666 PO, BOX 15576 019085 306 PROFESSIONAL TOWER, 700 CENTER STREET 034683 24 SOUTH ELLIS STREET 037316 212 RIMINGTON LANE 024052 333 MOCK ROAD, APT 101 026611 800 CANTON RD 021776 4700 NELSON BROGDON BLVD., SUITE 130 010255 1429 OGLETHORPE STREET 008854 514 ONE MILL PLACE 037041 4690 CUTTER MILL ROAD 014018 * 274 SENOIA RD, BOX 366 019977 MC G DEPT CARDIAC SURGERY 022171 115 DOGWOOD CR 028618 1006-A MOUNT VRNON ROAD 012662 2118 IMPALA DR NE 035303 COFFEE REGIONAL HOSPITAL, PO BOX 1181 037317 199 14TH ST, NE, APT 2905 007864 1372 PEACHTREE ST NE STE 301 031304 7465 CHESTWICK CT 037637 2520 PHEASANT DRIVE 028848 PO BOX 810 025006 214 EAST WARD STREET 027416 950 STEVENS CREEK RD. APT. L-3 035968 381 RALPH MCGILL BLVD, APT I 011436 WEST GEORGA MEDICAL CENTER, 1514 VERNON ROAD 008182 3983 PLUMCREST CIRCLE 030658 203 DONEHOO STREET, PO BOX 1958 009229 130 MEADOWVIEW ROAD 009668 970 ML KING JR DR SUITE 305 032446 * 2427 EMPIRE FORfST DRIVE 035720 ATLANTA HEMATOLOGY-ONCOLOGY CONS, 615 PEACHTREE ST
ATLANTA TUCKER WAYCROSS VALDOSTA VALDOSTA ATLANTA DECATUR ATLANTA COLUMBUS CAMILLA DECATUR ALBANY MARIETTA BUFORD MACON AUGUSTA MARTINEZ FAIRBURN AUGUSTA MOULTRIE VIDALIA ATLANTA DOUGLAS ATLANTA ATLANTA ATLANTA ALBANY ADEL CARROLLTON AUGUSTA ATLANTA LAGRANGE SMYRNA STATESBORO ATHENS ATLANTA TUCKER N ATLANTA
Page No. 161
GA 30309
00
GA 30084
38
GA 31501
17
GA 31602
17
GA 31602
27
GA 30342
17
GA 30034
17
GA 30333
01
GA 31901
47
GA 31730
GA 30030
03
GA 31705
GA 30060
17
GA 30518
01
GA 31201-1577 27
GA 30909
RR
GA 30907
15
GA 30213
01
GA 30912
48
GA 31768
36
GA 30474
17
GA 30345-3864 32
GA 31533-1183 32
GA 30309
32
GA 30309-3228 17
GA 30350
27
GA 31707
34
GA 31620
10
GA 30117
11
GA 30907
17
GA 30312
53
GA 30240
31
GA 30082
36
GA 30458
15
GA 30606
10
GA 30314
17
GA 30084
10
GA 30308
53
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PALMER, SAMUEL ELIJAH
029061 PO BOX 1023
PERRY
GA
PALMER, SHAWN LEE
038325 4665 RED LEAF WAY
MARTINEZ
GA
PALMER, SUZANNE JEANETTE
025007 PO BOX 489, 750 N COBB STREET
MILLEDGEVILLE GA
PALMER, TIMOTHY JAKE
019739 P.O. BOX 1199, 110 JACKSON STREET
SWAINSBORO GA
PALMISANO, GLENN PAUL
028303 4750 WATERS AVENUE, SUITE 510
PALMORE, MARVIN MALEATES, JR 033422 8550 VALEMONT DRIVE NW
SAVANNAH
GA
ATLANTA
GA
PALOMO, WALTER PALSGAARD, DONALD C
038903 150 MEDICAL BLVD, SUITE B 021777 2661 NEW HIGH SHOALS ROAD
STOCKBRIDGE GA
BISHOP
GA
PALTE, STEPHEN BRYCE
035492 2550 WINDY HILL ROAD, SUITE 220
MARIETTA
GA
PANARITES, HELEN CHRISTINA 035493 1183 AMSTERDAM AVENUE
ATLANTA
GA
PANDYA, ASHA GANESH DESAI
034038 116 VININGS PARKWAY
SMYRNA
GA
PANDYA, GANESH PRANSHANKAR 033873 8954 HOSPITAL DRIVE, SUITE 120-C
DOUGLASVILLE GA
PANDYA, RAJIV D
033254 3200 DOWNWOOD CIRCLE, SUITE 530
ATLANTA
GA
PANICO, RICHARD ANTHONY
017870 675 COBB STREET
ATHENS
GA
PANIELLO, SANTO JOSEPH
037638 1352 NORTH CROSSING DRIVE
ATLANTA
GA
PANKOWSKY, DAN ARIE
035494 EMORY UN - DEPT OF PATHOLOGY, 1364 CLIFTON ROAD, NW ATLANTA
GA
PANNELL, WILLIAM PRESTON JR 015713 P.O. BOX 1016
CORDELLE
GA
PANOVEC, PARKER KEVIN
036244 6 BELLS FERRY ROAD
ROME
GA
PANTAZIS, COOLEY GEORGE
022259 3538 INTERLACHEN COURT
MARTINEZ
GA
PANTER, JAMES ALLAN
025009 4728 HIGHLAND CIRCLE
GAINESVILLE GA
PANTINO, THOMAS MICHAEL
038904 165 FLOWING SPRING TRAIL
ROSWELL
GA
PANVELKAR, REKHA GOPAL GOWDAR 034432 823 RUDGATE ROAD
COLUMBUS
GA
PAPADOPOULOS, DIAMONDIS JOHN 027733 1831 FAIR OAKS PLACE
DECATUR
GA
PAPAVASSIL!OU, DIMITRIOS PERIK 036660 2525 CENTER WEST PARKWAY, SUITE 12-G
AUGUSTA
GA
PAPCIAK, MICHAEL RALPH
016823 960 JOHNSON FERRY ROAD, SUITE 500
ATLANTA
GA
PAPPAS, JAMIE DEMETRIAS
027886 40 SHERINGTON PLACE
ATLANTA
GA
PAPPAS, PAMELA ANNE
038905 1161 DAVENTRY WAY
ATLANTA
GA
PAPPAS, STEPHEN GEORGE
029509 3215 SHRINE ROAD, #12
BRUNSWICK
GA
PARALITICCI, RAUL EDGARDO
035496 1660 MULKEY ROAD, SUITED
AUSTELL
GA
PARDO, ALFONSO JOAQUIN
027300 330 HOSPITAL DRIVE, SUITE 305
MACON
GA
PARE', RICHARD EILLIOT
034918 1371 NO. CROSSING DR
ATLANTA
GA
PARE, LORRAINE ELIZABETH
033172 106 WEST HARRIS STREET
SAVANNAH
GA
PAREKH, JAYASHREE SHASHANK 037319 324 N DECATUR LANE
DECATUR
GA
PAREKH, KASHMIRA D.
026908 101 CASCADE ROAD
COLUMBUS
GA
PAREKH, SHASHANK CHHAGANLAL 037320 324 N DECATUR LANE
DECATUR
GA
PARHAM, ROBERT E
009230 833 CAMPPBELL HILL STREET, SUITE 430
MARIETTA
GA
PARHAM, ROBERT FLEMING
030659 2270 SIX BRANCH DRIVE
ROSWELL
GA
PARIKH, ASHA NARESH DESAI
028850 1 CORPORATE SQUARE, SUITE 120
ATLANTA
GA
PARIKH, NARESH KUMAR
028851 4555 N SHALLOWFORD ROAD, SUITE 103
ATLANTA
GA
PARIKH, YASHASWINI HARSHAD 024864 4531 CANDY LANE
LILBURN
GA
PARIS, RAY BENJAMIN
019855 610 - 19TH STREET, DOCTORS HOSPITAL CAMPSU
COLUMBUS
GA
PARISH, DAVID CHARLES
026355 777 HEMLOCK STREET, P.O. BOX 6000
MACON
GA
PARK, DAVID DONGWON
032801 5667 PEACHTREE DUNWOODY ROAD, SUITE 320
ATLANTA
GA
PARK, GEORGE TIMOTHY
022859 5278 ADAMS ST NE
COVINGTON
GA
PARK, HAE KYUNG OH
035304 3676 FOXFIRE PLACE
~ART INEZ
GA
PARK, IH KOO
015885 PO BOX 5398
FT OGLETHORPE GA
PARK, JUNESEOK
019740 310 NORTH WESTBERRY ST
SYLVESTER
GA
PARK, YONG DUCK
035114 3676 FOXFIRE PLACE
MARTINEZ
GA
PARKER, ALMA LA MAR
037640 1067 PEACHTREE STREET, SUITE 104
LOUISVILLE GA
PARKER, BARRY MITCHELL
033173 208 RIDGE CIRCLE
DUBLIN
GA
PARKER, FRANK M JR
017871 * 105 BRIARCLIFF RD
WARNER ROBINS GA
PARKER, GREGG
012409 910 E 70TH STREET
SAVANNAH
GA
PARKER, GREGORY ALAN
031305 2737C WARM SPRINGS ROAD
COLUMBUS
GA
PARKER, JOHN BYRON
015296 646 ARCH STREET
MACON
GA
PARKER, LARRY MERRELL
034213 EMORY UNIVERSITY - ORTHOPAEDICS, 69 BUTLER ST# 402 G ATLANTA
GA
PARKER, LESLIE CLAIRE STRIEGL 031333 789 CLEMONT DRIVE
ATLANTA
GA
PARKER, MICHAEL HUGH
034684 PO BOX 3499
VALDOSTA
GA
PARKER, MONICA LAUREN WILLIS 034214 PO BOX 1130, 301 SOUTH BROADSTREET
MONROE
GA
31069
10
30907-9350 27
31061
25
30401
01
31404
15
30350
03
30281
32
30621
08
30067
17
30306
33
30080
03
30134
40
30327
28
30606
33
30329
15
30322
31
31015
41
30161
10
30907
31
30506
17
30075
32
31904
32
30033
30909
32
30342
32
30350
30319
33
31520
23
30001
36
31201
17
30329
27
31401
31
30033
53
31904
30033-5955 36
30060
11
30076
10
30329
17
30338
05
30247
01
31901
10
31208
17
30342
41
30209-3300 17
30907
32
30742
41
31791
41
30907
23
30434
10
31021
36
31088
15
31405
15
31904
10
31201
31
30303
28
30306
03
31604-3499
30655
10
Page No. 162
Composite State Board of Medical Examiners Roster of Active Physician Lic,ensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PARKER, PAUL MACKIE PARKER, PRENTISS E JR PARKER, RUTH MURPHEY PARKER, THOMAS HUBERT JR PARKER, WILEY ARTHUR PARKINSON, ALEXANDER TOUGH PARKS, DAVID LEONARD PARKS, JAMES FREDERICK PARKS, JOHN SCOTT PARKS, JOSEPH WILLIAM III PARKS, ROSS ALLEN PARKS, WILLIE JAMES PARMER, KEITH ~ONROE PARREIRA, ROGERIO MOREIRA PARRIS, GLENN R PARRISH, CHARLES CLIFTON PARRISH, CHERLYN J PARRISH, EDWARD FOY PARRISH, GLENN CADE PARRISH, JOE EARL PARRISH, RAMON OLENE PARRISH, ROBERT A JR PARRISH, WILLIAM CHARLES PARROTT, FRANK HOLLAND PARROTT, JESSE LYLE PARROTT, JONATHAN R PARROTT, THOMAS SARGENT III PARSONS, EDMUND COLE PARSONS, RICHARD CLARE PARSONS, THOMAS RICHARD PARTIN, WILLIAM CLYDE PARTYKA, SCOTT ROBERT PARUNGAO, JOSEFINA PADIERNOS PARUNGAO, ROMULO L PASCAL, ROBERT R PASCHAL, THOMAS CORLEY PASCUAL, RAFAEL PABLO PASSMAN, TERRY ELLIOT PATE, DONALD WAYNE PATEL, ANIL KUMAR R PATEL, ASHABEN PARBHOOBHAI PATEL, ATULKUMAR D PATEL, BEENA SANJAY PATEL, BHARATKUMAR S PATEL, BHASKERRAO MANUBHAI PATEL, BIPINCHANDRA M. PATEL, BIPINCHANDRA RAMESH PATEL, DILIP T PATEL, DILIPKUMAR CHIMANBHAI PATEL, DILIPKUMAR R PATEL, DUSHYANT JASHBHAI PATEL, HASMUKH RAVJI PATEL, HEMANTKUMAR MAGANLAL PATEL, KANTILAL LALLUBHAI PATEL, KETAN R PATEL, MADHUBALA ATULKUMAR PATEL, MAHENDRA MANIBHAI PATEL, MANHARBHAI N
031089 1276 B MCCONNELL DRIVE 007707 2759 FLAGSTAFF COURT 031090 1126 CLIFTON ROAD 021779 1948 THOMAS DRIVE 015499 5669 PEACHTREE-DUNWOODY RD NE, SUITE 295, BLDG I 017412 3300 BUCKEYE ROAD, SUITE 178 027887 1790 MULKEY ROAD, SUITE 7 018176 667 LANIER PARK DRIVE 024318 EMORY UNIV-PEDIATRICS DEPT, 2040 RIDGEWOOD DR NE 020586 15 CAVENDER STREET 031809 232 N KINGSHIGHWAY 025378 3622 GREENTREE FARMS DR 015200 1013 NORTH FIFTH AVE. 028448 371 SARAH LANE 031646 7186 MONTEREY 034434 2801 NORTH DECATUR ROAD, SUITE 350 020141 PO BOX 250268 023489 2347 FAIRWAY CIRCLE SW 012228 3522 IRONWOOD DRIVE 012182 156 CLINIC AVE 028622 815 E MAIN STREET, PO BOX 1479 007866 433 SCOTTS WAY 009905 3540 DULUTH PARK LANE, SUITE 280 015407 1105 EAST LAMAR STREET, PO BOX 668 005045 501 SOUTH CHURCH STREET
036246 * 3451 COUNTRY CLUB ROAD
012538 5455 MERIDIAN MARK RD, SUITE 510 035497 151 RIDLEY LANE 008623 210 HONEYSUCKLE LANE 038580 4559 MONTGOMERY WAY 026612 EMORY CLINIC, 1365 CLIFTON ROAD 036247 813-B BIRCH COURT 017542 2073 HONEY CREEK ROAD 016121 2073 HONEY CREEK ROAD 030525 1957 LENOX ROAD, N.E. 022616 715 THIRD AVENUE 025243 743 SPRING STREET NE, PO BOX 1865 036426 700 CENTER STREET, SUITE 303 036249 152 ROGERS AVE 020247 2637 KINNETT COURT 034216 4292 GLENLAKE DRIVE 030179 1905 KINGSRIDGE DRIVE 037322 1401 TREE CORNERS PARKWAY 022617 210 E. TOLLISON STREET 028852 TOCCOA CLINIC MEDICAL ASSOC., 800 E. DOYLE STREET 025011 2300 MANCHESTER EXPY, SUITE C-1 025895 2402 NORTH VALDOSTA ROAD 023396 PO BOX 753 029129 667 LEIGHTON WAY 021190 316 W 10TH ST 033667 PO BOX 1726 023656 1500 BROADRICK DRIVE 037887 2665 GLENROSE HILL 021780 106 ROWE STREET 038906 1013-A HOGAN STREET 030181 1905 KINGSRIDGE DRIVE 022172 TOCCOA CLINIC MEDICA ASSOC, 800 EAST DOYLE STREET 019742 665 S 8TH ST
DECATUR
GA
JONESBORO
GA
ATLANTA
GA
BAINBRIDGE GA
ATLANTA
GA
ATLANTA
GA
AUSTELL
GA
GAINESVILLE GA
ATLANTA
GA
NEWNAN
GA
DECATUR
GA
DECATUR
GA
ROME
GA
LAWRENCEVILLE GA
LITHONIA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
CARROLLTON GA
BLUE RIDGE GA
AUGUSTA
GA
DULUTH
GA
AMERICUS
GA
HAHIRA
GA
VALDOSTA
GA
ATLANTA
GA
DECATUR
GA
HARTWELL
GA
DULUTH
GA
ATLANTA
GA
FT GORDON
GA
CONYERS
GA
CONYERS
GA
ATLANTA
GA
ALBANY
GA
GAINESVILLE GA
COLUMBUS
GA
MACON
GA
LILBURN
GA
KENNESAW
GA
DALTON
GA
NORCROSS
GA
BAXLEY
GA
TOCCOA
GA
COLUMBUS
GA
VALDOSTA
GA
DAWSON
GA
STONE MOUNTAIN GA
ROME
GA
DOUGLAS
GA
DALTON
GA
ATLANTA
GA
DUBLIN
GA
AUGUSTA
GA
DALTON
GA
TOCCOA
GA
GRIFFIN
GA
30033
17
30236
15
30307
17
31717
08
30342
30
30341
31
30001
30505
17
30322
09
30263
41
30033
10
30034
17
30165-2601 10
30245
03
30058
17
30033
11
30325
36
30331
17
30907
03
30117
15
30513
10
30909
41
30136
08
31709
34
31632
38
31602
17
30342
32
30030
33
30643
30
30136
31
30322
01
30905
36
30208
31
30208
41
30306
31
31701
32
30503
03
31901
33
31204
41
30247
17
30144
17
30720
00
30092
10
31513
17
30577
17
31904-6812 34
31602
23
31742
17
30088
33
30165-2639 32
31533
32
30720
11
30341
17
31021
17
30904
32
30720
00
30577
36
30223-4243 41
Page No. 163
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PATEL, MUKESHCHANDRA RAOJIBHAI 021882
PATEL, NARENDRA MANILAL
031092
PATEL, NATVARLAL MANILAL
024320
PATEL, NAVIN
027103
PATEL, NAVNIT UKABHAI
035970
PATEL, NAYANA
026909
PATEL, NEETA
032449
PATEL, NITIN RASIKCHANDRA
037324
PATEL, PANKAJ BHIKHALAL
038327
PATEL, PANKAJ THAKORBHAI
022031
PATEL, PARESH RAMAN
037325
PATEL, PRAVINCHANDRA H
027888
PATEL, RAJENDRA FULABHAI
021781
PATEL, RAJESH MOTIBHA
028701
PATEL, RAJESH V!NOD
035498
PATEL, RAVINDRAKUMAR JASHBHAI 023657
PATEL, SAT!SHCHANDRA VITHALBHA 028058
PATEL, SHILA BIPIN
026801
PATEL, SUMANT G.
025653
PATEL, THAKORBHAI B
019579
PATEL, VIBHAKAR R.
024321
PATEL, VIJAY MANGU
035723
PATEL, YASHVANT DAHYABHAI
037326
PATERSON, SPENCER MICHAEL
033669
PATHEJA, HARPREET SINGH
038066
PATHIRAJA, ANANDA PRIYA
029926
PATHY, ARUN LAKSHMI
036843
PATICK, KENNETH EDWIN
037328
PATKA, FIROZ M.S.
035499
PATONAY, NORA RITA
030420
PATRACHAI, CHAVALIT
018060
PATRENOS, MARY ELIZABETH
037042
PATRICK, ELWYN V
005046
PATRICK, JOHN WARREN
011438
PATRICK, LAURA ELLEN
024322
PATRICK, RONALD DENNIS
036427
PATTEN, DOUGLAS WARREN
028853
PATTERSON, CURLESS ANNE
024614
PATTERSON, GEORGE WASHINGTON 008855
PATTERSON, GLENDA MARIE
025012
PATTERSON, HOMER SCOTT
009578
PATTERSON, JOSEPH HANAN
005462
PATTERSON, LANCING C
035971
PATTERSON, PATRICIA FAYE
031176
PATTERSON, RANDOLPH EVANS
014292
PATTERSON, WILLIAM D
036428
PATTERSON, WILLIAM ORR JR
010729
PATTERSON, WINSTON CAMPBELL 033670
PATTON, GURDON RICHARD
033671
PATTON, HENRY MURRIEL
022861
PATTON, KIMBALL FRANKLIN
034435
PATTON, MARY LEE
022455
PATTON, ROBERT MARION
017258
PATWARDHAN, RAMESH VASANT
027420
PAUL, JAMES EDWARD
028854
PAUL, JOHN THOMAS
035725
PAUL, RAJENDRA
028855
PAULK, ELIJAH ALAN JR
009580
2138 SCENIC HIGHWAY, SUITED
SNELLVILLE
1807 WATERFORD PLACE
DALTON
P. 0. BOX 670
SYLVESTER
1191 BROOKVIEW DRIVE
ATHENS
400 SHIRLEY ROAD
ROYSTON
929 HOLLY HILL RD
MONROE
11205 ALPHARETTA HIGHWAY, SUITE B-6
ROSWELL
3812 CAMBRIDGE DRIVE
VALDOSTA
1900 PICADILLY CIRCLE, APT 6
DALTON
PO BOX 1108
FITZGERALD
800 E DOYLE ST
TOCCOA
1041 TALBOTTON ROAD
COLUMBUS
2192 OAKRILL COURT, NE
MARIETTA
354 CHULIO ROADS E
ROME
7618 EAGLE DRIVE
MIDLAND
PO BOX 1870
VIDALIA
3 NORTH PHEASANT RUN
ROME
1700 EAST PARK AVE
VALDOSTA
691 SOUTH 8TH STREET
GRIFFIN
4060 KESWICK DRIVE
ATLANTA
PO BOX 5311
ROME
1538-B WOODLAKE DRIVE
ATLANTA
2840 WARM SPRINGS RD, APT B-1
COLUMBUS
504 MARCLIFF DR.
VIDALIA
4487 SWEET GUM COURT
EVANS
466 BOULDER FORK
MARTINEZ
993-D JOHNSON FERRY ROAD, SUITE 100
ATLANTA
200 ST NEVON CROSSING
DULUTH
809 PEACHTREE STREET
LOUISVILLE
2779 DENNARD ROAD
CONYERS
3223 HOWELL MILL RD NE
ATLANTA
5080 WELLINGTON DRIVE
MACON
624 DIXIE ST
CARROLLTON
131 CHEROKEE RD.
THOMASTON
1405 CLIFTON ROAD NE, RADIOLOGY DEPT
ATLANTA
610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS
COLUMBUS
416-A FOURTH AVENUE
CORDELE
980 JOHNSON FERRY ROAD, SUITE 620
ATLANTA
ROUTE 6 BOX 142
EASTMAN
739 CARLYLE LAKE
DECATUR
3280 HOWELL MILL RD NW, SUITE T-18
ATLANTA
DEPT OF PEDIATRICS, 1405 CLIFTON RD NE
ATLANTA
UROLOGICAL PROF. ASSN., PO BOX 6535
MACON
FAMILY HEALTHCARE OF THOMASVILLE, 814 'B' GORDON AVE THOMASVILLE
550 PEACHTREE STREET,NE
ATLANTA
C/0 JACKSON & COKER LOCEM TENENS, 115 PERIMETER CENTE ATLANTA
610 - 19TH STREET
COLUMBUS
DEPT. OF MEDICINE, 69 BUTLER STREET
ATLANTA
412 MARTINDALE DRIVE
ALBANY
5278 ADAMS STREET
COVINGTON
PO BOX 80363
CONYERS
440 CHARTER BLVD., SUITE 3303
MACON
4403 HOLLY AVENUE
COLUMBUS
ST JOE'S MED OFF BLDG, SUITE 2-B, 11702 MERCY BLVD SAVANNAH
3810 DUMBARTON ROAD NW
ATLANTA
5059 WHITED WAY
LILBURN
PO BOX 30826
SAVANNAH
4553 N. SHALLOWFORD RD., SUITE 90-C
ATLANTA
GA 30278
52
GA 30720
11
GA 31791
GA 30606
08
GA 30662
17
GA 30655
03
GA 30076
17
GA 31602
33
GA 30720
10
GA 31750
36
GA 30577
32
GA 31904
17
GA 30062
10
GA 30161-9404 17
GA 31820
10
GA 30474
GA 30161
33
GA 31602
33
GA 30223
17
GA 30339
03
GA 30162-5311
GA 30329
17
GA 31904-5301 10
GA 30474
23
GA 30809
27
GA 30907
31
GA 30342
06
GA 30316
03
GA 30434
10
GA 30208
32
GA 30327
03
GA 31210
32
GA 30117
17
GA 30286
36
GA 30322
53
GA 31901
41
GA 31015
41
GA 30342
GA 31023
01
GA 30033
17
GA 30327
11
GA 30322
32
GA 31208-6535 52
GA 31792
10
GA 30365
05
GA 30346
05
GA 31901
33
GA 30303
17
GA 31707
10
GA 30209
17
GA 30208
03
GA 31210
17
GA 31904
05
GA 31419
41
GA 30327
03
GA 30247
23
GA 31410
47
GA 30350
05
Page No. 164
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PAULL, GERSON
035726 1931 MERCEDES CT, NE
PAULL, WILLIAM HENRY
035306 205-A REESE STREET
PAULSEN, ANNAMARIE SPILLANE 029066 1397 MANCHESTER DRIVE
PAVAMANI, E VICTOR
018411 2151 FOUNTAIN DRIVE, SUITE 305
PAYNE, DOLFORD FRANKLIN JR 021570 1938 PEACHTREE ROAD NE, SUITE 101
PAYNE, FRANKLIN EDWARD JR
013446 303 KENNELWORTH PLACE
PAYNE, JOHN F
010258 PO BOX 2968
PAYNE, LARRY JEFFREY
034217 1128 VINE ST NE
PAYNE, NETTLETON SWITZER, II 016406 993 JOHNSON FERRY RD NE# F, SUITE 100
PAYNE, PAMELA H
038067 4526 DORSET CIR
PAYNE, PAUL JUDSON
008858 652 CHURCH ST
PAYNE, PETER MICHAEL PAYNE, RICHARD ARTHUR
010633 DEPT OF OB-GYN, MEDICAL COLLEGE OF GEORGIA
013341 * 4454 RIVERCLIFF DRIVE
PAYNE, ROBERT A
010259 UROLOGY OF ATHENS, PA, 195 KING AVE
PAYNE, STANLEY R
016407 1206 FLEETWOOD DRIVE
PAYNE, TITUS DAVID
009579 7351 OLD MOON ROAD, PO BOX 7008
PAYNE, WILLIAM RICHARD
028856 958 A JOE F. HARRIS PARKWAY, SE,# 105
PAYNTER, STEVEN W
030853 P.O. BOX 1969
PAYTON, JOHN A.
018062 800 E DOYLE ST
PAYTON, VICTOR EMMAUEL
018412 1270 PRINCE AVE, SUITE 104 BOX 5955
PEACH, PAULE.
028623 BOX 336 - ROOSEVELT REHAB CENTER
PEACOCK, LAMAR BATTS
005372 3120 VERDUN DRIVE, NW
PEACOCK, LAMAR BONNER
034920 3109 NATALIE CIRCLE
PEACOCK, LISA MARIE
033672 5299 GARNABY LN
PEACOCK, RAY LOWELL JR
007555 1794 BLUE RIDGE DRIVE NE
PEARCE, TILLMAN ELDER, JR
007867 960 JOHNSON FERRY RD NE, SUIT 330
PEARSON, JEROME VIRGIL
024615 P. 0. BOX 5643
PEARSON, MICHELE LEONTYNE
038330 1826 CALIBRE WOODS DR NE
PEARSON, SUSAN KAYE LEAVITT 033782 2301 HENRY CLOWER BOULEVARD, BUILDING 1, SUITE B
PEARSON, THOMAS CONRAD
026011 1198 CLIFTON ROAD NE
PEARSON, VINCENT DIRIK
032970 1825 MARTHA BERRY BOULEVARD
PEARSON-SHAVER, ANTHONY LLOYD 028857 3024 HILL CREEK DRIVE
PEASANT, JOHN MARVIN
024055 3956 CORONET DRIVE
PECHENIK, BORIS
037643 2325 DRUID OAKS NE
PECHT, MELINDA DENISE BRITT 034436 318 W PIKE ST, SUITE 401
PEDEN, JAMES C., JR
032971 * 263 MISSION WALK
PEDERSEN, ROBERT A
021783 NORTH GA. NEUROLOGICAL INST., PO BOX 604
PEEBLES, JIMMY LEO
032451 1009 MONE SANO AVE
PEEL, JAMES ROBERT
036252 775 ROCKY BRANCH LANE
PEEL, JESSE R
017640 1661 MERTON RD NE
PEELER, RALPH DAVISON III
022862 3652 CHAMBLEE DUNWOODY ROAD
PEEPLES, JOHNNY ROY
033427 1308 FIR STREET
PEIKEN, ALAN STEPHEN
017259 SUITE B-30, 500 EIGHTEENTH STREET
PEIRCE, KENNETH EDWARD
015298 PHYSICIANS BUILDING, 1315 DELAUNEY AVE, SUITE 105
PEISEL, FRANCIS JAMES
019581 * 16 HASLETTER'S RETREAT
PELAEZ, FELIX
024172 195 UPPER RIVERDALE RD SW
PELEG, !KA IZCHAK
035189 3581 BUFORD HWY# 8
PELHAM-HARRIS, PATRICIA LYNN 029067 205 HANCOCK LANE
PELLE, ANDREA NANCY
034437 1415 CHASTAIN DRIVE
PELLER, JEFFREY STEVEN
027236 100 SADDLE MOUNTAIN ROAD
PELTIER, GORDON JEAN
015808 2987 GLOVER DRIVE
PELTZ, ROSEMONDE S
008329 755COMMERCE DRIVE, SUITE 912
PENA, ERIC ANTONIO
035115 2720 SHADOW PINE DRIVE
PENA, LEOPOLD ISAAC
011898 3812 AUSTELL RD
PENCE, ROBERT L JR
007257 P. 0. BOX 538
PENDERGRAST, WILLIAM JEFFERSON 015409 993-F JOHNSON FERRY ROAD, SUITE 350
PENDERGRAST, WILLIAM JEFFERSON 004773 478 PEACHTREE ST NE
PENDLETON, EUGENE .BANKS
016408 980 JOHNSON FERRY ROAD,, SUITE 1040
ATLANTA
GA
AMERICUS
GA
CONYERS
GA
SNELLVILLE GA
ATLANTA
GA
AUGUSTA
GA
THOMASVILLE GA
GAINESVILLE GA
ATLANTA
GA
DECATUR
GA
MARIETTA
GA
AUGUSTA
GA
LILBURN
GA
ATHENS
GA
LOOKOUT MTN GA
COLUMBUS
GA
CARTERSVILLE GA
DAL TON
GA
TOCCOA
GA
ATHENS
GA
WARM SPRINGS GA
ATLANTA
GA
AUGUSTA
GA
NORCROSS
GA
GAINESVILLE GA
ATLANTA
GA
ROME
GA
ATLANTA
GA
SNELLVILLE GA
ATLANTA
GA
ROME
GA
AUGUSTA
GA
COLUMBUS
GA
ATLANTA
GA
LAWRENCEVILLE GA
LAWRENCEVILLE GA
DALTON
GA
AUGUSTA
GA
EVANS
GA
ATLANTA
GA
CHAMBLEE
GA
EASTMAN
GA
COLUMBUS
GA
COLUMBUS
GA
SAVANNAH
GA
RIVERDALE
GA
ATLANTA
GA
ATHENS
GA
ATLANTA
GA
ROME
GA
CUMMING
GA
DECATUR
GA
ROSWELL
GA
MARIETTA
GA
METTER
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
30345-3939 31
31709
06
30207
33
30278
41
30309
41
30909
10
31799
28
30501-2544 27
30342-1645 23
30035
35
30060
46
30912
15
30247
01
30606
52
37350
28
31908
27
30120-2151 32
30722
10
30577
10
30604
32
31830
53
30305
17
30909
17
30092-2157 15
30501
32
30342
41
30162-5643
30329-3962 17
30278
33
30307
41
30165
05
30909
32
31907
30329-3276 03
30245-4866 15
30245-5891 53
30722-0604 23
30904-4643 17
30809-9721 17
30306-3003 33
30341
10
31023
32
31901
34
31901
04
31411
03
30274-2565 41
30329
17
30605
10
30342
03
30161
17
30130
08
30030
17
30076
17
30060
41
30439
10
30342
47
30308
41
30342
46
Page No. 165
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PENG, VINCENT TSENG PENNEBAKER, GORDON ELLIOTT
014656 155 MEDICAL WAY 038908 124 ACADIA DRIVE
RIVERDALE
GA
ROME
GA
PENNEL, TED M. PENNEY, DON WILLIAM PENNINGTON, ABIGAIL L ALLEN PENNINGTON, CHARLES ROYCE
029068 037331 029927 025380
PO BOX 1696, 102 HOSPITAL COURT 601-A PROFESSIONAL DRIVE, SUITE 200 2458-C WESLEY CHAPEL ROAD, #262 P. 0. BOX 444
CALHOUN
GA
LAWRENCEVILLE GA
DECATUR
GA
DILLARD
GA
PENNINGTON, CLAUDE L JR
006051
PENNINGTON, EDWARD EARL
015299
PENNINGTON, GEORGE PATTON
031814
PENNINGTON, JOHN A
015551
PENNINGTON, MARIAN FRANCES LAM 037644
P.O. BOX 1916 5555 PEACHTREE DUNWOODY RD NE, SUITE 206 2310 N. PATTERSON STREET, BLDG. C 3112 BUNKER HILL RD 2847 GREENROCK TRAIL
MACON
GA
ATLANTA
GA
VALDOSTA
GA
MARIETTA
GA
DORAVILLE
GA
PENNINGTON, WEEMS-R SR
004540 1118 ELBERTON HWY
LINCOLNTON GA
PENNINGTON, WEEMS RUFUS JR 014977 820 ST SEBASTIAN WAY, SUITE 2-A
AUGUSTA
GA
PENTECOST, MARK PIERSON JR 006963 35 COLLIER ROAD NW, SUITE 635
ATLANTA
GA
PEPPARD, SEAN B. PER-LEE, JOHN HENRY
028624 800 - 1ST STREET - SUITE 100, PO BOX 4508 009583 1365 CLIFTON DR NE, EMORY UNIVERSITY CLINIC
MACON
GA
ATLANTA
GA
PERDUE, GARLAND D JR
006693 1365 CLIFTON RD NE, EMORY UNIVERSITY CLINIC
ATLANTA
GA
PEREA, JAIME
013670 204 GRAND OAKS CIRCLE
ST SIMONS
GA
PEREIRA, GRAHAM !RAN
031097 158 SPRINGLAKES DRIVE
MARTINEZ
GA
PERERA, MENERIGAMA NIMAL
038068 347 COLLEGE ST, APT 1-B
MACON
GA
PEREZ, ANTONIO RAMON
011184 1136 CLEVELAND AVE, STE 621 SO FULTON MEDICAL ARTS EAST POINT GA
PEREZ, FERNANDO
028625 * RT 6, BOX 3986
CLEVELAND
GA
PEREZ, FERNANDO JAVIER PEREZ, HENRY PEREZ, JOSE ANTONIO
029228 029990 035973
120 WILD HERON ROAD 3629 HERMITAGE DRIVE 2745 BRIARCLIFF ROAD, APT 3
SAVANNAH
GA
DULUTH
GA
ATLANTA
GA
PEREZ, LUIS MANUEL
037888 724 PARK LANE
DECATUR
GA
PEREZ, RAFAEL LEUBA
028202 863 HEARTHSTONE DRIVE
STONE MOUNTAIN GA
PEREZ-ARROYO, HECTOR M
036253 2336 GOODWOOD BLVD
SMYRNA
GA
PEREZ-DELGADO, GEORGE L
021784 3354 ASHFORD-DUNWOODY ROAD
ATLANTA
GA
PEREZ-RALSTON, ISABEL JOSEFA C 035727 2803 PEACHTREE PLACE
AUGUSTA
GA
PERKEL, MICHAEL STEWART
019744 1790 MULKEY ROAD, SUITE 6-A
AUSTELL
GA
PERKERSON, RALPH BENTON JR 014293 * PO BOX 2909
KINGSLAND
GA
PERKINS, CAMERON SNEAD
038581 C/0 CLINPATH SERVICES, PC, PO BOX 148
DOUGLAS
GA
PERKINS, CHERYL ELAINE
036430 1921 ALICE STREET, SUITE 2-B
WAYCROSS
GA
PERKINS, DAVID DUANE
036431 811 OLD POST ROAD
MADISON
GA
PERKINS, EDWARD WILLIAM
036593 2003 PIONEER STREET, SUITE B
WAYCROSS
GA
PERKINS, HARRY DAVID
025472 5612 WHITESVILLE ROAD
COLUMBUS
GA
PERKINS, JACK B
010442 109 ROBIN HOOD ROAD, NE
ATLANTA
GA
PERKINS, JAMES MORRIS
007558 3400 PEACHTREE ROAD NE, SUITE 943
ATLANTA
GA
PERKINS, REX BEACH
010730 3802 BEYA WAY
DORAVILLE
GA
PERKINSON, NEIL GRAMLING
007638 5671 PEACHTREE-DUNWOODY RD NE, SUITE 640
ATLANTA
GA
PERKNER, JOHN JAMES
029359 1459 MONTREAL RD, S 204
TUCKER
GA
PERLING, DAVID SYLVAN
008543 5505 PEACHTREE DUNWOODY RD, SUITE 200
ATLANTA
GA
PERLING, LANCE HARLAN
030854 993-F JOHNSON FERRY, SUITE 100
ATLANTA
GA
PERLINO, CARL A
016958 EMORY CLINIC, CENTRAL CLINIC, 1365 CLIFTON RD, NE, RM ATLANTA
GA
PERLMAN, BRUCE STEPHEN
027628 300 PRIME POINT
PEACHTREE CITY GA
PERLOE, MARK
033674 285 BOULEVARD, N.E., SUITE 320
ATLANTA
GA
PERLOW, DAVID L.
025014 2520 WINDY HILL RD, #201
MARIETTA
GA
PERLOW, JOANS.
024854 7490 WILDERCLIFF DRIVE
ATLANTA
GA
PERLOW, STEVEN LEWIS
029750 4114 TREADDUR BAY LANE
NORCROSS
GA
PERLSTEIN, HARRIETTE SHERRY 031098 4738 VERMACK RIDGE
DUNWOODY
GA
PERLSTEIN, SUSAN S
017716 980 JOHNSON FERRY ROAD, SUITE 680
ATLANTA
GA
PERNETT, ALEJANDRO
029928 P.O. BOX 1510
HAZELHURST GA
PEROFSKY, HOWARD JAY
032452 682 HEMLOCK STREET, SUITE 230
MACON
GA
PERROW, GUERRANT HEATH
006323 201 EAST SPRING STREET
JASPER
GA
PERRY, BRUCE CLEMENT
037889 4339 COLL!NGHAM TRACE
MARIETTA
GA
PERRY, BYRON L
017479 833 CAMPBELL HILL ST, STE 115
MARIETTA
GA
PERRY, CARY ANN CUNNINGHAM 038332 1650 PENDLETON RD
AUGUSTA
GA
30274
06
30165
10
30703-1696 17
30245
44
30035
17
30537
31202
30
30342-1772 41
31602
41
30062-5420 03
30340
31
30817
01
30902
05
30309
13
31208
30
30322
53
30322
41
31522
33
30907
32
31201
10
30344-3618 50
30528
10
31419
01
30136
08
30329
21
52
30083
34
30080
17
30319
01
30909
33
30001
11
31548
36
31533
31
31501
32
30650
41
31501
10
31904
10
30309
03
30326
33
30340
48
30342
19
30084
11
30342
17
30342
23
30322
53
30269
17
30312
09
30067
52
30328
36
30092
52
30338
32
30342
33
31539
00
31201
47
30143
10
30068-2705 10
30090
30
30904-4802 15
Page No. 166
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PERRY, DONALD AVANT PERRY, GREGORY DOYLE PERRY, JOHN THEODORE PERRY, RICHARD FRANKLIN PERRY, TERILYN CASSANDRA PERRYMAN, GEORGE LEONARD, III PERSAD-MAHARAJ, SURESH PERSON, GARY KENT PERSON, ROBERT GOODWIN PESCHAU, JOHN B JR PESKIN, HERMAN PESKOE, STANLEY THOMAS PESSON, CHARLES MATTHEW PETEET, DAVID DENNIE PETEET, PAUL HAL PETERMAN, SUSAN BROTHERS PETERMAN, THOMAS ALAN PETERS, HANS JURGEN PETERS, JAMES DARREL PETERSEN, LYLE ROBERT PETERSON, FREDERICK M PETERSON, HERBERT BRYSON PETERSON, LOUIS HAYWARD PETKOVICH, MILA PETREA, JESSIE LEWIS PETREY, CAROLYN BARNWELL PETREY, DALLAS EARL PETRIDES, GEORGE PETRUS PETRONIO, JOSEPH ANTHONY PETROS, JOHN ANTHONY PETROS, TERESA MARIE BASTIAN! PETROSKY, MICHAEL PETRY, GARY L PETRY, L. JEANNINE PETTIGNANO, ROBERT PETTIGREW, DEE WILLIAM, III PETTIGREW, RODERIC IVAN PETTITT, BARBARA JEAN PETWAY, JAMES MICHAEL PEZZIN, ROBERT JOSEPH PFEIFER, MARGARET ELIZABETH PFEIFFER, RICHARD JAMES PFISTER, WILLIAM CHARLES PHAM, CHUC VAN PHAM, LOC NGOC PHAM, MAI-ANH PHELAN, BRIAN KEVIN PHELAN, ELNA T PHELPS, GREGORY LANGE PHELPS, KAREN SUE PHELPS, PAUL GALEY PHELPS, PAUL RAYMOND SR PHELTS, ANGUS PSALMOND, III PHILBRICK, THOMAS HERBERT PHILEN, ROSSANNE MCELROY PHILLIPPI, KEITH NORRIS PHILLIPS, ALPHEUS MAYNARD JR PHILLIPS, ANDRO P
019979 RT 4, BOX 525K 036594 1650 PENDLETON ROAD 027421 962 JOE FRANK HARRIS PKY SE 037044 SE GA REGIONAL MED CTR/MED STAFF, 3100 KEMBLE AVE 035974 905 CENTER STREET 034922 120 HAMDEN FOREST TRAIL 017717 361 B COMMERCIAL DRIVE 029751 740 PRINCE AVENUE 032018 PAULDING COUNTY MEDICINE, PO BOX 166 004050 3750 PEACHTREE ROAD NE, APT 457 007259 820 ST SEBASTIAN WAY, SUITE 7-A 017263 857 ORANGE TERRACE 035728 1668 MULKEY ROAD, SUITE A 021269 149 WOOD LAWN AVENUE 030183 1160 TANGLE DRIVE 026913 487 BURLINGTON ROAD 032803 487 BURLINGTON RD 009039 ST FRANCIS HOSP LAB, P.O. BOX 4338 036595 PO BOX 368 035729 1209 SPRINGDALE RD, NE 017480 PO BOX 369 025015 2384 LEAFMORE DRIVE 031815 PO BOX 1095 017481 13104 STILLWOOD DRIVE 033875 705 LEGION DR 026914 881 CEDAR TRACE
024058 * 2157 IDLEWOOD ROAD
017415 3728 FOXFIRE PLACE 037332 THE EMORY CLINIC-NEUROSURGERY, 1327 CLIFTON ROAD NE 037333 EMORY UNIV, 1365 CLIFTON RD, NE 037334 5291 FERN PARK COURT 030855 3377 BLACKBRIDLE WALK 021270 367 BROOKSHIRE DRIVE 028450 431 FOLKSTONE COURT 030527 1165 EMPIRE ROAD 031099 1271 SUMMIT DR 027106 3514 PRINCE GEORGE STREET 027629 1733 TROTTERS LANE 021271 1504 WALKERS RIDGE DRIVE 021785 504 N MAIN ST 038583 247 BROAD ST 023203 8005 MONTICELLO DRIVE 020344 315 W. 24TH STREET 026916 5749 PROUD CLARION CT. 029360 PO BOX 620065 033677 1675 RAINIER FALLS DR 027422 818 ST SEBASTIAN WAY, SUITE 404 016959 184 EAST PARKWOOD ROAD 034042 581 OLD R!OGE RD 036432 4140 KNOLLCREST CIR 024059 432 PRINCETON WAYNE 011990 100 RIVER NORTH BLVD 024060 1800 WARM SPRINGS ROAD, P.O. BOX 5354 023492 503 EISENHOWER DRIVE, P.O. BOX 14444 024061 3170 BOLERO WAY 036845 RT 3, aox 102 007870 420 CHARTER BLVD, SUITE 401 007709 323 E JONES ST
THOMASVILLE GA
AUGUSTA
GA
CARTERSVILLE GA
BRUNSWICK
GA
COLUMBUS
GA
ATLANTA
GA
SAVANNAH
GA
ATHENS
GA
DALLAS
GA
ATLANTA
GA
AUGUSTA
GA
MACON
GA
AUSTELL
GA
DECATUR
GA
ATHENS
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
DUBLIN
GA
ATLANTA
GA
FITZGERALD GA
DECATUR
GA
MACON
GA
SAVANNAH
GA
EASTMAN
GA
LILBURN
GA
TUCKER
GA
MARTINEZ
GA
ATLANTA
GA
ATLANTA
GA
NORCROSS
GA
MARIETTA
GA
LILBURN
GA
AUGUSTA
GA
ATLANTA
GA
WATKINSVILLE GA
EAST POINT GA
STONE MOUNTAIN GA
MARIETTA
GA
CEDARTOWN
GA
AUGUSTA
GA
DUNWOODY
GA
TIFTON
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
DECATUR
GA
MACON
GA
MARTINEZ
GA
ATLANTA
GA
MACON
GA
COLUMBUS
GA
SAVANNAH
GA
ATLANTA
GA
TIFTON
GA
MACON
GA
SAVANNAH
GA
31792
03
30904
15
30120-2142 41
31520-4251 08
31901
32
30331
10
31406
15
30601
15
30132
10
30319
33
30902
17
31201
22
30001
46
30030
17
30606
17
30307
17
30307
53
31995
31
31040
46
30306
17
31750
01
30033
25
31202
32
31419
31
31023-2235 33
30247
30084
30907
03
30322
44
30322
52
30092
32
30067
47
30247
17
30907
10
30329
32
30677
08
30344
24
30087
32
30064
34
30125
01
30901
15
30338
17
31794
31
31210
30362
01
30329
17
30901
05
30030
16
31211
10
30907-1671 10
30307
17
31211
41
31906
17
31416-1444 36
30341
31794
03
31210
46
31401
01
Page No. 167
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PHILLIPS, DERRICK DURRAN
029514
PHILLIPS, ESTHER CAMPBELL
032633
PHILLIPS, JAMES E
011032
PHILLIPS, JOE MORRISON, JR. 010260
PHILLIPS, KEITH MARSHALL
031648
PHILLIPS, LAWRENCE STONE
025016
PHILLIPS, LYMAN A JR
016481
PHILLIPS, MAMIE LEE
021338
PHILLIPS, MARVIN THOMAS, Ill 032972
PHILLIPS, MELISSA JANE
029515
PHILLIPS, PETER
013783
PHILLIPS, ROBERT L
016826
PHILLIPS, ROGER STEVE
030185
PH I LL! PS, ROGSBERT FRENZEL 023493
PHILLIPS, THOMAS WILSON
012112
PHILLIPS, TIMOTHY WARREN
026169
PHILLIPS, VAL MICHAEL
025017
PHILLIPS, WENDELL EVERETT JR 012739
PHILLIPS, WILLIAM EUGENE, II 037646
PHILLIPS, WILLIAM GARY
033430
PHILPOT, DESAUSSURE FORD, JR 007710
PHILPOT, THOMAS EDGAR
032453
PHOENIX-DAVIS, DEBBIE DOREEN 035500
PIATT, EDWARD D JR
012358
PIAZZA, ANTONY JOSEPH
038910
PICKENS, FRANK MAJOR
016268
PICKENS, JAMES CAIN
010262
PICKETT, CHARLTON JUDSON
030528
PICKETT, CLIFFORD, JR
035116
PICKFORD, LARRY BRUCE
016531
PICKFORD, MICHAEL JOHN
024063
PICO, MARIA ROSARIO
035731
PICON, HECTOR RAFAEL
032022
PIEDMONT, JEANETTE MARIE
017404
PIERCE, CLOVIS H.
036254
PIERCE, DAVID MCDONALD
029930
PIERCE, LARRY H
015886
PIERDINOCK, MARSHA GAIL
036846
PIERZC_HAJLO, RICHARD PETER JOS 022620
PIERZCHALA, THOMAS HENRY
033431
PIHL, BO GUNNAR ALFRED
018246
PIKE, BENJAMIN FULTON
016960
PIKHOLZ, GAIL BEULAH
035501
PILCHER, ALTON REGINALD
027238
PILCHER, BOBBY LAMAR
009587
PILCHER, JAMES WRIGHT JR
014541
PILCHER, ROBERT SUMNER
032273
PILCHER, WILLIAM CAIN
032024
PILON, ROBERT NIELSEN
020471
PILZER, EDITH ANN SCHEAR
025019
PIMENTEL, JUAN LUIS
031547
PINE, JEFFREY R
015971
PINERO, DIONISIO A
016409
PINHOLSTER, CECIL GLENN
027631
PINKERTON, ELIZABETH WILLIAMS 033876
PINKERTON, STEPHEN FRANK
033877
PINKUS, HARRY ELI
036847
PINNER, ROBERT WILLIAM
024065
360 HOSPITAL DRIVE, BLDG D, SUITE 130 1970 CLIFF VALLEY WAY, SUITE 101 4946 BRITTANY DRIVE 191 CHEROKEE STREET 2063 DEBORAH DRIVE NE 1365 CLIFTON RD, EMORY CLINIC RT. 1, BOX 304 B 1311 CLEVELAND AVE, SUITE 307 650 BROAD STREET SE 2007 OLD LAFAYETTE ROAD 1071 OXFORD ROAD PO BOX 937 6470 RIVER CHASE CIRCLE 4150 SNAPFINGER WOODS DR, SUITE 100 1000 JOHNSON FERRY ROAD NE 1143 PRINCE AVENUE 130 NATIONAL DRIVE 11050 CRABAPPLE RD, SUITE 104 3018 RIDGECREST DR 436 CAMBRIDGE WAY 611 BOURNE PLACE 3150 VILLAGE WEST DRIVE 2 ROBERTS STREET 9 MEDICAL ARTS CENTER 412 CARLYLE LAKE 943 CLIFTON ROAD 800 E DOYLE ST 1417 PENDLETON ROAD 2525 CUMBERLAND PARKWAY 3540 DULUTH PARK LANE, SUITE 120 696 W PIKE ST, SDUITE 470 4529 HOLSTEIN HILL DRIVE HARBIN CLINIC, 1825 MARTHA BERRY BLVD 3696 WATERFORD PLACE PULASKI PROFESSIONAL BLDG B 2412 NORTH OAK STREET 1267 INTERSTATE PARKWAY DIGESTIVE DISEASE ASSOC, 1909 ABERDEEN ROAD 1610 JOHN ORR DRIVE, PO BOX 7010 1920 EUHARLEE ROAD 3130 FIELDING DRIVE 2300 MANCHESTER EXP BLD B, ST FRANCIS MEDICAL PARK 3000 JOHNSON FERRY RD, SUITE 216 1222 WOODVALLEY DRIVE 102 HOSPITAL DRIVE 1203 MEMORIAL DRIVE 1961 OAK GROVE RD NE 697 WILLIVEE DR 111 WHIPPOORWILL PLACE 5455 MERIDIAN MARK RD, SUITE 560 4140 SPRING MANOR 1365 CLIFTON RD NE, PULMONARY DEPT - 4TH FLOOR PO BOX 1067 101 RIVERBOTTOM CIRCLE 261 BRASWELL STREET 261 BRASWELL STREET 3071-16 LENOX ROAD NE 820 YORKSHIRE ROAD, NE
MACON
GA
ATLANTA
GA
MACON
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
HULL
GA
EAST POINT GA
GAINESVILLE GA
FT. OGLETHORPE GA
ATLANTA
GA
JESUP
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATHENS
GA
DULUTH
GA
ROSWELL
GA
AUGUSTA
GA
MARTINEZ
GA
AUGUSTA
GA
AUGUSTA
GA
SAVANNAH
GA
SAVANNAH
GA
DECATUR
GA
ATLANTA
GA
TOCCOA
GA
AUGUSTA
GA
ATLANTA
GA
DULUTH
GA
LAWRENCEVILLE GA
NORCROSS
GA
ROME
GA
CLARKSTON
GA
HAWKINSVILLE GA
VALDOSTA
GA
AUGUSTA
GA
ALBANY
GA
Tl FTON
GA
KINGSTON
GA
ATLANTA
GA
COLUMBUS
GA
MARIETTA
GA
AUGUSTA
GA
WARNER ROBINS GA
DALTON
GA
ATLANTA
GA
DECATUR
GA
ATHENS
GA
ATLANTA
GA
TUCKER
GA
ATLANTA
GA
MILLEDGEVILLE GA
ATHENS
GA
TOCCOA
GA
TOCCOA
GA
ATLANTA
GA
ATLANTA
GA
31201
46
30329
33
31210
31
30060
15
30345-3917 04
30322
09
30646
01
30344-4 32
30505
32
30742
10
30306
36
31545
10
30328
31
30035-3417
30342-1311 36
30606
44
30136
36
30075
15
30907
36
30907
10
30904-4357 33
30907
03
31408
10
31405
36
30033
32
30307
17
30577
15
30904
10
30339
17
30136
30
30245-3300
30092-1381 06
30165
05
30021
33
31036
15
31602
00
30909
06
31701
11
31794
10
30145
10
30345
47
31904
11
30062-5683 32
30909
32
31088
36
30720
11
30345
28
30033
17
30605
03
30342
32
30084-2597 17
30322
34
31061
31
30606
08
30577
32
30577
40
30324
36
30306
Page No. 168
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PINTO, ALBERT P PIPER, KAREN M. LYNN PIPKIN, NICKY LYNN PIRATZKY, JOANNE HAZEL PIRKLE, CECIL HEARD PIRKLE, JAMES LESTER PIRKLE, QUENTIN R SR PIRKLE, QUENTIN ROOSEVELT JR PIRKLE, THOMAS NELSON PIROS, GEORGE P. PIROS, JUDITH M PIROZZI, DONALD JUDE PIRTLE, RONALD CLAYTON PISCHKE, FRANK JOHN PITCHER, MARY CATHRENE PITT, ROGER MCCOY PITTA-ALVAREZ, AFRICA PITTARI, JOHN J. PITTMAN, CLYDE EDWIN PITTMAN, FRANKS III PITTMAN, HOUSTON HARRIS PITTMAN, JOHN OLIVER PITTS, JOHN EDWARD PITTS, MELVIN CRUSE, II PITTS, ROBERT BRIAN PITTS, STEPHEN ROY PITTS, WARREN MARCUS, JR. PIYASENA, DONA SUNETHA PIYASENA, K HARISCHANDRA G PIZA, HECTOR PIZARRO, RAMON ALFONSO PLATNER, ROBERT CHARLES PLATT, LYNNE ANNE HENDRICKS PLATT, SUSAN SCHUHLEIN PLATTNER, LORA JEAN PLAUTH, WILLIAM HENRY JR PLAXICO, DAVID THOMAS PLAYER, ESTHER MENITA PLEMMONS, RONALD LAWRENCE PLEMONS, MICHAEL ROLAND PLOSKA, PHILIP GREGORY PLOUFFE, LEO JR PLOWDEN, JOHN SAMUEL, JR PLOWMAN, KENT M PLUMMER, ALAN LANE POAG, JOYCE HOUSTON POBLETE, LETICIA Q POBLETE, ROGELIO C POCHATKO, DAVID JOHN PODOBNIKAR, MICHAEL FRANK JR POE, BOOKER TALIAAFERRO POEHLMAN, JOHN HOWARD POGUE, ROBERT HUNTER POHL, STEPHENS. POINDEXTER, JAMES M., JR. POLAK, JOHN HAROLD POLAND, DONALD EUGENE POLEKOFF, JEFFREY PAUL
011033 960 JOHNSON FERRY RD NE, SUITE 245
ATLANTA
GA
031649 4772 BRASAC DRIVE
STONE MOUNTAIN GA
035732 #2 WHEELER STREET
SAVANNAH
GA
032454 8820 NIBLICK DRIVE
006465 * 999 CREST VALLEY ROAD
ALPHARETTA GA
ATLANTA
GA
024324 3919 CARDINAL COURT
TUCKER
GA
004658 1313 DRESDEN DR NE
ATLANTA
GA
017030 105 COLLIER ROAD NW, SUITE 2070
ATLANTA
GA
007872 628 LAKEWOOD DRIVE
LAGRANGE
GA
028860 PO BOX 14444
SAVANNAH
GA
034444 2 JACKSON BLVD, PO BOX 13919
SAVANNAH
GA
016659 105 COLLIER RD. N.W., SUITE 2060
ATLANTA
GA
013784 1841 ELLIOTT ROAD
MCDONOUGH
GA
026618 4045 VINEVILLE AVE
MACON
GA
035310 643 CAMPBELL HILL ST NW
MARIETTA
GA
035976 5455 MERIDIAN MARK ROAD, #570
ATLANTA
GA
035733 721 FRIENDSHIP RIDGE COURT
POWDER SPRINGS GA
029753 RADIOLOGY DEPT, MEMORIAL HOSPITAL
BAINBRIDGE GA
035502 1340 SUMMIT DRIVE
WATKINSVILLE GA
009231 960 JOHNSON FERRY RD NE 543
ATLANTA
GA
018065 304 SHORTER AVE, SUITE 201
ROME
GA
037045 834 BRIARCLIFF RD NE, APT 7
ATLANTA
GA
021572 3540 DULUTH PARK LANE, SUITE 150
DULUTH
GA
033176 1790 REDBOURNE DRIVE
ATLANTA
GA
027891 802 DIXIE STREET
CARROLLTON GA
024066 5775 HEARDS FOREST DR NW
ATLANTA
GA
031177 3623 J. DEWEY GRAY CIRCLE, SUITE 302
AUGUSTA
GA
017096 820 HEARDS FERRY ROAD
ATLANTA
GA
017078 6555 PROFESSIONAL PL, SUITE C
022328 MILLEDGEVILLE GEN & LAPAROSCOPIC, SURGERY
RIVERDALE
GA
811 NCO MILLEDGEVILLE GA
037336 366 HABERSHAM RD
MARTINEZ
GA
035319 2431 CLAIRMONT LANE
ATLANTA
GA
034439 12918 STILLWOOD DRIVE
SAVANNAH
GA
023399 949 NORTH HARRISTON ROAD
STONE MOUNTAIN GA
036255 2471 BLACKMON DR
DECATUR
GA
014207 THE CHILDRENS HEART CENTER, 2040 RIDGEWOOD DRIVE
ATLANTA
GA
022621 2076 INGLESIDE AVE
MACON
GA
033880 440 HIGH CREEK TRACE
ROSWELL
GA
034440 808 13TH ST
AUGUSTA
GA
024325 998 WILDWOOD RD NE
ATLANTA
GA
036848 425 WINGED FOOT DRIVE
MCDONOUGH
GA
027239 MCG - CK-170 OB/GYN, REPRODUCTIVE/ENDOCRINOLOGY SECT! AUGUSTA
GA
034043 1110 DRUID LAKE
DECATUR
GA
017872 3104 SUSSEX ROAD
AUGUSTA
GA
014657 1365 CLIFTON ROAD NE
ATLANTA
GA
021355 509 N COBB ST, SUITE 4
MILL~DGEVILLE GA
018324 605 S MAIN ST, 38F
BAXLEY
GA
018247 605 S MAIN
BAXLEY
GA
036599 1891-B BRIARCLIFF CIRCLE NE
ATLANTA
GA
015972 PO BOX 510
STOCKBRIDGE GA
010264 2600 MLK DRIVES W, SUITE 202
ATLANTA
GA
015606 DALTON CARDIOLOGY, P.C., 1436 BROADRICK DRIVE
025246 * 200 GALLERIA PKY NW, SUITE 1260
DALTON
GA
ATLANTA
GA
027107 7 MYRTLEWOOD DRIVE
SAVANNAH
GA
029071 315 BLVD, NE SUITE 316
ATLANTA
GA
031100 3583 STEVENS WAY
MARTINEZ
GA
031101 696 PIKE STREET, SUITE 360
LAWRENCEVILLE GA
036434 1915 VAUGHN ROAD
KENNESAW
GA
30342
15
30083
10
31405
40
30201
31
30327
11
30084
30319
01
30309
17
30240
36
31416-1444 36
31416
27
30309
01
30253
08
31210
30
30060
15
30342
41
30073-4467 17
36
30677
47
30342
12
30165
44
30306-4096 05
30136
32
30350
03
30117
30328-4756 17
30909
11
30328
53
30274-2519 17
31061
41
30907
36
30329
32
31419
32
30083
17
30033
06
30322
32
31204
04
30076
32
30901-2748 OC
30306-3015 36
30253
28
30912
15
30033
05
30909
17
30322
34
31061
01
31513
01
31513
01
30329
28
30281-0510 41
30311
32
30720
05
30339-3151 09
31405
10
30312
41
30907-9560 10
30245
27
30144
17
Page No. 169
NAME
POLGLASE, ROBERT FERRIS POLHILL, JAMES BROWN POLIZOS, VICTOR GUS POLLACK, ALEXANDER L. POLLACK, MARJORIE PATRICIA POLLACK, ROSS BRIAN POLLARD, ZANE F POLLET, ROBERT JAMES POLLOCK, CHARLES EUGENE POLLOCK, DANIEL ABNER POLLOCK, JOHN EDWARD JR POLLOCK, MARK TAFFEL POLLOCK, RICHARD ALLISON POLOKOFF, JAY HOWARD POLOW, SARAH JANE POMERANCE, ALAN JAY POMEROY, WILLIAM L JR PONCE DE LEON, ALDOFO PONGSOMBOON, CHAVALIT PAUL PONT, MICHAEL STUART PONTERIO, ALBERT EDWARD POOL, LELAND LEON POOL, WINFORD H JR POOLE, ROBERT NEIL POOLE, SAMUEL OUTLER POON, GLENN SIK HEE POPE, EUGENE JEROME JR POPE, JAMES CHANDLER POPE, JAMES TERRELL POPE, LESLIE ANNE POPE, MYRA VIOLA MCCOY POPE, SETH ALEX PORQUEZ, JOSE MARIE HICETA PORTEE, SIMON EUGENE PORTER, CEDRIC ELMER PORTER, HARRY JR PORTER, JERRY D PORTER, JOHN GILBERTSON PORTER, KATHARINE MINOT PORTER, MAC WILLYS PORTER, MARY JUDITH PORTMAN, BERNARD MAYER PORTMAN, EDWARD MALCOLM PORTNER, JEFFREY HOWARD PORTWINE, EUGENE FREDERICK PORUBSKY, EDWARDS POSADA, JUAN DIEGO POSAS, HERNAN NUNEZ, JR POSNER, GEOFFREY M POSS, MICHAEL ANTHONY POSTMA, MICHAEL PETER POTITONG, BANLU POTITONG, PRATOOM POTTER, BETTE CAVALLO POTTER, JACK BENSON, JR. POTTER, PHILLIP LYNN POTTS, JOHN M JR POU, LEO H JR
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
037338 018066 022956 028627 023205 020794 015301 034687 008544 026359 009589 032275 012542 026051 024067 019412 009912 011673 025248 035503 036256 007263 006696 007639 006053 017268 022264 013236 017017 024855 020937 023710 016482 033177 029363 012184 019749 026620 026171 014294 032635 007874 016660 034688 027240 016410 038912 032026 016661 033881 033434 015303 015304 029364 029755 034220 017642 005785
341 BERCKMANS ROAD
AUGUSTA
GA
JEFFERSON HOSPITAL, SUITE 106
LOUISVILLE GA
427 MORELAND AVE NE, SUITE 400
ATLANTA
GA
965 MCDONOUGH RD
JACKSON
GA
2057 CLAIRMEADE WAY
ATLANTA
GA
PALISADES@ WEST PACES, 3200 DOWNWOOD CIR ST 300
ATLANTA
GA
5455 MERIDIAN MARK ROAD, SUITE 220
ATLANTA
GA
170 HURT STREET, NE
ATLANTA
GA
123 GORDON ST
WASHINGTON GA
1454 CORNELL ROAD, NE
ATLANTA
GA
123 GORDON ST
WASHINGTON GA
2801 NOTH DECATUR ROAD, SUITE 180
DECATUR
GA
PIEDMONT PROF BLDG - SUITE 5040, 105 COLLIER ROAD NW ATLANTA
GA
3965 HOLCOMB BRIDGE ROAD, SUITE 100
NORCROSS
GA
PO BOX 1225
CHATSWORTH GA
1462 MONTREAL ROAD, SUITE 412
TUCKER
GA
PO BOX 1889
WAYCROSS
GA
1649 TULLIE CIRCLE, SUITE 112
ATLANTA
GA
415 FOURTH AVE EAST
CORDELE
GA
5305 BALDWIN RIDGE TRAIL
MARIETTA
GA
IBM CORPORATION, 4111 NORTHSIDE PARKWAY
ATLANTA
GA
788 SHERWOOD ROAD NW
GAINESVILLE GA
77 E ANDREWS DRIVE NW, APT 257
ATLANTA
GA
1150 HAMMOND DRIVE, SUITE C-3100
ATLANTA
GA
710 BROAD ST SE
GAINESVILLE GA
33 CHESTNUT ST
ELBERTON
GA
1700 HOSPITAL SOUTH DRIE, SUITE 302
AUSTELL
GA
619 DIXIE ST
CARROLLTON GA
310 HOSPITAL DRIVE, SUITE 200
MACON
GA
1462 MONTREAL ROAD, SUITE 412
TUCKER
GA
900 MARTIN L KING JR BLVD
SAVANNAH
GA
2150 PEACHFORD ROAD, SUITE Q
ATLANTA
GA
P. 0. BOX 191
MONROE
GA
5193 OLIVIA TRAIL
STONE MOUNTAIN GA
RT 1, BOX 40
SWAINSBORO GA
2700 CUMBERLAND PKWY., SUITE 110
ATLANTA
GA
19 BALL CREEK WAY
ATLANTA
GA
5251 PEACHTREE DUNWOODY RD.
ATLANTA
GA
776 DIXIE AVE., N. E.
ATLANTA
GA
2258 NORTHLAKE PKWY, SUITE 104
TUCKER
GA
550 PEACHTREE STREET NE
ATLANTA
GA
5102 PAULSEN ST, BUILDING 3
SAVANNAH
GA
144 PONCE DE LEON
ATLANTA
GA
601-B MCNAIR LANE
ATLANTA
GA
400 LISTER STREET
WAYCROSS
GA
711 RAVENEL RD
AUGUSTA
GA
303 CALIBRE WOODS DRIVE
ATLANTA
GA
2402 NORTH VALDOSTA ROAD
VALDOSTA
GA
5155 VERNON SPRINGS TRL. N.W.
ATLANTA
GA
362 HARDY RD
WHITESBURG GA
6948 WETHERSFIELD ROAD
COLUMBUS
GA
PO BOX 752
THOMASTON
GA
216 ARROWHEAD BLVD
JONESBORO
GA
5555 PEACHTREE-DUNWOODY ROAD, SUITE 185
ATLANTA
GA
960 JOHNSON FERRY ROAD, SUITE 450
ATLANTA
GA
5201 LONG ISLAND DRIVE
ATLANTA
GA
115 KATHI AVENUE
FAYETTEVILLE GA
8397 CARLTON ROAD
RIVERDALE
GA
30909
08
30434
10
30307
32
30233-1500 41
30329
30327
06
30342
32
30307
30674
41
30306
08
30674
10
30033
34
30309-1731 30
30092
32
30705
17
30084
15
31502
17
30329
33
31015
52
30068
36
30327
17
30501
03
30305-1329 36
30328
32
30505
05
30635
10
30001
05
30117
50
31201
15
30084
15
31401
10
30338
01
30655
41
30088
10
30401
10
30339
33
30350
31
30342
03
30307
30084-4003 10
30365
17
31405
32
30308
13
30310
31501
30
30909-1835 30
30329
17
31602
23
30327
27
30185-9416 10
31904
36
30286
17
30236
32
30342
06
30342
04
30327
15
30214
32
30296
03
Page No. 170
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
POULOS, PHILLIP RICHARD
022622 405 BENNINGTON LANE
ALBANY
GA 31707
17
POUND, EDWIN C JR
007264 993-C JOHNSON FERRY ROAD #210
ATLANTA
GA 30342
47
POUND, EDWIN CURRIER, III
029073 993-C JOHNSON FERRY ROAD, SUITE 210
ATLANTA
GA 30342
47
POUND, WILLIAM E
005051 3025 VISTA PLACE
MACON
GA 31204
10
POW-ANPONGKUL, SOMNUK
029756 P.O. BOX 1077
DOUGLAS
GA 31533
36
POWELL, BARBARA ANN
009914 PO BOX 14159
AUGUSTA
GA 30919-0159 15
POWELL, CINDY DAWN
036850 1320 MIDDLESEX AVE NE
ATLANTA
GA 30306
17
POWELL, DOUGL.AS FRANKL! N
024328 285 BOULEVARD NE, SUITE 310
ATLANTA
GA 30312-4205
POWELL, GEORGE KECK POWELL, JACK HANSON JR
022173 1717 KINGS CT 005914 PAPP CLINIC PA, 15 CAVENDER STREET
GROVETOWN
GA 30813
41
NEWNAN
GA 30263
41
POWELL, JACK HANSON, III
019750 PAPP CLINIC, 15 CAVENDER STREET
NEWNAN
GA 30263
01
POWELL, JAMES WHITLOW
009591 1978 THOMAS DRIVE
BAINBRIDGE GA 31717
36
POWELL, JOHN MICHAEL
029932 2317 SPURGEON STREET
WAYCROSS
GA 31501
00
POWELL, LAWRENCE DONALD
038915 6262 HAMILTON RD
COLUMBUS
GA 31909
10
POWELL, MARY MARTHA MARTIN 029232 PO BOX 1147
THOMSON
GA 30824
17
POWELL, MICHAEL EDWARD
020589 295 OAKBOND DRIVE
ATHENS
GA 30606
30
POWELL, MICHAEL FRANKLIN
023663 600 WARE STREET
THOMSON
GA 30824
POWELL, OTIS S., JR
025814 4920 CANYON LAKE DR.
COLLEGE PARK GA 30349
10
POWELL, ROY JR
019981 520 CHARTER BLVD, SUITE 200
MACON
GA 31210
41
POWELL, WILLIE LAFAYETTE, JR 032636 170 BRAMBLEBUSH CHASE
FAIRBURN
GA 30213
10
POWERS, EDGAR BERTRAM
020143 5635 PEACHTREE PARKWAY, HWY 141 SUITE 100
NORCROSS
GA 30092
10
POWERS, LEANDER K
004407 901 EAST 67TH STREET
SAVANNAH
GA 31405
10
POWERS, ROBERT WILSON
016411 105 COLLIER ROAD NW, SUITE 1020
ATLANTA
GA 30309
41
PRABHAKAR, RAM C
036600 6524 PROFESSIONAL PLACE
RIVERDALE
GA 30274
47
PRADA, OSCAR
015033 1842 441 NORTH
DUBLIN
GA 31021
10
PRADHAN, AVINASH C
030661 1201 SHAMROCK DR
DUBLIN
GA 31021
17
PRADHAN, MEDHA ANIVASH
024857 SOU. PAIN CONTROL CTR, INC, 150 MEDICAL WAY - SUITED RIVERDALE
GA 30274
PRASAD, RAYASAM VS
020795 6567 PROFESSIONAL PL.
RIVERDALE
GA 30274
32
PRASSE, KAREN WIRTJES
030419 293 PONDEROSA DRIVE
ATHENS
GA 30605
10
PRATER, GRETCHEN ROSANNE POETS 033432 1190 DALEV!EW CT
NORCROSS
GA 30093
32
PRATER, RUBEN BURT JR
011795 4360 CHAMBLEE DUNWOODY ROAD, SUITE 202
ATLANTA
GA 30341
10
PRATHER, JOHN WILLIAM
026621 3 BROMPTON COURT
SAVANNAH
GA 31410
33
PRATHER, STUART HOLMES III
027635 445 SCOTTS WAY
AUGUSTA
GA 30909
36
PRATHER, STUART HOLMES JR
006055 SUITE 112 - HUMANA HOSP. PLAZA, 3623 J DEWEY GREY CIR AUGUSTA
GA 30909
36
PRATT, FRANK G JR
018538 3 HILLDLE LANES W
ROME
GA 30165
33
PRATT, MELODY HENRIETTA
033679 8550 VALEMONT DRIVE NW
ATLANTA
GA 30350
17
PRATT, SUZANNE GARRETT
016412 909 NORTH 5TH AVE
ROME
GA 30165
13
PREACHER, CHARLES EDWARD
012952 3400 PEACHTREE ROAD, SUITE 915
ATLANTA
GA 30326
33
PREAS, STEPHEN G
019752 1966 CLAIRMONT RD
DECATUR
GA 30033
33
PRESNELL, RICHARD WESLEY
025250 2808 SCARLETT DRIVE
AUGUSTA
GA 30909
22
PRESTON, EDWIN NOEL
011034 6063 PEACHTREE PARKWAY, SUITE 202-A
NORCROSS
GA 30092
32
PREVOST, MAURICE GEORGES
026918 612 W GORDON ST
THOMASVILLE GA 30286
PREVOST!, LOUIS GREGORY
034923 5671 PEACHTREE DUNWOODY RD NE, SUITE 550
ATLANTA
GA 30342-5000 05
PRICE, ALLAN ERNEST
033680 OLINE TEAGUE VETERANS CENTER, 3000 OLD ALABAMA ROAD ALPHARETTA GA 30201
17
PRICE, BILLY RAY, II
030856 FAMILY PRACTICE ASSOCIATES, PO BOX 2307 - 6 HOSPITAL MOULTRIE
GA 31776
10
PRICE, CAROL LEIGH
036851 1444 BRIAROAKS TRAIL
ATLANTA
GA 30329
32
PRICE, GERALD MARTIN
034278 5260 BROOKE RIDGE DR
DUNWOODY
GA 30338-3185 10
PRICE, JAMES WILSON
022866 15 ERIN OFFICE PARK, PO BOX 368
DUBLIN
GA 31040
41
PRICE, JOHN WHITAKER
020797 1121 JOHNSON FERRY ROAD NE, SUITE 300
MARIETTA
GA 30068
01
PRICE, LAWRENCE WILLIAM
019896 611 NORTH AVENUE
VILLA RICA GA 30180
10
PRICE, MARILYNN PHILLIPS HICK 037649 511 SOUTHVIEW DRIVE
ATHENS
GA 30605
17
PRICE, NORMA ANN
014847 PO BOX 76176
ATLANTA
GA 30358-1176 19
PR I CE, QUENT! N
008625 309 BELLEVUE AVE
DUBLIN
GA 31021
10
PRICE, ROBERT ALLEN
031307 204 BUCKHEAD COURT
MARTINEZ
GA 30907
17
PRICE, ROBERT BARTON
022265 846 CHESTNUTLAKE DRIVEN E
MARIETTA
GA 30068
36
PRICE, THOMAS EDMUNDS
021789 295 BROADMEADOW COVE
ROSWELL
GA 30075-2950 46
PRICE, THOMAS WILLIAM
030662 682 HEMLOCK STREET, SUITE 400
MACON
GA 31201
17
PRICE, VIRGINIA HARGON
019897 611 NORTH AVENUE
VILLA RICA GA 30180
10
Page No. 171
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
PRIDGEN, BRYANT CAMERON
032459- 380 HOSPITAL DRIVE, SUITE 100
PRIDGEN, DURWARD B
013675 3630 HIGHLANDS CIRCLE
PRIEST, NEAL ALLAN
029233 1181 TANGLEBROOK DRIVE
PRIEST, ROBERT E
014414 904 BARTON WOODS ROAD NE
PRIM, GARY JOSEPH
012741 380 HOSPITAL DRIVE - SUITE 465, PO BOX 2564
PRINCE, BOBBY DARRELL
035735 1315 MCCONNELL, B502
PRINCE, RUSSELL BRUCE
012360 1945 CLIFF VALLEY WAYNE, SUITE 260
PRINCE, TIDENCE LANE
037339 824 JOHNS ROAD
PRINE, JOE RUDOLPH
019182 14 ERIN OFFICE PARK
PRINSELL, JEFFREY ROBERT
030857 1950 SPECTRUM CIRCLE, SUITE B-300
PRINTZ, DON WARREN
014415 354 ARCADO ROAD, SUITE 4
PRISANT, LOUIS MICHAEL
023494 HYPERTENION SECT AF-2053, MED COL OF GA
PRITZKER, MARTINS
013676 712 E 70TH STREET
PRIVOTT, WILLIS MCCOY
038916 6425 FALL BRANCH DR
PROCTER, CHARLES DANIEL
035736 1075 B JESSE JEWEL PARKWY NE
PROCTOR, EUGENE EDWARD
032976 600 PROFESSIONAL DRIVE, SUITE 220
PROCTOR, FOLSOM CLEVELAND, Ill 035504 1540 PARK CREEK COVE
PROCTOR, ROBERT FRAZAR
008863 34 MILL RUN
PROHASKA, MATTHEW GREGORY
024859 120 CARTER AVE
PROKESCH, RICHARD CHASE
019754 6285 DON HASTINGS DRIVE, SUITE A
PROTAS, KENNETH STEVEN
023207 3292 BELMONT GLEN DRIVE
PROTZKO, EUGENE E
037891 441 SCOTTS WAY
PRUDENT, ROBERT MICHAEL
037340 2150 PEACHFORD RD, BLDG 2 ST "S"
PRUETT, JAMES EDWARD
008190 960 JOHNSON FERRY ROAD, SUITE 540
PRU! TT, DON LEE
019982 PO BOX 1059
PRUITT, JIMMY DANIEL
029758 3425 CREEKSIDE WAY
PRUSSIA, MOLLIE MARIE
022624 220 SMOAK ROAD
PRYOR, CAROL GRAHAM
005629 2316 WRIGHTSBORO RD
PRYOR, GARY JONATHAN
023208 250 WEBNEY DRIVE
PUGEL, SCOTT GERARD
032028 415 RINGTAIL DRIVE
PUGH, CHARLES MARION JR
019089 5210 PAULSEN ST
PUGH, JAMES WILLIAM
012361 * 2125 WOODLAND DRIVE
PUGH, JOHN BARR
028628 PIEDMONT OB/GYN, P.C., 77 COLLIER ROAD, SUITE 2010
PUHALOVICH, FRANK
034222 322 MELROSE AVE
PULIDO, QUINTIN M
019090 101 WOODROW WILSON DR.
PULLEN, WILLIAM H JR
017270 BOX 68
PULLIAM, MORRIS CLAYTON
034223 949 NORTH HAIRSTON ROAD
PULLIAM, MORRIS M
011036 4167 HOSPITAL DR
PUMPELLY, ROBERT ALLEN IV
022461 230 MEMORIAL DR
PUNGER, DENISE LYNNE
037341 1309 BAKER AVENUE
PURCELL, BILL
006265 203 EDMOND ST
PURCELL, DENT WILEY
012545 PO BOX 23089, MEMORIAL MEDICAL CENTER
PURCELL, JAMES WILLIAM JR PURCELL, JERRY PAUL
006266 * 4104 LEGION DRIVE 038071 * P.O. BOX 11
PURCELL, JOHN HOWELL
016664 5825 GLENRIDGE DRIVE, BLDG 1, SUITE 211
PURDOM, ERNEST STEPHEN
015714 610-19TH STREET, DOCTORS HOSPITAL CAMPUS
PURDY, JAMES WAYNE
015974 2851 RIDGEWOOD CIRCLE NW
PURI, MRIDULA
020066 1970 CLIFF VALLEY WAY, SUITE 107
PURI, RAM KUMAR
021573 511 N. COBB STREET
PURSER, ALVIN DWAYNE
016828 125 HUNTERS WAY
PURSLEY, GEORGE CLARK
031308 2561 HENRY STREET
PURSLEY, NORMAN B
005787 1138 MIAMI DRIVE
PURVIS, JERRY GAINES
009235 106 W NORTHSIDE DR
PURWONO, LUCAS
025383 123 NORTHWOODS DRIVE
PUSCHINSKY, RICHARD WILLIAM 035360 1049 BURTON DRIVE, NE
PUTMAN, PATRICIA MARIE
031490 1801 SOUTH 6TH STREET
PUTNAM, LAURA FRANTZ
031651 980 HIGHWAY 29 SOUTH
PYBURN, ROBIN ROTHENHAUS
022867 660 LANIER PARK DR STE H
MACON
GA 31201
15
MARTINEZ
GA 30907
17
ATHENS
GA 30606-5739 08
ATLANTA
GA 30307
31
MACON
GA 31203
03
DECATUR
GA 30033
28
ATLANTA
GA 30329-2428 33
AUGUSTA
GA 30904
17
DUBLIN
GA 31021
15
MARIETTA
GA 30067
43
LILBURN
GA 30247-2815 06
AUGUSTA
GA 30912-3150 17
SAVANNAH
GA 31405
06
COLUMBUS
GA 31904-7 32
GAINESVILLE GA 30501
50
LAWRENCEVILLE GA 30245
05
ATLANTA
GA 30319
28
RICHMOND HILL GA 31324
17
BLACKSHEAR GA 31516
10
RIVERDALE
GA 30274
17
MARIETTA
GA 30067
03
AUGUSTA
GA 30909
27
ATLANTA
GA 30338
33
ATLANTA
GA 30342
30
HELEN
GA 30545
14
CUMMING
GA 30131
10
GRIFFIN
GA 30223
17
AUGUSTA
GA 30904-6289 15
MARIETTA
GA 30068
LAWRENCEVILLE GA 30244
32
SAVANNAH
GA 31405
17
HAPEVILLE
GA 30354
10
ATLANTA
GA 30309
15
DECATUR
GA 30030
23
VALDOSTA
GA 31602
41
WILDWOOD
GA 30757
08
STONE MOUNTAIN GA 30083
10
COVINGTON
GA 30209
12
JESUP
GA 31545-5146 17
AUGUSTA
GA 30904
10
CALHOUN
GA 30701-5332 10
SAVANNAH
GA 31403
36
COVINGTON
GA 30209
01
METTER
GA 30439-0011 10
ATLANTA
GA 30328
33
COLUMBUS
GA 31901
17
ATLANTA
GA 30327
08
ATLANTA
GA 30329
33
MILLEDGEVILLE GA 31061
STATESBORO GA 30458
10
AUGUSTA
GA 30904
17
LINCOLNTON GA 30817
53
VALDOSTA
GA 31601
41
MILLEDGEVILLE GA 31061
17
ATLANTA
GA 30329
52
GRIFFIN
GA 30223
17
LAWRENCEVILLE GA 30245
32
GAINESVILLE GA 30501-2075 17
Page No. 172
NAME PYE, JACQUES RAY
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
D26919 142 SPRINGLAKES DRIVE
MARTINEZ
STATE ZIP SPECIALTY CODE CODE
GA 30907
-Q-
QASEM, KHALED ALI
025816
QAZI, FARIDULLAH
035737
QUANTZ, NEWTON GASTON JR
014090
QUARTERMAN, KEITH AXSON JR 007566
QUARTERMAN, MARK JOHNSON
036257
QUATTLEBAUM, JULIAN K JR
006466
QUATTLEBAUM, ROBERT B
005186
QUATTLEBAUM, ROBERT B JR
011578
QUAYE, EMMANUEL' OTU
034924
QUAYLE, JAMES M.
027427
QUEEN, SUSAN ELIZABETH
023496
QUERIN, WILLIAM MICHAEL
038336
QUIGLEY, DEBORA ROSE PHIPPS 036601
QUIGLEY, JOHN KAY
034925
QUI LALA, EM! LLIANO P
014255
QUINIF, ALICE CLAIRE
032276
QUINIF, NICHOLAS JAMES
032277
QUINN, COLIN KERRY
032805
QUINN, CORINNE FRANCES
020798
QUINN, JULIA MARY
037651
QUINONES, MICHAEL ANTHONY
038917
QUINONES, PEDRO P
012953
QUINTANILLA, PABLO
017546
QUINTON, RENEE D'ANN HENDERSON 033436
QUIROGA, ALICIA ESPINOSA
035118
QUISPE, GUILLERMO
021574
PO BOX 553 5597 LYWELLEN DRIVE 2283 WRIGHTSBORO RD 960 JOHNSON FERRY RD NE, SUITE 330 1721 OAK DRIVE CANDLER PROF BLDG - SUITE 201, 5354 REYNOLDS STREET 2704 NOAK ST BLDG D CANDLER PROFESSIONAL BLDG., SUITE 416; 5354 REYNOLDS PO BOX 831622 KIMBERLY-CLARK CORP., 1400 HOLCOMB BRIDGE RD. 355 S. MCDONOUGH ST. P.O. BOX 3499 BLUE MOUNTAIN FAMILY PRATICE, 130 HOSPIAL CIRCLE BLUE MOUNTAIN FAMILY PRACTICE, 130 HOSPITAL CIRCLE 252 ARROWHEAD BLVD. 106 PONY CIRCLE SOUTH GA. UROLOGY CLINIC, 301 W HANSELL STREET 2136 ALDAH DRIVE 600 PROFESSIONAL DRIVE, SUITE 220 AETHENS REG MED CTR, 1199 PRINCE AVENUE 5545 ERROL PLACE 3172 WINDFIELD CIRCLE 1524 CHASE COURT 3009 ASHETON PLACE 3408 KERRY PLACE 501 SPARTA ROAD, SUITED
HAWKINSVILLE GA
STONE MOUNTAIN GA
AUGUSTA
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
VALDOSTA
GA
SAVANNAH
GA
STONE MOUNTAIN GA
ROSWELL
GA
DECATUR
GA
VALDOSTA
GA
BLAIRSVILLE GA
BLAIRSVILLE GA
JONESBORO
GA
THOMASVILLE GA
THOMASVILLE GA
TUCKER
GA
LAWRENCEVILLE GA
ATHENS
GA
ATLANTA
GA
TUCKER
GA
RIVERDALE
GA
MARIETTA
GA
AUGUSTA
GA
SANDERSVILLE GA
31036
01
30087-2434 16
30904-4790 30
30342
41
30904
06
31405
41
31602
36
31405
52
30083
10
30076
10
30030
31604-3499 36
30512
10
30512
10
30236
41
31792
36
31792
52
30084
33
30245
12
30606
08
30327
41
30084
34
30296
41
30067
32
30909
38
31082
41
RAAEN, TOM D RAB, RANA IMAM RAB, SYED TANVEER RABB, CAMERON ARCHER RABB, DANIEL CALLAWAY RABB, FORTE CALLOWAY RABB, JAMES LEROY RABBI, AMATU RABIN, STEVEN ARTHUR RABINOWITZ, PAUL STEVEN RABORN, STEPHEN DONALD RACHAL, MACK JAMES RACHELEFSKY, MARVIN A RAEZ, EDUARDO RODOLFO RAFF, BARRY WALLACE RAFFERTY, FRANCIS THOMAS RAFFERTY, MICHAEL PAUL RAGAB, ABDELSALAM HASSAN RAGAN, DAVID ARNEL RAGAN, JAMES ERIC RAGHAVAN, KALPANA JETTY RAGHU, G.V. RAGSDALE, JOSEPH WYLIE
-R-
008003 RR 1, BOX 1653B 029291 700 MITCHELL BRIDGE ROAD, #11 028451 1000 HAWTHORNE AVE, SUITE L 027428 550 TANACREST CIR. 034447 1075-D JESSE JEWELL PARKWAY 011448 1075 D JESSE JEWELL PKWY 006698 203 EDMOND STREET 038918 PO BOX 396 036852 237 UPPER RIVERDALE ROAD 026362 5555 PEACHTREE-DUNWOODY RD., NE, SUITE 325 036602 946 GORDON AVENUE 036853 DEPT OF DERMATOLOGY, 100 - 10TH.STREE1 019984 3910 AUSTELL ROAD, SUITE 204 038919 199 KESTWICK DRIVE, WEST 031104 2800 HARWICK DR 037048 205 MILITARY ROAD 030364 825 CRESTRIDGE DRIVE 016962 1053 MILLARD ROAD
033682 * THE HOWELL CLINIC, 730 PEACHTREE STREET
038337 7 HIGHPOINT CT# A 038920 3977 RIVERLOOK PARKWAY 016963 PO BOX 2105, 1021 N HOUSTON RD 029933 4062-C PEACHTREE RD, NE
Page No. 173
CLEVELAND
GA
ATHENS
GA
ATHENS
GA
ATLANTA
GA
GAINESVILLE GA
GAINESVILLE GA
CALHOUN
GA
TIGER
GA
RIVERDALE
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
AUSTELL
GA
MARTINEZ
GA
ATLANTA
GA
ST SIMONS ISLE GA
ATLANTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
SILVER CREEK GA
MARIETTA
GA
WARNER ROBINS GA
ATLANTA
GA
30528-9801 31
30606
17
30606
05
30328
31
30501
06
30505
06
30701
10
30576
17
30274
15
30342
04
31906
17
30309
06
30001
23
30907
15
30350
17
31522
33
30306
17
30088
17
01
30173-2473 10
30067
15
31099
15
30319
00
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RAGULA, ANDREY ANTONY
037049
RAHHAL, YALID MOHAMED
037652
RAHIMI, ALI REZA
037050
RAHMAN, AFROZ
017940
RAHN, DANIEL YALLACE
034926
RAINES, MARCUS ERVIN
031106
RAINES, MICHAEL PATRICK
035979
RAINEY, YILLIE FRANK, JR.
025818
RAITZ, ROBERT LEE
009669
RAIZES, ELLIOT GENE
024478
RAJ, PAMELA OREKONDY SHIVAYOGA 029518
RAJ, PHULCHAND PRJTHVJ
034100
RAJA, MRUDULA MUKUND
026026
RAJA, MUKUND CHANDULAL
026028
RAJALAKSHMJ, AKKARAJU VENKATA 025654
RAJAPAKSE, DONALD A
021340
RAJU, ALLURJ
022626
RAKESTRAY, SAMUEL HARVEY
032462
RAM, BERNARD ALLAN
031309
RAM, RAJA
038922
RAMA, ADOLFO ROSALES
037892
RAMAGE, JAMES EVERETT, JR.
024329
RAMAIYA, NALINI KUMAR
027241
RAMALHO, DENIS C. S.
028867
RAMAN!, TUSHAR MADHUKANT
034927
RAMANUJEYAM, PJTCHAMATHU S 020591
RAMESH, KALLAMBELLA C
021575
RAMIREZ, MANUEL FERNANDO
025254
RAMIREZ, PEDRO ANTONIO
030365
RAMIREZ, RAYMOND F
031310
RAMIREZ, YILLIAM Z
033179
RAMOS, HAROLD SMITH
007267
RAMOS, RALPH SAMUEL
036854
RAMOS, RAMON
033683
RAMPELL, NANCY
030860
RAMSAY, JAMES GORDON
032640
RAMSAY, JAMES ROBERT
026363
RAMSDELL, BRUCE VINCENT
018722
RAMSEY, JOHN EARL JR
007268
RAMSEY, JOSEPH ALONZO
032806
RAMSEY, SPEIR NEYTON
011450
RAMSHAY, BRUCE JOHN
038587
RAND, EDGAR 0
008332
RAND, JULIE ALLAIRE
033684
RANDALL, ALFRED HENRY, JR
007269
RANDALL, CAMPBELL LANIER
036260
RANDALL, HUGH YATTS JR
017763
RANDALL, JOSEPHS
015811
RANDALL, LAURA ANNE YOODS
035324
RANDALL, RAPHAEL B JR
011039
RANDLE, JAMES MICHAEL
033685
RANDO, STEPHEN N
014091
RANDOLPH, DALLIN TERESA
032279
RANDOLPH, ERICH GRAHAM
021790
RANDOLPH, YILLIAM Q
005245
RANGE, JOHN NEEL
021274
RANKIN, H. ALLAN
022267
RANKIN, MICHAEL D.
024331
147 ANNESYOOD ROAD
MARTINEZ
GA
603 BON AIR DRIVE
AUGUSTA
GA
DEPT OF INT MED ED, PO BOX 23089
SAVANNAH
GA
5211 ADAMS ST NE
COVINGTON
GA
616 BAYTREE COURT
MARTINEZ
GA
2007 TEBEAU ST
YAYCROSS
GA
208 MC DONALD AVE, PO BOX 329
CUTHBERT
GA
5335 DIVIDEND DRIVE, SUITE HJ
DECATUR
GA
PO BOX 909
DALTON
GA
600 PROFESSIONAL DRIVE, SUITE 170
LAYRENCEVILLE GA
3928 ALLENHURST DRIVE
NORCROSS
GA
2740 SPALDING DRIVE
ATLANTA
GA
4851-B JIMMY CARTER BLVD, SUITE 6
NORCROSS
GA
4851-B JIMMY CARTER BLVD #6
NORCROSS
GA
PO BOX 1697, 101 BOYENS MILL ROAD
DOUGLAS
GA
882 BRAFFERTON PLACE
STONE MOUNTAIN GA
306 ALSTON STREET, RAJU CLINIC
RICHLAND
GA
150 YEEPING YILLOY YAY
TYRONE
GA
P.O. BOX 339
DEMOREST
GA
NO ATLANTA FAMILY MEDICINE PC, 6185 BUFORD HYY, SUITE ATLANTA
GA
200 SHADOYLAYN DR, SUITE #2
SAINT MARYS GA
PO BOX 15238
SAVANNAH
GA
3021 CLARIDGE CT.
MACON
GA
820 Tl FT AVE
TIFTON
GA
1111 LILY PAD LANE
STATESBORO GA
PO BOX 783
ALMA
GA
225 S. MIDLAND AVE.
MONROE
GA
147 STONE MILL DRIVE
MARTINEZ
GA
1505 CAMP POINT COURT
ROSYELL
GA
5360 YHITEHALL PLACE
MABLETON
GA
175 RIDGE YAY
ROSYELL
GA
550 PEACHTREE STREET
ATLANTA
GA
1210 FERNYOOD DRIVE
YATKINSVILLE GA
313 EISENHOYER DRIVE
SAVANNAH
GA
2675 N DECATUR RD, SUITE 501
DECATUR
GA
935 CASTLE FALLS DRIVE
ATLANTA
GA
BOX 829
JESUP
GA
2225 GODBY ROAD
COLLEGE PARK GA
105 COLLIER RD NY, SUITE 1050
ATLANTA
GA
PO BOX 91306
EAST POINT GA
610 CENTRAL PARK, 340 EISENHOYER DR
SAVANNAH
GA
520 SPENDER TRACE
DUNYOODY
GA
525 HEYYARD CIRCLE
MARIETTA
GA
200 COLONIAL HOMES DRIVE,# 402
ATLANTA
GA
641 CHURCH ST
MARIETTA
GA
510 HARBOR LANDING
ROSYELL
GA
5535 BAHIA MAR CIRCLE
STN MOUNTAIN GA
3964 S. ATLANTA ROAD, SUITE 100
SMYRNA
GA
980 JOHNSON FERRY RD NE, SUITE 510
ATLANTA
GA
1275 MCCONNELL DR
DECATUR
GA
P.O. BOX 625
ALBANY
GA
618 COLLEGE ST
MACON
GA
4139 YYNDHAM PARK CIRCLE
DECATUR
GA
159 THE PRADO
ATLANTA
GA
16 E YILLIAMS STREET
YINDER
GA
P. 0 BOX 639
OAKYOOD
GA
195 PARKYOOD CIRCLE
CARROLLTON GA
1935 HOYELL MILL ROAD
ATLANTA
GA
30907
08
30907-3232 33
31403-3089 17
30209-3347 32
30907
37
31501
17
31740
10
30035
17
30722
10
30245
17
30092
17
30350
03
30093
25
30093
30
31533
32
30083
17
31825
41
30290-9571 08
30535
52
30071
10
31558-2667 41
31416
17
31204
31794
01
30458
03
31510
17
30655
17
30907
08
30075
10
30054
10
30076
17
30365
17
30677
03
31406
32
30033
23
30329
03
31545
10
30349
01
30309
15
30364
08
31406
15
30350
41
30064
41
30309
33
30060
17
30076
15
30087
15
30080
15
30342-1607 15
30033
17
31702
44
31201
11
30034
32
30309
36
30680
01
30566
12
30117-8756 17
30318
Page No. 174
Composite State Board of Medical Examiners_ Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RANNO, NICHOLAS SALVATORE RAO, HEMA NAGINENI RAO, HOTHUR V. SANJEEVA RAO, KAMALAKAR NAGINENI RAO, KUSUMA SANJEEV RAO, PULIPAKA BHIMESHWAR RAO, RAGHUNATHA NAGARAJA RAO, VADDADI MEENA R RAO, VADDADI RAMA RAPHAEL, RAFIK M RASCOE, EDWIN MARSTON RASH, JAMES RANDOLPH III RASHADA, SHAKOORA CENA TOWNS RASK, KIMBERLY JEANNE RASLER, FRANK ELLIOTT RASMUSSEN, HOWARD RASMUSSEN, KEITH GEORGE, JR RASMUSSEN, WARREN ALAN RASSEKH, RIAZ RAST, PHILIP RENTZ RASTEGAR, DARA ALI RASTOGI, PRAVEEN RATCHFORD, JOSEPH LARKIN RATCHFORD, WALTER JAMES RATHBUN, JOHN DALE RATHBURN, STEPHEN DON RATHUR, BABER Z RATNOFF, WILLIAM DAVIS RAUCH, SAMUEL DEAN JR RAUHOLT, DORTHE RAUNIKAR, ROBERT AUSTIN RAUSCH, JEFFREY LYNN RAUSCH, JUDITH TORONTALI RAUSHER, DAVID BENJAMIN RAUX, MARY ELLEN RAVIELE, ANTHONY ALFRED RAVIELE, KATHLEEN MARY RAVRY, MARIO JOSE RAMON RAWLINGS, JEFFREY MILLER RAWLINGS, JOE DOUGLAS RAWLINGS, JOSEPH NEWSOM RAWLINGS, LISA A HOSPODAR RAWLINGS, WILLIAM JR RAWLS, JOYCE ANN RAWLS, OTIS GREY, JR RAWLS, WILLIAM JOSEPH RAY, CHARLES GEE, III RAY, DERRELL WAYNE RAY, JAMES L. RAY, JOHN WARNER RAY, LARRY GRAYDON RAY, MICHAEL K RAY, SUSAN MARIE RAY, WALKER LEWIS JR RAYAPATI, SAMUEL RAYBON, ROBERT BRIAN RAYBOURNE, SUSAN ROBERTA RAVEL, PETER AXELROD
028452 035796 018723 036075 027146 023210 015035 017720 017721 014314 011238 020475 037895 028207 029934 037654 031311 012187 038923 029366 018724 026176 032848 011994 023665 028629 015812 034930 011452 026015 034931 035121 019757 020345 025256 020800 020801 016414 037344 012188 038924 036180 017644 034045 005378 007879 031816 013786 016126 011453 008866 020476 031652 011041 037345 038339 027638 012264
759 TERRELL CROSSING
MARIETTA
GA
4160 QUINN DRIVE
EVANS
GA
154 SYLVAN DRIVE
JACKSON
GA
4160 QUINN DRIVE
EVANS
GA
740 KAY STREET
PO JACKSON GA
829 - 1ST STREET
MACON
GA
147 AVONDALE COURT
AUGUSTA
GA
1401 WEST SPRING STREET
MONROE
GA
1401 WEST SPRING STREET
MONROE
GA
1001 THORNTON RD, SUITE 210
LITHIA SPRINGS GA
2997 PIEDMONT ROAD, NE
ATLANTA
GA
PO BOX 1788
CARROLLTON GA
MOREHOUSE SCH OF MED, 505 FAIRBURN RD, SW
ATLANTA
GA
550 PICKERING LANE
ATLANTA
GA
1122 CAPITAL CLUB CIRCLE
ATLANTA
GA
820 BARRET LANE
AUGUSTA
GA
CENTRAL STATE HOSPITAL, REGIONAL PSYCHIATRIC DIVISION MILLEDGEVILLE GA
7 DEXTER LANE
JEKYLL ISLAND GA
306 WEST TERRACE COURT
AUGUSTA
GA
1668 MULKEY ROAD, SUITE G
AUSTELL
GA
285 BOULEVARD, N.E., SUITE 140
ATLANTA
GA
3304 BAY VIEW DR
JONESBORO
GA
PO DRAWER D
SPRINGFIELD GA
105 COLLIER RD NW
ATLANTA
GA
6 ST JOSEPH'S MEDICAL OFFICE PAR, 11700 MERCY BLVD SAVANNAH
GA
1072 DUNBARTON TRACE
ATLANTA
GA
261 MEDICAL WAY, SUITE A
RIVERDALE
GA
727 LUCKIE LN NE
ATLANTA
GA
710 BROAD ST SE
GAINESVILLE GA
3528 CARNOUSTIE DRIVE
AUGUSTA
GA
11 MULBERRY LANE
AUGUSTA
GA
MEDICAL COL OF GA, DEPT OF PSYCHIATRY & HEALTH
AUGUSTA
GA
1331 PASADENA AVENUE
ATLANTA
GA
2801 N DECATUR ROAD
DECATUR
GA
5755 POWERS FERRY ROAD
ATLANTA
GA
2289 MOUNTAIN WEST TRAIL
STONE MOUNTAIN GA
2289 MOUNTAIN WEST TRAIL
STONE MOUNTAIN GA
3193 HOWELL MILL ROAD, SUITE 209
ATLANTA
GA
518 MARTIN LANE
AUGUSTA
GA
708 SOUTH BROAD ST
THOMASVILLE GA
1174 W CHURCH ST
SANDERSVILLE GA
518 MARTIN LN
AUGUSTA
GA
501 SPRATA ROAD, SUITE F
SANDERSVILLE GA
310 HOSPITAL DRIVE, SUITE 320
MACON
GA
P.O. BOX 1686
ALBANY
GA
2675 NORTH DECATUR ROAD, SUITE 200
DECATUR
GA
7161 WILLIAMS HILL ROAD
COLUMBUS
GA
1938 PEACHTREE RD NW, SUITE 306
ATLANTA
GA
P. 0. BOX 1330, W. MAIN STREET
SWAINSBORO GA
129 MATTOX ROAD
NEWNAN
GA
1364 COUNTRY SQUIRE DRIVE
DECATUR
GA
2660 PEACHTREE RD NW #21C
ATLANTA
GA
205 GARLAND AVENUE
DECATUR
GA
3580 CASTLEHILL WAY
TUCKER
GA
919 CLYDE BLVD
VIDALIA
GA
1480 BRIAROAKS TRL NE
ATLANTA
GA
380 HOSPITAL DRIVE, SUITE 370
MACON
GA
755 MT VERNON HWY, SUITE 400
ATLANTA
GA
30067
03
30809
16
30233
17
30809
17
30233
31201
05
30907
31
30655
15
30655
38
30057
01
30305
33
30117
15
30331-2099 10
30327
17
30319
00
30909
17
31062-9989 33
31527-0632 PH
30909
10
30001
52
30312
32
30236-5478
31329
10
30309
15
31419
05
30319-2674 03
30274
08
30329-4213 17
30505
17
30907
10
30909
32
30912-3800 33
30306
08
30033
17
30327
03
30087
32
30087
15
30327
17
30909
41
31792
10
31082
33
30909-3406 36
31082
17
31201
15
31702
41
30033
17
31904
36
30309-1258 33
30401
10
30263
36
30033
36
30305
08
30030
17
30084
32
30474
17
30329-3575 15
31201
23
30328
17
Page No. 175
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RAYLE, ALBERT A JR
005054 490 PEACHTREE STREET, SUITE 225-B
ATLANTA
GA
RAYMOND, NIGEL JOHN
038153 3446 N DRUID HILLS RD APT G
DECATUR
GA
RAYNOR, B. DENISE WHITE
038925 2463 BURNT LEAF LANE
DECATUR
GA
RAYNOR, LUTHER KEN JR RAZURI, RAFAEL GUILLERMO
014850 1025 N HOUSTON RD
014315 * 7505 WATERS AR, SUITE E-1
WARNER ROBINS GA
SAVANNAH
GA
RE, PETER KE ITH
011454 522 NORTH AVE.
MARIETTA
GA
REA, JANICE LEE
030863 249 REGAL DRIVE
LAWRENCEVILLE GA
READ, JOHN MAGRUDER III
017722 NORTHLAKE REG MED CTR, 1459 MONTREAL RD - SUITE 403 TUCKER
GA
READ, SILAS CHASE JR
010639 957 BAXTER ST
ATHENS
GA
REAGAN, RONALD CLIFTON
024072 2463 SENECA TRAIL
DULUTH
GA
REAMS, CALVIN JOSHUA
019585 210 W HANSELL STREET
THOMASVILLE GA
REARICK, DAVID A
019759 3823 ROSWELL ROAD, SUITE 101
MARIETTA
GA
REAVES, JOHN EARL, JR
032977 301 WEST COLLEGE STREET, PO BOX 429
BOWDON
GA
RECIO, CONRADO M
038926 MEADOWS MEM HOSPITAL, PO BOX 1048
VIDALIA
GA
RECKLES, LAWRENCE N
034228 10615 HONEYBROOK CIRCLE, 0
DULUTH
GA
REDD, DAVID CRAIG
035505 1295 HEMBREE ROAD, BLDG. B, SUITE 203
ROSWELL
GA
REDD, SHIRLIE ANN
032464 MEDICAL COLLEGE OF GEORGIA, DEPT OF ANESTHESIOLOGY AUGUSTA
GA
REDD, STEPHEN CLYDE
029079 2853 HABERSHAM ROAD
ATLANTA
GA
REDD, STEPHEN STARR
009237 1230 JOHNSON FERRY ROAD, SUITE H-20
MARIETTA
GA
REDDY, CHALLORI J
029936 P.0. BOX 1696
DOUGLAS
GA
REDDY, CHELUKALA BAPU.
027431 1304 ~CARTHER DRIVE
GRIFFIN
GA
REDDY, DEVENDER GINUGU
038589 46 JEFFERSON PARKWAY, APT D
NEWNAN
GA
REDDY, DYAPA KARUNA
029519 PO BOX 756
BROXTON
GA
REDDY, DYAPA SURENDER
028307 P.O. BOX 1568
DOUGLAS
GA
REDDY, ITHAMUKKALA JAYABHARATH 023212 6507 PROFESSIONAL PLACE, SUITE B
RIVERDALE
GA
REDDY, ITHAMUKKALA JAYACHANDRA 017645 6507 PROFESSIONAL PLACE, SUITE B
RIVERDALE
GA
REDDY, KOTHAPALLI NARASIMHA 024332 1516 SOUTH LEE STREET
AMERICUS
GA
REDDY, KUCHELA
027432 6507 PROFESSIONAL PLACE, SUITE E
RIVERDALE
GA
REDDY, N!RANJINI T
020257 3539 WEST LAKE DRIVE
MARTINEZ
GA
REDDY, RAM KANCHARLA
024178 P.O. BOX 529
ROYSTON
GA
REDDY, RAMESH GURRAM
035982 339 FAIRVIEW ROAD
ELLENWOOD
GA
REDDY, RANI SWAROOPA
034450 PO BOX 535
METTER
GA
REDDY, SATYANARAYAN K
036261 1137 EAGLES LANDING PKWY, BLDG "B" -STE 4
STOCKBRIDGE GA
REDDY, SUBRAMANYAM
020593 253 UPPER RIVERDALE RD SW, SUITE A
RIVERDALE
GA
REDDY, SUDHAKARA MAHASAMUDRAM 018415 PO BOX 488, 404 SAVANNAH AVE
STATESBORO GA
REDDY, SUJATHA K
020385 302 ST. FRANCIS PLACE
DUBLIN
GA
REDDY, SUMATHY
016494 2954 GREENOAKS CIRCLE
ATLANTA
GA
REDDY, SWAROOP MAHASAMUDRAM 029292 P.O. BOX 488, 404 SAVANNAH AVE
STATESBORO GA
REDDY, VENKAT MANORANJAN
035740 2941 CEDAR CREEK PKWY
DECATUR
GA
REDDY, VUNDYALA VENUGOPAL
025022 800 - 1ST STREET, SUITE 300
MACON
GA
REDFEARN, JAMES AUGUSTUS JR 007270 111 HUNTINGTON ROAD
DALTON
GA
REDMOND, BRIAN PATRICK, JR. 028631 8 STEPHENSON AVE
SAVANNAH
GA
REDMOND, DOYTT DENTON
028064 3969 SOUTH COBB DRIVE, SUITE 205
SMYRNA
GA
REDONDO, JACQUELINE
038927 6262 HAMILTON RD
COLUMBUS
GA
REDVANLY, RICHARD DAVID
031654 1804 DRUID OAKS
ATLANTA
GA
REDWOOD, WILLIAM THOMAS
033180 254 TRICKUM CREEK ROAD
TYRONE
GA
REED, BRITA SARDELLA
028632 3540 DULUTH PARK LANE, SUITE 250
DULUTH
GA
REED, JAMES WHITFIELD
027639 MOREHOUSE SCH OF MED, MED DEPT, 720 WESTVIEW DRIVE, S ATLANTA
GA
REED, JOHN CHIP HAMILTON III 024719 135 N CHRISTOPHER'S RUN
ALPHARETTA GA
REED, JOHN ERNEST
035506 9985 FARMBROOK LANE
ALPHARETTA GA
REED, JOHN H JR
005055 1128 VINE STREET NE
GAINESVILLE GA
REED, MICHAEL DAVID
029080 115 MAPLE DRIVE
CARTERSVILLE GA
REED, RALPH E
017724 800 E DOYLE ST, TOCCOA CLINIC MED ASSOC
TOCCOA
GA
REED, SANDRA KAY BUTTS
031392 918 SOUTH BROAD STREET
THOMASVILLE GA
REED, WILLIAM THOMAS
023497 755 MT VERNON HWY, SUITE 400
ATLANTA
GA
REEDER, DAVID ALAN
028633 2809 NORTHBROOK DRIVE
DORAVILLE
GA
REEF, SUSAN EILEEN
032280 213 WINDMONT DRIVE
ATLANTA
GA
REES, KLAUS OSKAR
015307 1700 HOSPITAL SOUTH DR., SUITE 302
AUSTELL
GA
30308
36
30033-3749 53
30033
15
31093
15
31406-0000 41
30060
23
30245
32
30084
17
30606
27
30136
17
31792
10
30062
10
30108
10
30474
32
30136
46
30076
41
30912-2700 03
30305
30068
32
31533
52
30223
17
30263
10
31519
01
31533
32
30274
30274
41
31709
30274
05
30907
33
30662
30049
17
30439
17
30281
53
30274-2537 32
30458
32
31021
09
30345
17
30458
32
30033
27
31201
16
30720
17
31405
03
30080
41
31909
28
30329
36
30290
10
30136
15
30310
17
30201
30202
08
30501
27
30120
36
30577
27
31792
15
30328
17
30340
03
30329
32
30001
17
Page No. 176
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
REESE, FRANCIS CARROLL REESE, KATHERINE ANN REESE, LOUIS VINCENT, JR. REESE, MICHAEL DAVID REESE, ROBERT VERNON, JR REEVE, THOMAS ELLIS, III REEVES, JOSEPH LANE JR REEVES, JOSEPH LANE, III REEVES, KENNETH W REEVES, MARTIN MCGEE REEVES, SEAB EDGAR A REEVES, WALTON HARRISON REEVES, WALTON HARRISON JR REGISTER, GARLAND ASHLEY, JR REGISTER, MICHAEL ANDREW REGISTER, SAMUEL DAVID III REHAK, CHRISTOPHER STEPHEN REHAK, DAVID CHARLES REHERT, GERALD M REHMAN, AFZAL UR REICH, JONATHAN DAVID REICH, ROBERT ALLEN REICHARD, RITA ANN REICHERT, WILLIAM WALTER REICHMAN, OWEN STANLEY REID, CHRISTOPHER JACKSON REID, ELIZABETH ANN REID, MAJOR DYE, JR. REID, RAYMOND JOSEPH JR REID, WILLIAM ARCHER REIFEIN, FLOYD WINFIELD REIFMAN, LARISA G. REIFSTECK, FRED, III REILLEY, ROSALYN FAIREY REIMER, JONATHAN EDWARD REINES, SUSAN SHAW REINGOLD, DAVID MARTIN REINHARDT, ROGER FRANKLIN REINHEIMER, SUSAN RUTH REISH, MARTIN L REISMAN, ARTHUR GERALD REISMAN, HOWARD ALAN REISMAN, RICHARD MARC REISSMAN, STEVEN ELIOT REITZEL, KEITH ERIC RELEFORD, CHARLES CAIN RELF, MURRAY CHARLES REMIGAILO, RICHARD V REMINGTON, DAVID BRIAN REMLER, ROBERT BRUCE RENBAUM, LAURA KAY CHAPMAN RENDER, WILLIAM HENDRICKS RENDLEMAN, DANIEL CARL RENDON-GARCIA, JOSE MIGUEL RENEW, MARGARET DENISE MCGEE RENN, WADE HILL RENTZ, TURNER WAYNE JR RENZ, BARRY M
035122 1205 KING EDWARD DRIVE
DUBLIN
GA
038590 EMORY UNIV - OB/GYN, 69 BUTLER ST, SE
ATLANTA
GA
005872 2600 ML K JR DRIVE, SUITE 300
ATLANTA
GA
019760 1001 THORNTON RD, SUITE 210
LITHIA SPRINGS GA
031312 PO DRAWER 968
FITZGERALD GA
029759 619 DIXIE STREET
CARROLLTON GA
007571 2 JACKSON BLVD
SAVANNAH
GA
038340 2 JACKSON BLVD, PO BOX 13919
SAVANNAH
GA
012129 3614 A-J DEWEY GRAY CRICLE
AUGUSTA
GA
010266 5360 TIMBER TRAIL
ATLANTA
GA
006467 MAGNOLIA MANOR 239, TIMBER TRAIL
RICHMOND HILL GA
006699 100 TENTH STREET, N.W.
ATLANTA
GA
026923 100 10TH ST NW
ATLANTA
GA
035312 111 4TH AVENUE, SE
CAIRO
GA
026924 PEMBROKE HOSPITAL AUTH PROF CTR, PO BOX 190
PEMBROKE
GA
024720 ROUTE 4 BOX 146AA
VALDOSTA
GA
035313 RR 11 BOX 108
VALDOSTA
GA
038591 6262 HAMILTON RD
COLUMBUS
GA
016128 490 PEACHTREE ST NE 132 B
ATLANTA
GA
038592 78 BOY SCOUT CT
AUGUSTA
GA
038341 1100 ASHBURY DR
DECATUR
GA
008273 1275 MCCONNELL DRIVE
DECATUR
GA
037346 THE OAKES, APT 901
CLARKSTON
GA
018068 2675 NORTH DECATUR ROAD #607
DECATUR
GA
034452 GLENN BLDG 25 PRESCOTT NE
ATLANTA
GA
037053 3048-F CLAIRMONT ROAD
ATLANTA
GA
036604 3078 CLAIRMONT RD, NE, APT 613
ATLANTA
GA
028634 3921 GLENCREST COURT
ATLANTA
GA
011610 PO BOX 325
TALLAPOOSA GA
006468 980 JOHNSON FERRY ROAD NE, SUITE 430
ATLANTA
GA
030664 PEDIATRIC ANESTHESIA SPECIALIST, 1001 JOHNSON FERRY R ATLANTA
GA
024618 3451 PACES VALLEY
ATLANTA
GA
032979 3018 PLAYERS DR
JONESBORO
GA
025023 5005 RIVERVIEW ROAD, NW
ATLANTA
GA
020804 1224 AUGUSTA WEST PKWY
AUGUSTA
GA
032809 1039 AMSTERDAM AVE
ATLANTA
GA
020144 3525 HOLCOMB BRIDGE ROAD
NORCROSS
GA
005631 2159 WHITE ROAD
WHITE
GA
031493 19 NORWOOD PL
SAVANNAH
GA
008548 2550 WINDY HILL RD 107
MARIETTA
GA
030421 1001 JOHNSON FERRY ROAD
ATLANTA
GA
021428 * 11050 CRABAPPLE ROAD, SUITE 111D
ROSWELL
GA
029937 360 SARAH LANE
LAWRENCEVILLE GA
027110 511 DOUBLE CHURCHES RD
COLUMBUS
GA
037347 470 SHERMAN WAY
DECATUR
GA
008869 * 506 S 8TH ST
GRIFFIN
GA
037054 104 FOREST POINT DRIVE
MACON
GA
017725 1462 MONTREAL RD, SUITE 418
TUCKER
GA
017108 230 WEST COLLEGE STREET
GRIFFIN
GA
028454 THE VILLAGE SHOPPING CENTER, 50-A MEETING STREET
SAVANNAH
GA
035983 ROUTE 2 BOX 183A
RICHMOND HILL GA
027898 970 MLK DRIVE, SUITE 305
ATLANTA
GA
029938 BRIARCLIFF CHILDREN'S CTR, 1256 BRIARCLIFF ROAD
ATLANTA
GA
037655 4725 WATERS AVENUE, BOX 150
SAVANNAH
GA
033181 4407 FERNBROOK CROSSING
EVANS
GA
016483 200 E GORDON ST
VALDOSTA
GA
015413 3226 F HAMPTON AVENUE
BRUNSWICK
GA
030195 1132 DRUID LAKE
DECATUR
GA
31021
03
30303
15
30311
27
30057
01
31750
01
30117
41
31405
27
31416
27
30909
04
30342
03
31324
03
30309
17
30309-3846
31728
10
31321
10
31602
03
31602
08
31909
46
30308
15
30909
05
30030-4172 32
30033
17
30021
17
30033
34
30308
30
30329
23
30329
17
30319
08
30176
10
30342
41
30342
03
30327
17
30236
10
30327
36
30909
10
30306
32
30092
33
30184
33
31406-5153 08
30067
32
30363
32
30075
15
30245
00
31904
10
30033
30223
10
37209
36
30084
52
30223
05
31411
17
31324
33
30314
17
30306-2694 17
31404
17
30809
32
31601
44
31520
41
30033
00
Page No. 177
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RETTERBUSH, DAVID WILLIAM
020145 403 COWART AVE, P.O. BOX 2313
VALDOSTA
GA 31602
41
RETTERBUSH, WILLIAM CHARLES 007121 P O BOX 2313
VALDOSTA
GA 31601
42
REVELS, STEPHANIE MARIE
032810 1265 SPRING HOLLOW SW
ATLANTA
GA 30311
10
REWIS, JAMES CLAY
028870 1260 UPPR HEMBREE ROAD, SUITE B
ROSWELL
GA 30076
15
REY, CHARLES JOSEPH JR
006061 1605 MULKEY RD, SUITE B
AUSTELL
GA 30001
41
REYES, CEFERINA VILLAPANDO 027641 2221 SUMMER HILL ROAD
THOMASVILLE GA 31792
10
REYES, GERMAN M.
026177 6584 PROFESSIONAL PL STE D, PO DRAWER 359
RIVERDALE
GA 30274-4920 41
REYES, LEOVIGILDO DE JESUS 038929 THE PARKS AT BRIARCLIFF, 1424 F DRUID VALLEY DR
ATLANTA
GA 30329
53
REYNOLDS, CHERYL SUE
037656 2335 STUART AVE, #E7
ALBANY
GA 31707
08
REYNOLDS, GEORGE THOMAS
012957 918 S BROAD ST
THOMASVILLE GA 31792
15
REYNOLDS, JAMES S
006267 553 MOBILE AVE SW
ATLANTA
GA 30315
10
REYNOLDS, JAMES WILEY
006700 345 E WASHINGTON ST, ASHBURN DOCTORS CLINIC, P.C. ASHBURN
GA 31714
01
REYNOLDS, JOH~ DIXON III
011044 820 ST SEBASTIAN WAY, SUITE 4-C
AUGUSTA
GA 30901-2399 44
REYNOLDS, KENNETH HOWARD
009598 231 GRAEFE ST
GRIFFIN
GA 30223
17
REYNOLDS, MARION ARLEEN
034515 1332 CASCADE FALLS DRIVE
ATLANTA
GA 30311
15
REYNOLDS, REUBEAN ALVIS
025822 531 FOREST PARKWAY #100
FOREST PARK GA 30050
25
REYNOLDS, TERRY LEE
021793 5223 PAULSEN STREET
SAVANNAH
GA 31405
36
REYNOLDS, WILTON BROWN, JR. 010640 P O BOX 1075
BAINBRIDGE GA 31717
10
RHAME, DONALD WALLACE
012192 700 SPRING ST
MACON
GA 31201
41
RHANGOS, WILLIAM CHARLES
010641 44 MEDICAL ARTS CENTER
SAVANNAH
GA 31499-1801 46
RHENEY, THEODORE B
010733 2270 HUDSON DRIVE
LILBURN
GA 30247
08
RHEUDASIL, JAMES MARK
026926 VASCULAR SURGERY, PC - SUITE 200, 993-D JOHNSON FERRY ATLANTA
GA 30342
50
RHIM, SUNG YUNG
017726 240 LITTLE CREEK DRIVE
FAYETTEVILLE GA 30214
03
RHINEHART, DARREN LEON
038344 918 COURTENAY DR NE
ATLANTA
GA 30306-3427 03
RHOADES, ROBERT BOURNORCK
013420 4485 COLUMBIA ROAD
MARTINEZ
GA 30907
04
RHOADS, DANIEL DICK
037057 2100 PALMYRA ROAD
ALBANY
GA 31701-1320 46
RHODEN, DONNA LYNN KAY
034453 3226 WINDING WOOD PLACE
AUGUSTA
GA 30907
32
RHODES, EDGAR LEEON, III
012085 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
ROME
GA 30161
50
RHODES, MICHAEL LILBURN
036262 111 DONLEY DRIVE
ROME
GA 30165
10
RHODES, ROBERT ABSOLUM, III 029520 130 WALTON CREEK ROAD
ATHENS
GA 30607
36
RHODES, WILLIAM H JR
009599 100 SCOTT ST
UNION POINT GA 30669
01
RHODIN, THOR ROBERT
036856 328 HAMILTON STATION
COLUMBUS
GA 31909
17
RHYMER-ANDERSON, DOLORES A 035507 1466 N CROSSING CIRCLE
ATLANTA
GA 30329
15
RHYNE, LINDA HUNTER
037657 MEMORIAL MED HOSPITAL, 1644 WILMINGTON ISLAND RD
SAVANNAH
GA 31410
08
RIBEIRO, BRIAN JOSEPH
031108 4614 LABRADOR DRIVE
COLUMBUS
GA 31909
17
RIBOT, HUGO DARIO JR
030196 958 A JOE FRANK HARRIS, PARKWAY
CARTERSVILLE GA 30120
00
RICCI, KENNETH JAMES
034932 12250 ASBURY PARK DRIVE
ROSWELL
GA 30075
10
RICE, EDMOND LEE, JR
016273 50 LULLWATER ESTATE ROAD
ATLANTA
GA 30307
08
RICE, JOHN THOMAS
035984 1220 LEXHAM DRIVE
MARIETTA
GA 30068-5506 08
RICE, JOSEPH F
008870 436 LINCOLN ST
SAVANNAH
GA 31401
17
RICE, MARION HOBSON
006968 500 IRVIN COURT, SUITE C-120
DECATUR
GA 30030
. 27
RICE, ROSELYN JOANN
034454 1834 BROCKTON GLEN
ATLANTA
GA 30329
17
RICE, SAM PRESTON
036605 RR2 BOX 544-1
MT AIRY
GA 30563
10
RICE, SAMUEL TED
014416 1021 TALBOTTON ROAD
COLUMBUS
GA 31904
49
RICE, TERRY WYNNE
029081 2000 WOODSDALE ROAD
ATLANTA
GA 30324
17
RICHARD, GARY MICHAEL
029293 2019 PHEASANT CREEK DRIVE
MARTINEZ
GA 30907
01
RICHARDS, BARTLEY RUARK
033883 648 JETT ROBERTS ROAD
JEFFERSON
GA 30549
10
RICHARDS, CHESLEY LUCAS, JR 033439 1436 ASHWOOD DRIVE
EVANS
GA 30809
17
RICHARDS, CONSTANCE S.
025261 2718 RAINBOW RIDGE ROAD
DECATUR
GA 30034
10
RICHARDS, FRANK OLIVER, JR. 029082 1941 VARIATIONS DRIVE
ATLANTA
GA 30329
32
RICHARDS, JOHN CORLISS
030866 5785 EXETER COURT
COLUMBUS
GA 31904
41
RICHARDS, JOHN WILLIAM, JR 024333 3504 TURNBURY LANE
MARTINEZ
GA 30907
RICHARDS, ROSEMARY LANSING 034046 2191 RODAO DRIVE
LILBURN
GA 30247
03
RICHARDS, THOMAS BOGGS
034047 1121 GABLES DRIVE, NE
ATLANTA
GA 30319-4190 35
RICHARDSON, AUGUSTUS CULLEN II 022464 PO BOX 1686
ALBANY
GA 31702
41
RICHARDSON, AUGUSTUS CULLEN JR 005189 105 COLLIER RD NW 3080
ATLANTA
GA 30309
15
RICHARDSON, CHARLES H Ill RICHARDSON, CHARLES ROBERT
014297 1590 FORSYTH ST
008549 * PO BOX 1368
MACON STATESBORO
GA 31201
46
GA 30459-1368 15
Page No. 178
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RICHARDSON, CHRISTY LYNN
036065 710 SUMMERWOOD DR
RICHARDSON, DANIEL DALE
036263 10 HABERSHAM WAY NW
RICHARDSON, DEBORAH KAY
025025 1402 WALTON WAY
RICHARDSON, DON HARLOR
038345 1500 BIDDLE CT
RICHARDSON, HOWARD DALE RICHARDSON, JAMES WHYTEMAN
007573 105 COLLIER RD., N.W., SUITE 3060
011045 * ONE QUAIL RUN DRIVE
RICHARDSON, JEFFREY FRANCIS 025262 960 JOHNSON FERRY RD. SUITE 122
RICHARDSON, MARY SHARON CAVANA 035314 3228 WIND WOOD PLACE
RICHARDSON, RUSSELL E RICHARDSON, TOMMIE MACK
015888 1200 HAMILTON PLACE, SUITE A 031313 * 4250 PERIMETER PARK SOUTH, SUITE 125
RICHARDSON, WILLIAM EARL
026631 1718 PEACHTREE STREET NW, SUITE 552
RICHBOURG, HENRY R
011782 903 N PINE ST
RICHEY, THOMAS ARTHUR
027643 911 W. DUG GAP MOUNTAIN RD
RICHIN, PAUL FREDERICK
020595 505 IRVING CT, SUITE 200,
RICHMAN, GARY OSER
009238 993-D JOHNSON FERRY RD., N.E., SUITE 250
RICHMAN, MICHAEL JEFFREY
035315 607 CARLYLE LAKE
RICHMOND, ALAN NELSON
019587 5667 PEACHTREE DUNWOODY RD
RICHMOND, ANGELA RUTH LONGWELL 038931 1931 TRAVERS CIRCLE
RICHMOND, JOHN DWIGHT
026018 P.O. BOX 1572, 1007 PROFESSIONAL BLVD.
RICHMOND, LEA
006269 755 MT. VERNON HIGHWAY, SUITE 520
RICHMOND, LESLIE JAMES
032281 3559 CHERRY RIDGE DR
RICHTER, GARY CULP
018182 730 PEACHTREE ST., NE, SUITE 1150
RICHTER, PAUL
016965 253 U RIVERDALE ROAD
RICHWINE, SAMUEL W JR
019761 1296 SIMS ST, SUITE B
RICKETSON, JOHN GORDON
023099 1001 N MONROE ST
RICKETTS, RICHARD RANDALL
021580 3287 ALTON RD
RICKLES, FREDERICK RUSSELL 037659 2633 DANFORTH LANE
RICKNER, THOMAS WILLIAM
020596 1107 SHAMROCK DR
RICKS, HENRY C., JR
010819 841 CLIFTON ROAD, N.E.
RICKS, ROBERT LEWIS
009922 1047 R. D. ABERNATHY BLVD. SW
RICO, IVETTE D.
037450 PO BOX 13851, OGLETHORPE STATION
RIDDELL, CHRISTOPHER F
021796 1938 PEACHTREE ROAD, NW, SUITE 710
RIDDICK, MEREDITH THOMAS
022269 1295 HEMBREE ROAD, SUITE 202-A
RIDLEY, CHARLES L JR
004664 2486 INGLESIDE AVE, APT E
RIDLEY, CHARLES LEWIS, III
025476 330 HOSPITAL DRIVE, SUITE 205 BLDG C
RIDLEY, JOHN HOOD
004276 35 COLLIER RD NW, SUITE 635
RIEGO, ARTURO MARINAY
023213 259 WHITETAIL CIR
RIEL, MICHAEL ANTHONY
036606 3109 NATALIE CIRCLE
RIELLY, JAMES PADRAIG
038932 GA VASCULAR SURGERY, PC, 315 BLVD, NE# 3L6
RIEPE, STANLEY PAUL
019588 DEPT OF GASTROENTEROLOGY, 1365 CLIFTON ROAD NE
RIESENBERG, ROBERT A
019589 625 DEKALB INDUSTRIAL WAY
RIESER, JOHN CHARLES
010643 3280 HOWELL MILL ROAD NW, SUITE 211
RIETHER, ANNE MARIE ANTOINETTE 029831 4 CONCOURSE PARKWAY, SUITE 160
RI FA I , AYMAN MAN.SOUR
037896 804 NORTH TIBBS ROAD, SUITE 77
RIFKIN, JEFFREY ROBERT
036264 6536 MINK DRIVE
RIGAS, LAMBROS CONSTANTINE 010734 316 W 10TH STREET, SUITE A MEDICAL ARTS BLDG
RIGDON, STEVEN WILLIAM
022873 820 MURRAY AVE
RIGEL, EDWARD P
016712 743 SPRING STREET NE, PO BOX 1865
RILEY, JAMES DUDLEY
031495 2500 HOSPITAL BLVD, SUITE 410
RILEY, MARCIA GLENN
028066 77 EAST ANDREW DRIVE, SUITE 120
RILEY, ROTH LEON
025656 PO BOX 487
RILEY, SCOTT ALAN
023100 3118 NATALIE CIRCLE
RILEY, TERRY LEE
028872 136 NORTHWOODS DRIVE
RILEY, THADDEUS HAIGLER, JR. 028637 307 PALOMINA PATH
RILEY, WELLS
006469 10188 FITZGERALD ROAD
RIMANDO, JOSE FUNDALES
022874 PO BOX 8338
RIMLAND, DAVID
013998 5230 WYNTERCREEK CIRCLE
RINGER, DAVE ALAN
030368 100 MEDICAL CENTER DRIVE
CLARKSTON
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
NEWNAN
GA
ATLANTA
GA
AUGUSTA
GA
GAINESVILLE GA
ATLANTA
GA
ATLANTA
GA
NASHVILLE
GA
DALTON
GA
DECATUR
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
LAWRENCEVILLE GA
DALTON
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
RIVERDALE
GA
GAINESVILLE GA
ALBANY
GA
CHAMBLEE
GA
DECATUR
GA
DUBLIN
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
ROSWELL
GA
MACON
GA
MACON
GA
ATLANTA
GA
HINESVILLE GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
ATLANTA
GA
DALTON
GA
MIDLAND
GA
ROME
GA
TIFTON
GA
GAINESVILLE GA
ROSWELL
GA
ATLANTA
GA
VIENNA
GA
AUGUSTA
GA
MILLEDGEVILLE GA
STATESBORO GA
JONESBORO
GA
WARNER ROBINS GA
DUNWOODY
GA
GREENSBORO GA
30021
17
30305
08
30901
31
30338-2812 31
30309
44
30265
28
30342
30907
31
30505
01
30341
10
30309
01
31639
10
30720
36
30030
28
30342
27
30033
15
30342
15
30244
32
30722-1572 17
30328
41
30034
10
30308
11
30274
16
30501-3850 41
31701
15
30341
41
30033
17
31021
52
30307
33
30313
15
31406
32
30309
33
30076
17
31204-2036 OT
31213
30309
13
31313
17
30909-2747 17
30312
05
30322
11
30033
33
30327
27
30328
33
30720
32
31820
10
30161
15
31794
17
30503
03
30076
41
30305
17
30192
10
30909
03
31061
31
30458
10
30236-6410 10
31095-8338 01
30338
17
30642
10
Page No. 179
Composite State Board of Medical Examiners-. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RINKER, HARRY FRIEDRICH
038596 5659 REDCOAT RUN
ST MOUNTAIN GA
RIOS, \JJLFREDO
029234 131 ASHFORD PARK
MACON
GA
RIPPY, LEE SULLIVAN
033884 NEWTON WOMEN'S HEALTH CTR, 8230 HAZELBRAND RD - SUITE COVINGTON
GA
RISBY, EMILE D
030869 EMORY UNIV DEPT PSYCH, DRAWER AF
ATLANTA
GA
RISH!, FOUZJA
034231 4024 A, HIDDEN HOLLOW DRIVE
GAINESVILLE GA
RISLEY, JON HOLLAND
038933 963 SUNS LANE
JASPER
GA
RISSING, JOHN PETER
018416 111G VAMC-OD
AUGUSTA
GA
RISTJC, IRENE
037660 366 HAYMARKET LANE
LAWRENCEVILLE GA
RJSTOIJ, HANS-JURGEN KURT HERMA 026019 2934 GALAHAD DR.
ATLANTA
GA
RJTCHEA, ROBERT MARK
033688 217 MAJESTIC OAK CIRCLE
BYRON
GA
RITCHIE, THOMAS ANDRE\J
036441 2501 SUMMER OAK DRIVE
TUCKER
GA
RITTER, DIANE SUE CAMPBELL 036266 511 NAVARRO DRIVE
WARNER ROBINS GA
RITTER, LINDA JANE BLJSSIT 020347 775 RIVERHJLL DRIVE
ATHENS
GA
RITTGERS, ROBIN ANDRE\J
019590 3226 HAMPTON AVE, BLDG D
BRUNSWICK
GA
RIVELL, MARIA JOSE
029294 635 \JASHINGTON WEST DRIVE
EVANS
GA
RJVELL, \JILLIAM ANDRE\J
027901 635 WASHINGTON WDRIVE
EVANS
GA
RIVENBARK, JUDY RAE
032687 * 3188 ATLANTA RD
SMYRNA
GA
RIVERA, CARLOS ARTURO
034456 503 EISENHOWER DRIVE, PO BOX 14444
SAVANAH
GA
RIVERS, PHYLLIS JANE.A
006542 2953 LYNDA LN
COLUMBUS
GA
RIVERS, \JALKER P JR
006543 2953 LYNDA LANE
COLUMBUS
GA
RIVERS-BULKELEY, NOEL TIMOTHY 026020 2150 PEACHFORD RD, SUITE A
ATLANTA
GA
RIVES, DOUGLAS ALAN
026021 790 CHURCH ST EXT, SUITE 500
MARIETTA
GA
RIVKIN, LAURENCE MATTHE\J
012363 2550 WINDY HILL ROAD, SUITE 202
MARIETTA
GA
RIVNER, MICHAEL HARVEY
020806 523 WINCHESTER DRIVE
AUGUSTA
GA
RIZOR, RANDY FRANK
022875 5667 PEACHTREE-DUN\JOODY ROAD NE, #240
ATLANTA
GA
RIZZO, THOMAS DIGNAN
019096 COTTAGE 349, COOK AVENUE
SEA ISLAND GA
ROBB, PHILIP KURT
033184 975 JOHNSON FERRY ROAD, SUITE 320
ATLANTA
GA
ROBBINS, ANGELA BARGER
019762 1503 WINTER STREET
AUGUSTA
GA
ROBBINS, GJLLIUM ANDRE\J
028455 4373 DEER RUN
EVANS
GA
ROBBINS, LAURIE LEIGH
037661 777 HEMLOCK ST, BOX 1007
MACON
GA
ROBBINS, RICHARD BRIAN
028639 11660 ALPHARETTA HWY, SUITE 430
ROSWELL
GA
ROBBINS, RICHARD SPECTOR
016417 1905 SEVENTH AVENUE
COLUMBUS
GA
ROBBINS, ROBERT ARTHUR
026632 120 CAMERON GLEN DRIVE
ATLANTA
GA
ROBERSON, CLIFFORD \JILLIAM JR 021797 550 FAIRBURN ROAD, S.W, SUITE 8-4
ATLANTA
GA
ROBERSON, JAMES RAY
020147 SECTION OF ORTHOPEDICS, 1365 CLIFTON RD NE
ATLANTA
GA
ROBERSON, RICHARD CHARLES
038597 625 INDIAN MILL CT
ALPHARETTA GA
ROBERSON, SANDRA KAYE
034232 6667 VERNON \JOODS DRIVE, N.E., SUITE A-30
ATLANTA
GA
ROBERSON, SYNTHIA TEELE
022876 7145 CHERRY BLUFF DR
ATLANTA
GA
ROBERSON, TOM P
013857 1237 LAKE CHARLES DR
ROSWELL
GA
ROBERTS, ALAN
035743 2908 LOMBARDY COURT
AUGUSTA
GA
ROBERTS, CHERYL HERMIONE
033255 3559 CHERRY RIDGE DRIVE
DECATUR
GA
ROBERTS, DAVID BURDEN
014417 2101 8 NORTH AVE
COLUMBUS
GA
ROBERTS, DAVID LEE
030199 THE EMORY CLINIC, 1365 CLIFTON ROAD, N.E.
ATLANTA
GA
ROBERTS, DON \JAYNE
021582 PO BOX 1226
DOUGLAS
GA
ROBERTS, DONNA JONES
037349 310 OXFORD DRIVE
SAVANNAH
GA
ROBERTS, HELEN ELIZABETH
034919 10 KINGS WALK
ATLANTA
GA
ROBERTS, HENRY ED\JARD
030200 PO BOX 430
COCHRAN
GA
ROBERTS, JAMES T. L.
032282 730 PEACHTREE STREET NE, SUITE 975
ATLANTA
GA
ROBERTS, JAMISON RAY
038347 189 JEFFERSON PARKWAY
NEWNAN
GA
ROBERTS, JERRY MICHAEL
025657 201 PRIME PT
PEACHTREE CTY GA
ROBERTS, JESSIE MORRIS
005384 116 N MAIN STREET
ALPHARETTA GA
ROBERTS, JOHN E JR
013999 COBB FAMILY MEDICINE PC, STE 8A 1790 MULKEY RD
AUSTELL
GA
ROBERTS, KATHLEEN TRUITT
029991 3481 LAKESIDE DRIVEN E, #1201
ATLANTA
GA
ROBERTS, KELLY CLEVELAND
018417 2406 BELLEVUE, ERIN OFFICE PARK
DUBLIN
GA
ROBERTS, LUTHER J JR
005249 2208 SPRING DALE DRIVE
COLUMBUS
GA
ROBERTS, MARCUS CARROLL
035986 736 EAST 18TH STREET
TIFTON
GA
ROBERTS, MATTHE\J ALAN
035744 102 CROSS CRESCENT, SUITE 204
FT OGLETHOPRE GA
ROBERTS, MICHAEL BRUCE
026367 750 NORTH COBB STREET
MILLEDGEVILLE GA
30087
36
31210
15
30209-2933 15
30322
33
30506
32
30143
10
30904-6285 17
30245-4589 10
30345
06
31008
17
30084
05
31088
17
30606
03
31520
11
30809
33
30809
10
30080-3897 33
31416-1444 36
31906
32
31906
32
30338
33
30090
17
30067
48
30909
23
30342
03
31561
46
30342
30
30904
41
30809
03
31201
15
30076-3805 15
31901
11
30328
46
30331
46
30322
46
30202
10
30328
04
30360
36
30075
03
30909
17
30034
32
31904
15
30322
17
31533
17
31405
10
30307
32
31014
00
30308
15
30263
32
30269-3306 32
30201
10
30001
10
30326
32
31021
52
31906
01
31794
10
30742
15
31061
41
Page No. 180
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ROBERTS, MICHAEL FREDERICK 017109 1727 CENTRAL AVE
ROBERTS, MICHAEL HOLLINGSWORTH 018945 425 - 3RD AVE, SUITE 510
ROBERTS, PHILLIP LEE
009923 425 3RD AVE, SUITE 100
ROBERTS, RALPH DONALD
005635 PO BOX 929
ROBERTS, REUBENS JR
017944 PULASKI PROF BLDG
ROBERTS, ROBERT EUGENE
006062 1633 FORREST AVE
ROBERTS, SAVA M
006787 PO BOX 3326
ROBERTS, STEWART RALPH JR
008872 DEPT. OF RADIOLOGY, 1365 CLIFTON RD.N.E.
ROBERTSON, DAVID GERALD
027244 1915 WINDHAM PARK
ROBERTSON, DIRK BRISCOE
025658 PACES PAVJLJO - SUITE 220, 3193 HOWELL MILL ROAD
ROBERTSON, HARRY GLENN
024334 771 DIXIE AVE NE
ROBERTSON, JAMES VAN
016544 45 ASHFORD WAY
ROBERTSON, WILLIAM TIMOTHY 023215 790 CHURCH STREET EXTENSION, SUITE 400
ROBINOWITZ, MICHAEL STEPHEN 017274 3200 DOWNWOOD CIRCLE, SUITE 300
ROBINSON, ASBURY CLARK
009601 PO BOX 1118
ROBINSON, CHARLENE YVETTA
034233 135 BRIEGHTON COURT
ROBINSON, DENNIS ALLEN
026178 2305 ROBINHOOD ROAD
ROBINSON, DONALD RAY
022631 1501 E MILULI AVE
ROBINSON, DONALD RICHARD
021798 770 PINE STREET, SUITE 200
ROBINSON, FRANK ELLIOTT
037058 PO BOX 870829
ROBINSON, JAMES LOUIS
010269 * PO BOX 489
ROBINSON, JEAN HART
020119 140 VANN STREET, SUITE 330
ROBINSON, JEFFREY MILES
030870 1104 MARTHA BERRY BLVD
ROBINSON, JERRY C
013077 269 HORSLEY MILL RD.
ROBINSON, JOE SAM JR
022465 840 PINE STREET, SUITE 880
ROBINSON, JOHN H Ill
004157 609 SLEE ST
ROBINSON, KERMIE LENARD
033440 5148 ROCKY GLEN
ROBINSON, PAUL H
010446 1365 CLIFTON ROAD NE, SUITE 4410 - CARDIOLOGY
ROBINSON, RALEIGH MIXON
018726 125 KING AVE
ROBINSON, RANDY GERALD
035987 2 PROFESSIONAL CT
ROBINSON, RICHARD MARK
038936 1311 MILSTEAD AVE
ROBINSON, RICHARDS
015310 GEORGIA OCCUPATIONAL CLINIC, 4939 RIVERDALE RD
ROBINSON, ROBERT STOGNER
007274 BOX 45
ROBINSON, SHEILA ANN
026802 999 PEACHTREE STREET, SUITE 850
ROBINSON, TAMMY JANE
034696 6671 CHURCH STREET, PO BOX 1118
ROBINSON, THEODORE R
018542 628 TOMMY ARRON DRIVE
ROBLES, ENRIQUE
015037 3765 PEACHTREE DUNWOODY RD NE
ROBLES, JAMES
033689 PO BOX 80363
ROBLES-MEYERS, SYLVIA MARIA 032033 40 BOLIVER ROADS E
ROCHE, ROBERT R
020598 1660 MULKEY ROAD
ROCHE, WILLIAM PATRICK III
028456 145 SADDLERUN COURT
ROCHON, JUDITH MARIE
036858 3200 LENOX ROAD, #C 308
ROCK, BARBARA MCALPINE
036268 1114 LULLWATER RD
ROCK, JOHN AUBREY
035988 69 BUTLER STREET, SE
ROCKFELD, ROBERT D
016418 4555 N. SHALLOWFORD RD., SUITE 102
ROCKWELL, ROBERT LEE
035989 1180 MONROE DRIVE, APT 3
RODDENBERRY, HARVEY B
011998 380 HOSPITAL DRIVE, SUITE 100
RODEN, WILLIAM CLARENCE
026179 652 CHURCH STREET NE
RODERJQUE, JIM WILLIAM
024075 730 PEACHTREE STREET, SUITE 1105
RODEY, GLENN EUGENE
029762 WINSHIP CANCER CTR - RM 5207, 1327 CLIFTON ROAD NE
RODGERS, CHARLES LEONARD
030202 BOX 158D
RODGERS, ROBIN LEE
035316 2163-D LAKE PARK DRIVE
RODIER, JAMES BARTON
036443 * PO BOX 549
RODILLO, EUGENE SUAREZ
023217 PO BOX 618, 44 FOREST AVE
RODRIGUEZ EMA, MARTIN
016969 4830 FULTON IND BLVD, CORPORATE CENTER CLINIC
RODRIGUEZ, ADALBERTO PEREZ 012951 285 BOULEVARD, N.E., SUITE 215
RODRIGUEZ, ADRIANA M
019763 3010 HAMPTON AVENUE
RODRIGUEZ, ANTONIO RUELAN
016484 615 19TH STREET
AUGUSTA
GA
ALBANY
GA
ALBANY
GA
FITZGERALD GA
HAWKINSVILLE GA
EAST POINT GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
GRIFFIN
GA
MARIETTA
GA
ATLANTA
GA
DOUGLASVILLE GA
MACON
GA
ALBANY
GA
BAINBRIDGE GA
MACON
GA
STONE MTN
GA
FRANKL! N
GA
MARIETTA
GA
ROME
GA
CARROLLTON GA
MACON
GA
AMERICUS
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATHENS
GA
ROME
GA
CONYERS
GA
ATLANTA
GA
METTER
GA
ATLANTA
GA
DOUGLASVILLE GA
GAINESVILLE GA
ATLANTA
GA
CONYERS
GA
CARTERSVILLE GA
AUSTELL
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
MACON
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
COLUMBUS
GA
SMYRNA
GA
HAMILTON
GA
ELBERTON
GA
ATLANTA
GA
ATLANTA
GA
BRUNSWICK
GA
COLUMBUS
GA
30904
32
31701
48
31703
17
31750
10
31036
10
30344
17
30914
36
30322
36
30324
17
30327
06
30307
27
30223
10
30060
30327
15
30133
10
31210
10
31707
32
31717
15
31201
17
30087
10
30217
01
30060
33
30161
36
30116
36
31201
44
31709-4141 41
30088
41
30322
05
30610
46
30161
10
30207
15
30337
01
30439
10
30309
30134
30506
26
30342-4323 15
30208
03
30120
33
30001
36
31210
10
30324
33
30307
06
30303
15
30338
46
30306
17
31201-3898 15
30060
46
30308
. 42
30322
53
31902
00
30080
10
31811-0549 10
30635
30336
01
30312
11
31523
36
31901
17
Page No. 181
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RODRIGUEZ, DAVID FIDEL
031109 755 MOUNT VERNON HWY NE, SUITE 500
ATLANTA
GA
RODRIGUEZ, FERNANDO
010767 1325 SCENIC WAY
LILBURN
GA
RODRIGUEZ, JAMES CROMWELL
038081 1355 MAPLE RIDGE DR
SUWANEE
GA
RODRIGUEZ, JORGE ISAAC
0119.00 3307 PRINCE GEORGE STREET
EAST POINT GA
RODRIGUEZ, LUIS A
014316 755 COMMERCE DRIVE, SUITE 100
DECATUR
GA
RODRIGUEZ, MANUEL ARUELLIO REU 015311 * 3652 CHAMBLEE-DUNWOODY ROAD
CHAMBLEE
GA
RODRIGUEZ, MISAEL
034756 118 MOSSCREEK DRIVE
MARTINEZ
GA
RODRIGUEZ, RICHARD PETRON!LO 036271 3355 LENOX RD NE, SUITE 1000
ATLANTA
GA
RODRIGUEZ-CURRAS, JOSE FEDERIC 025028 6 EAGLE POINT DR
SAVANNAH
GA
RODRIGUEZ-EMA, MARTIN MANUEL 032983 4830 FULTON INDUS BLVD, CORP CENTER CLINIC
ATLANTA
GA
RODRIGUEZ-FRANCO, JOSE ANTONIO 027113 110 HOSP. DRIVE, P.O. BOX 8169
WARNER ROBINS GA
RODRIGUEZ-TORRES, JOSE OSCAR 024622 114 CHERRY ST, SUITE F
MARIETTA
GA
RODZEWICZ, PAUL JOHN
017275 993 JOHNSON FERRY ROAD, BLDG F, SUITE 370
ATLANTA
GA
RODZIEWICZ, CATHERINE RUTH 028874 1260 AZALEA CIRCLE
CONYERS
GA
RODZIEWICZ, THOMAS LEON
028875 1260 AZALEA CIRCLE
CONYERS
GA
ROEDIG, TIMOTHY JOHN
034934 7201 MONTEREY AVE
LITHONIA
GA
ROGAN, JAMES MICHAEL
037662 200 EASTON DRIVE, SW
ATLANTA
GA
ROGERS, CLARENCE M JR
017486 2689 COSMOS DRIVEN E
ATLANTA
GA
ROGERS, DAVID ALAN, ASST. PROF 029084 OF SURGERY - PEDIATRIC 202, MEDICAL COLLEGE OF GE AUGUSTA
GA
ROGERS, DELMAR MICHAEL
022878 1825 MARTHA BERRY BLVD
ROME
GA
ROGERS, EDWARD AUGUSTUS JR 013302 700 SOUTH MAIN
MOULTRIE
GA
ROGERS, GREGORY MARK
029368 11 JOHN MADDOX DRIVE
ROME
GA
ROGERS, HARRISON L JR
006703 2672 BATTLE OVERLOOL NW
ATLANTA
GA
ROGERS, HOWARD GARY
030203 ANESTHESIA ASOC OF COLUMBUS, 5820 HAMILTON ROAD - SUI COLUMBUS
GA
ROGERS, JACK A JR
017875 1560 BOOGER HOLLOW
LINDALE
GA
ROGERS, JAMES VIRGIL JR
005192 1715 SILVER HILL ROAD
STONE MOUNTAIN GA
ROGERS, JIM LEE
009602 1105 NORTH 5th AVENUE
ROME
GA
ROGERS, JOHN JAMES
021040 4880 BRITTANY DRIVE
MACON
GA
ROGERS, JOHN SEABORN
010271 PO BOX 388
BUENA VISTA GA
ROGERS, KENT HAYWARD
035745 3770 CASTLEGATE DRIVE
ATLANTA
GA
ROGERS, LAURA BEA QUILLIAN 029237 SECTION OF GEN/INT MEDICINE, HB 2010, MED COL OF GA AUGUSTA
GA
ROGERS, MARTHA FLOYD
031315 DIVISION HIV/AIDS, MAILSTOP E45 CDC
ATLANTA
GA
ROGERS, PHILLIP RAYMOND
021197 17 DUNWOODY PK DR, SDUITE 117
ATLANTA
GA
ROGERS, RHONDA BONNER
022040 102 CEDAR STREET
CARROLLTON GA
ROGERS, SARA BRABSON
017876 7 PROFESSIONAL COURT, FAMILY PRACTICE CENTER
ROME
GA
ROGERS, STEPHEN ERNEST
026180 6100 WATERS AVE #12
SAVANNAH
GA
ROGERS, STEVEN GREGORY
026637 3623 J DEWEY CIRCLE, SUITE 112
AUGUSTA
GA
ROGERS, WARD BRETT
027647 818 SAINT SEBASTIAN WAY, SUITE 308
AUGUSTA
GA
ROGERS, WILLIAM EVAN
022041 102 CEDAR STREET
CARROLLTON GA
ROIG, ARMANDO V
017728 509 N COBB ST, P.O. BOX 506
MILLEDGEVULLE GA
ROJAS, EDUARDO
030370 P.O. BOX 879
CALHOUN
GA
ROLAND, ROMIE EARL
034698 WESTSIDE ANESTHESIA, PO BOX 311135
ATLANTA
GA
ROLDAN, AMALIA PEREZ
014254 700 MITCHELL BRIDGE ROAD, #157
ATHENS
GA
ROLLAND, RU!CK SYLVESTER
020807 441 LAKESHORE DRIVE
ATLANTA
GA
ROLLINGS, HARRY EVAN
005915 * 4849 PAULSEN STREET, SUITE 314
SAVANNAH
GA
ROLLINGS, ROBERT CALVIN
026638 4849 PAULSEN STREET, SUITE 314
SAVANNAH
GA
ROLLINS, CHESTER PALMOUR
027114 35 COLLIER ROAD, SUITE 455
ATLANTA
GA
ROLLINS, JEFFREY VINCENT
035990 1061 TENNYSON PLACE
ATLANTA
GA
ROLLINS, LUTHER C JR
006473 3015 MORNINGTON DR NW
ATLANTA
GA
ROLLINS, LUTHER CLARENCE III 023101 4285 HARRIS TRAIL
ATLANTA
GA
ROLLOLAZO, WARLITO G
017551 5555 PEACHTREE DUNWOODY RD, SUITE 175
ATLANTA
GA
ROLOFF, JAMES SHERRY
036444 DEPT PEDIATRICS-MEMORIAL MED CTR, PO BOX 23085
SAVANNAH
GA
ROMAN, CARLOS
018418 3839 BRANDY STATION COURT
ATLANTA
GA
ROMAN-GONZALEZ, JAVIER
036272 2122 RIDGE BROOK TR
DULUTH
GA
ROMAN-RODRIGUEZ, JESSE
037059 2438 KINGS ARMS DRIVE
ATLANTA
GA
ROMERO, RENE, JR
037060 2430 DEVON LEIGH WALK
DULUTH
GA
ROMINE, BENJAMIN W
009926 907 N CULPEPPER ST
QUITMAN
GA
ROMITAN, EMIL C
016970 PO BOX 8056
COLUMBUS
GA
30328-4274 17
30247
11
30174-2814 53
30344
17
30030
31
30341
10
30907
32
30326-1332 17
31406-8423 32
30336
32
31905-8169
30060-7206 32
30342
11
30208
03
30208
03
30058
03
30331
10
30345-1354 17
30912-1001
30165-1698 50
31768
15
30165-1499 17
30327
11
31904
03
30147
32
30087
36
30165
13
31210
41
31803
10
30327
03
30912
17
30333
RS
30338
10
30117
06
30165
32
31406
03
30909-0000
30901-2651
30117
17
31061
46
30701
52
30331
30606
33
30307
33
31405
17
31405
17
30309
30
30319
10
30327
41
30327
03
30342
50
31403
16
30339
03
30136
17
30345
34
30136
32
31643
10
31908
30
Page No. 182
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ROMM, PHILIP ARMAND ROOF, JACK B JR ROOKER, DONALD W ROOKS, MICHAEL DALE ROPER, MARYANN ROPER, RONALD PHILLIP RORABECK, JEANNIE MARIE ROSA-RE, LISA MARIE ROSE, DANIEL WILLIAM ROSE, FRED D ROSE, MYRA E ROSEBERRY, EVERETT H ROSEDALE, RONALD E ROSEN, ARNOLD JOEL ROSEN, MICHAEL JOSEPH ROSEN, RONALD ROSEN, RONALD MARTIN ROSEN, WAYNE MURRAY ROSENBAUM, BARRY JAY ROSENBERG, FREDRIC KEVIN ROSENBERG, MARK LEWIS ROSENBERG, RAYMOND ROSENBERG, STEPHEN ALAN ROSENBERGER, RICHARD MARTIN ROSENBLATT, JEFFREY STEVEN ROSENBLOOM, SEYMOUR JOSEPH ROSENBLUM, FREDERICK JAY ROSENFELD, JOSEPH M ROSENGART, CARLL ROSENGART, ROBERT HARRIS ROSENSTEIN, BYRON DAVID ROSENSTOCK, JOEL ROSENTHAL, BENNETT M ROSENTHAL, DAVID ROSENTHAL, SANFORD I ROSENTHAL, STEVEN MICHAEL ROSHTO, JAMES A ROSING, HOWARD STEPHEN ROSS, JACK ROBERT ROSS, JOHN W ROSS, JOHN WAYNE ROSS, KENNETH ANTHONY ROSS, MILLARD I JR ROSS, RHONDA RENAE ROSS, THOMAS IVAN ROSS, .WILLIAM SIDNEY ROBERT ROSSI, ALBERTO E ROSSI, JOHN DAVID ROSSI, TONI LYNNE ROSSITER, FRANCIS P JR ROSSMANN, CHARLES ROSSOMONDO, ROGER M ROTH, DAVID JULIUS ROTH, MAURICE K ROTH, RICHARD STAT ROTHENBERG, MARVIN BERYL ROTHENBERG, RICHARD BERNARD ROTHMAN, PAULA ABBY
034235 320 FERNLY PARK DRIVE 017278 BURNS PROFESSIONAL BLDG, SUITE 102 011674 833 CAMPBELL HILL ROAD 022043 872 PEACHTREE BATTLE AVE NE 033691 2401 HAVENRIDGE DRIVE 012552 790 CHURCH STREET EXTENSION, SUITE 400 037899 1466-B DRUID VALLEY DR 029768 4922 DAY LILY WAY 011675 17 MED ARTS CTR 009927 2441 LOST VALLEY TRAIL 018727 720 WESTVIEW DRIVE 016751 650 BROAD ST SE 035991 6 EAST LIBERTY ST. 016971 5667 PEACHTREE-DUNWOODY ROAD, SUITE 290 033886 2494 JETT FERRY ROAD, SUITE 103 011724 1700 HOSPITAL SOUTH DRIVE, #201 015201 3111 PACES MILL ROAD, VININGS POINT SUITE C-200 029769 5560 ERROL PLACE 015609 497 WINN WAY, SUITE A-210 022044 3270 COCHISE DRIVE 016972 972 OAKDALE ROAD, NE 015610 11 LAVISTA, PERIMETER OFFICE PARK 025661 980 JOHNSON FERRY ROAD, SUITE 410
013162 * 4839 N. MAIN STREET
027903 7415 BROOKSTEAD CROSSING 015849 790 CHURCH ST. EXT., SUITE 580 028641 3623 J DEWEY GRAY CIRCLE, SUITE 100 017279 5008 SNAPFINGER WOODS DRIVE 011461 PO BOX 23089 034699 106B HILLSIDE COURT 030871 993 JOHNSON FERRY ROAD, N.E., BUILDING D-SUITE 260 032036 35 COLLIER RD NW, STE 245 034700 3327 WOODSFIELD DR 019592 315 BOULEVARD NE, SUITE 412 011051 5205 FREDERICK STREET 036445 1151 CLEVELAND AVE 016486 PO BOX 1066 022879 4500 N SHALLOWFORD RD #200 027302 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS 022880 2600 M.L.K., JR., DRIVE, SUITE 206 010649 4130 THUNDERBIRD DRIVE 036273 7 SHEARWATER COURT 015315 NEWTON-ROCKDALE SURGICAL SPEC, 1372 WELLBROCK CIRCLE 031820 2151 CEDARBROOK COURT SE 036607 4805 OGEECHEE DRIVE 035129 1001 NORTH 3RD STREET 011052 1136 CLEVELAND AVENUE, SUITE 308 035130 3431 N DRUID HILLS RD APT L 021198 751 CRESTRIDGE DRIVEN E 011462 4600 WATERS AVE, SUITE 110 033690 2301 N ASHLEY ST 013925 101 CLINIC AVE 032284 3810 PLEASANTDALE ROAD 037900 6029 FLAT ROCK RD, APT 66 036446 PO BOX 15238 010360 755 MT VERNON HIGHWAY, SUITE 370 028642 2027 ELDORADO DRIVE 031498 3540 DULUTH PARK LN, SUITE 250
ALPHARETTA BLUE RIDGE MARIETTA ATLANTA ATLANTA MARIETTA ATLANTA ACWORTH SAVANNAH CONYERS ATLANTA GAINESVILLE SAVANNAH ATLANTA DUNWOODY AUSTELL ATLANTA ATLANTA DECATUR ATLANTA ATLANTA TUCKER ATLANTA ACWORTH DULUTH MARIETTA AUGUSTA DECATUR SAVANNAH DUBLIN ATLANTA ATLANTA MARIETTA ATLANTA SAVANNAH EAST POINT STATESBORO ATLANTA COLUMBUS ATLANTA MARIETTA SAVANNAH CONYERS ATLANTA ALPHARETTA FOLKSTON EAST POINT DECATUR ATLANTA SAVANNAH VALDOSTA CARROLLTON ATLANTA COLUMBUS SAVANNAH ATLANTA ATLANTA DULUTH
GA 30202
05
GA 30513
10
GA 30090
30
GA 48156-4538 46
GA 30305
32
GA 30060
52
GA 30329
15
GA 30102
10
GA 31405
30
GA 30208
05
GA 30310
19
GA 30505
32
GA 31401
10
GA 30342
41
GA 30338
17
GA 30001
52
GA 30339
33
GA 30327
10
GA 30030
22
GA 30339
01
GA 30307
33
GA 30084
32
GA 30342
15
GA 30101
10
GA 30136
32
GA 30060
17
GA 30910
34
GA 30035
32
GA 31403
23
GA 31021
GA 30342
28
GA 30309-1602
GA 30062
GA 30312
40
GA 31405
27
GA 30344
05
GA 30458
15
GA 30338
23
GA 31901
10
GA 30311
17
GA 30067
31
GA 31411-3030 48
GA 30207
41
GA 30316
10
GA 30202
28
GA 31537
10
GA 30344
15
GA 30033-3757 44
GA 30306
17
GA 31404
32
GA 31602-2620 15
GA 30117
27
GA 30340
10
GA 31907
30
GA 31416
17
GA 30328
46
GA 30345
17
GA 30136-3200 01
Page No. 183
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
ROTTENBERG, HOWARD
D18543 602 CHESTNUT OAK COURT
ATLANTA
GA
ROUBEN, DAVID PAUL
019990 3904 GLENBLUFF ROAD
LOUISVILLE GA
ROUGHTON, RALPH E JR
010821 1175 PEACHTREE ST, NE,# 412
ATLANTA
GA
ROUNDTREE, WILLIAM EARL
021802 1716 BUENA VISTA ROAD
COLUMBUS
GA
ROUNTREE, CLYDE BRANAN
011901 800 THERMOPYLAE COURT
ALPHARETTA GA
ROURKE, TIMOTHY WADE
035746 655 BACONSFIELD PARK
MACON
GA
ROUTON, JAMES LEONARD
012231 123-E JONES STREET
SAVANNAH
GA
ROWE, JOSEPHS JR
014659 3889 FOXFORD DRIVE, NE
ATLANTA
GA
ROWE, RICHARD ANTHONY
038350 722 RIVERFRONT DR
AUGUSTA
GA
ROWE, THOMAS S
016420 646 S 8TH ST
GRIFFIN
GA
ROWELL, ROGER RONALD
007576 500 IRVIN COURT, SUITE C-120
DECATUR
GA
ROWLAND, BRUCE JAMES
027905 5505 ROSWELL ROAD
ATLANTA
GA
ROWLAND, DAVID M
010274 755 COMMERCE DRIVE, SUITE 520
DECATUR
GA
ROWLAND, JAMES M Ill
014550 PO BOX 7836
MACON
GA
ROWLAND, JAMES ROY JR
006704 103 WOODRIDGE RD.
DUBLIN
GA
ROWLETT, JOHN DORLAND
035747 1 KEEL POINT
SAVANNAH
GA
ROWLEY, CHARLES M
012640 840 PINE STREET, SUITE 880
MACON
GA
ROWLEY, DIANE LOUISE
032466 2965 BAKER RIDGE DR, NW
ATLANTA
GA
ROWLEY, F LAWRENCE
029523 22 THE PRADO NE
ATLANTA
GA
ROWLEY, LAWRENCE JOHN
035992 1700 HOSPITAL SOUTH DRIVE, SUITE 502
AUSTELL
GA
ROY, DEANNA LYNNE
034701 128 BRIEGHTON COURT
MACON
GA
ROYSTER, ROBERT MARVIN
023401 2665 NORTHBROOK DRIVE
DORAVILLE
GA
ROYSTER, WILLIAM EDWARD, JR 032038 3805 HALISPORT LANE
KENNESAW
GA
ROZIER, DAVID HENRY
008200 380 HOSPITAL DRIVE
MACON
GA
ROZIN, SPENCER IAN
034236 600 PROFESSIONAL DRIVE, SUITE 150
LAWRENCEVILLE GA
ROZYCKI, GRACES.
038938 DEPARTMENT OF SURGERY, GLENN BUILDING 69 BULTER ST.SE ATLANTA
GA
RUBEN, DAVID MARK
023102 980 JOHNSON FERRY ROAD, #980
ATLANTA
GA
RUBENOW, JON C
029940 1745 N. PELHAM ROAD
ATLANTA
GA
RUBENS, JONATHAN SAMUEL
036274 1101 MILLSTONE RUN
BOGART
GA
RUBENSTEIN, ARNOLD B
012266 * 29 SW UPPER RIVERDALE ROAD, SUITE 140
RIVERDALE
GA
RUBIN, ABRAHAM
013344 1514 WESLEY PARKWAY
ATLANTA
GA
RUBIN, JANET ELLEN
029239 2160 HERITAGE BLUFF
DECATUR
GA
RUBIN, JEFFREY WILLIAM
030873 1456 PEACHTREE BATLE
ATLANTA
GA
RUBIN, JOSEPH WILLIAM
015978 THORACIC/CARDIAC SURGERY DEPT., MEDICAL COLLEGE OF GE AUGUSTA
GA
RUBIN, PAUL LESLIE
027651 600 PROFESSJOAL ORIE, SUITE 240
LAWRENCEVILLE GA
RUBIN, ROY M
018249 5671 PEACHTREE DUNWOODY ROAD, SUITE 900
ATLANTA
GA
RUBIO, ROBERTO
038084 1308 AUTUMN RIDGE DR
COLUMBUS
GA
RUCK, DAVID CARL
031499 EISENHOWER ARMY MED CENTER, PO BOX 352 DEPT PSYCH!AT FT GORDON
GA
RUCKER, BENJAMIN LAVAR JR
017877 1138-B DRUID PARK AVE
AUGUSTA
GA
RUCKER, CHRISTOPHER DAVIDSON 032467 2916 GLYNN AVENUE
BRUNSWICK
GA
RUCKER, GREGORY MICHAEL
028457 700 CENTER STREET, SUITE 204
COLUMBUS
GA
RUCKET, ALAN NORMAN
015980 1005 IVEY FALLS DRIVE NW
ATLANTA
GA
RUDDELL, DEANNA CAROL NICHOLSO 038939 147 ANNESWOOD RD
MARTINEZ
GA
RUDDERMAN, RANDAL HALE
024863 696 PIKE STREET, NW, SUITE 370
LAWRENCEVILLE GA
RUDE, JOE C Ill
016134 1660 MULKEY ROAD, SUITED
AUSTELL
GA
RUDER, ERNST MURPHY
007577 ATLANTA MEDICAL ASSOCIATES, 100 10TH STREET NW ATLANTA
GA
RUDERT, CYNTHIA SUE
023103 2500 HOSPITAL ROAD, SUITE 210
ROSWELL
GA
RUDOLPH, HARRY PETER
033692 2977 CYNTHIA COURT
MARIETTA
GA
RUDOLPH, RAYMOND
030205 9561 WHITFIELD AVENUE
SAVANNAH
GA
RUEBUSH, TRENTON KIEFFER, II 029770 2133 KODIAK DRIVEN E
ATLANTA
GA
RUESINK, DONALD EDWARD
027652 PO BOX 1685
DULUTH
GA
RUF, DONALD ALFRED
037061 4015 SMITHBROOK DR
GAINESVILLE GA
RUF, LAWRENCE EDWARD
021583 4750 WATERS AVE, SUITE 500
SAVANNAH
GA
RUIS, CHARLES DIEAS
030206 1508 GREER STREET, PO BOX 309
CORDELE
GA
RUIZ, FRANK
037664 6980 ROSWELL ROADS, NW, APT M-5
ATLANTA
GA
RUIZ-CALDERON, ELROY
038940 524 DECATUR LANE
DECATUR
GA
RUMMEL, PEGGY FITZGERALD
022046 302 GRACE STREET
COLQUITT
GA
RUMPH, FRANK M
016276 PO BOX 211883
AUGUSTA
GA
30327
52
40222
46
30361
33
31906
10
30202
33
31211
10
31401
03
30340
01
30901-1969 44
30223-4214 27
30030
27
30342
30030
52
31209
17
31021
10
31419
32
31201
44
30318
32
30309
33
30001
15
31210
30340
28
30144
10
31210
03
30245
17
30303
41
30342
41
30324-5260 00
30622
08
30274
49
30327
01
30033
17
30327
03
30912
48
30245
49
30342
46
31904
10
30905
33
30904
17
31520
30
31901
01
30328
25
30907
04
30245
.oo
30001
36
30309
36
30076
11
30062
28
31406-5065 00
30345
01
30136
08
30506
08
31404
47
31015
10
30328
08
30033
03
31737
10
30917
31
Page No. 184
Composite State Board of Medical Examiners. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
RUNDLE, T J RUNGE, MARSCHALL STEVENS RUNGE, SUSAN RIGGS RUPARELIA, NAVINCHANDRA M. RUPP, NED TRACY RUSCA, JOHN ARMITAGE RUSSELL, ALEX PRESTON RUSSELL, DEE BROWN RUSSELL, ROBERT JAMES RUSSO, GARTH STEPHEN RUSSO, NATALIE DEE BLATCHFORD RUST, CYNTHIA TUCKER RUST, GEORGE STABEN RUSYNIAK, WALTER GEORGE RUTLEDGE, KENNETH ALLEN RUTLEN, DAVID LEE RYALS, STEPHEN HOMER RYAN, HERBERT F RYAN, ROBERT HENRY, JR RYCHLY, ROBERT EDWARD RYDER, GEOFFREY CASS RYDZAK, EDWARD RYDZEWSKI, DAVID BERNARD RYE, DAVID BRUCE RYLE, WILLIAM W RYMUZA, JEFFREY Z
015316 032039 032648 026928 031821 014855 013425 019593 011784 029771 029772 035132 034936 036861 026641 035317 030208 007578 037355 020479 037665 038941 030537 035993 014259 031112
P.O. BOX 1026
AMERICUS
GA
EMORY UNIVERSITY, PO DRAWER LL
ATLANTA
GA
2870 CEDAR CANYON CT
ATLANTA
GA
244 ST PATRICK DRIVE
MABLETON
GA
1016 MAGNOLIA DR
AUGUSTA
GA
5667 PEACHTREE-DUNWOODY RD., NE, SUITE 280
ATLANTA
GA
MEMORIAL MEDICAL CENTER, PO BOX 23104
SAVANNAH
GA
2 PROFESSIONAL CT
ROME
GA
3250 HOWELL MILL ROAD, SUITE 203
ATLANTA
GA
1040 HANNAY CT
WATKINSVILLE GA
1040 HANNAY COURT
WATKINSVILLE GA
STEINER BLDG, 69 BUTLER STREETS E
ATLANTA
GA
1179 OUNWICK DRIVE
AVONDALE ESTAT GA
1825 MARTHA BERRY BLVD
ROME
GA
883 CAMPBELL HILL STREET, SUITE 300
MARIETTA
GA
MCG CARDIOLOGY SECTION, 1120. 15TH ST
AUGUSTA
GA
1436 BROADRICK DRIVE, SUITE A
DALTON
GA
970 ML KING TR DR SW 304
ATLANTA
GA
5590 GLEN ERROL ROAD
ATLANTA
GA
604 CYPRESS POINT COURT
MARTINEZ
GA
4220 STONE MILL COURT
MARTINEZ
GA
106 PALM GROVE DR
SAVANNAH
GA
600 SOUTH PARK STREET, APT 7
CARROLLTON GA
EMORY UNIV SCHOOL OF MEDICAL, PO DRAWER V SUITE 6000 ATLANTA
GA
2362 MAIN ST
TUCKER
GA
1554 WATSON BLVD, PO BOX 7617
WARNER ROBINS GA
31709
27
30322
05
30345
03
30059
17
30904
04
30342
47
31403
31
30165-2832 10
30327
47
30677
10
30677
10
30303
32
30002
10
30165
44
30090
30912
05
30720
OD
30314
41
30327
17
30907
17
30907-1610 33
31410
17
30117
31
30322
23
30084
30
31095
17
SAAD-DINE, YSSA SABA, JOSEPH NAGIB SABATINO, BRUCE SABBATINI, PIETRO M SABET, REZA MAHDAVI SABIN, BRUCE JEFFREY SABIO, HERNAN SABOM, MICHAEL BRUCE SABRIN, RUSSELL LOUIS SABSOWITZ, FRED SACHS, HANSON PHILIP SACKS, HARVEY NORTON SACKS, LAZAR SACKS, LINDA MANN SADAT-MANSOURI, ABOLFAZL SADEL, SCOTT MICHAEL SAFER, IRWIN H SAFER, LESLIE FRANK SAFFAN, BENJAMIN SAFRA, MARK J SAFWAT, MOHAMED SAFIK SAID, ELIAS SAKER, ALEXANDER FRANCIS SAKER, ALEXANDER, JR SALAM, ATEF ABDEL SALAMA, ABDELAZIZ SALAMI, SULE ADISA SALANGA, ROGELIO BATOL
S
019991 022177 029085 017879 020480 031113 028070 022631! 023498 026022 036862 017880 022468 024724 028212 034459 012556 018732 006969 016974 015632 038942 011678 033187 014020 032850 031114 019216
1136 CLEVELAND AVENUE, SUITE 209
EAST POINT GA
6285 DON HASTINGS DR# C
RIVERDALE
GA
ROUTE 1, BOX 890
TIFTON
GA
12 REARDON COURT
SAVANNAH
GA
303 MEDICAL DRIVE, SUITE 406
LA GRANGE
GA
965 BRENTWOOD AVE
LAWRENCEVILLE GA
1309 BIMINI PLACE
AUGUSTA
GA
9930 JOHNSON FERRY ROAD, SUITE 420
ATLANTA
GA
1295 HEMBREE RD, BLDG B, SUITE 100
ROSWELL
GA
6055 HEARDS DRIVE
ATLANTA
GA
3472 CHASTAIN LAKES DRIVE
KENNESAW
GA
285 BOULEVARD NE, SUITE 435
ATLANTA
GA
1145 OLD POWERS FERRY ROAD
ATLANTA
GA
4750 WATERS AVENUE,# 206
SAVANNAH
GA
2304 SLOAN SQUARE
ATLANTA
GA
2398 WATERMARK
DECATUR
GA
325 EISNHOWER DRIVE, SUITE B
SAVANNAH
GA
426 SECOND AVENUE
ALBANY
GA
490 PEACHTREE STREET NE, SUITE 564-C
ATLANTA
GA
TOCO HILLS DOCTORS BUILDING, 2910 N. DRUID HILLS ROAD ATLANTA
GA
2241 FISHER TRL NE
ATLANTA
GA
1104 REALM LANE
LAWRENCEVILLE GA
1136 CLEVELAND AVE, SUITE 308
EAST POINT GA
4094 BROCKETT CREEK DRIVE
TUCKER
GA
1365 CLIFTON RD NE DEPT OF SURG., EMORY UNIVERSITY HO ATLANTA
GA
788 AFTON COURT
MACON
GA
PO BOX 250
CORDELE
GA
PO BOX 908
NASHVILLE
GA
30344
17
30274-2694 23
31794
08
31406
10
30240
23
30244
07
30909
32
30342
05
30076
30328
31
30144
10
30312
05
30327
21
31404
30329
33
30033
03
31406
33
31701
06
30308
12
30329
27
30345-3432 11
30244
08
30344
15
30084
17
30322
05
31210
33
31015
15
31639
41
Page No. 185
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SALAZAR, JOHN FREDERICK SALBERT, BONNIE ANNE SALCEDO, VIVENCIO LEE SALDIVIA, AIDA YOLANDA SALE, LAWRENCE ALBERT SALE, WALTER THOMAS SALEEBY, PHILIP R SALEEBY, YUSUF MICHAEL SALEEM, SOHAIL SALEH, SUHAYL SHUKRI SALEHBHAI, MANSOOR SALEM, RAJA RAJEH SALINAS, DANIEL SALINAS, FAUSTO FABIAN SALINAS, JOHN YOLMAN SALMAN, FEYYAZ SALNESS, REBECCA ANN SALTARELLI, MARIO DAVID SALTZ, JACK THOMAS SALTZ, MARCIA ~UISA BARTCZAK SALTZ, RENATO SALTZMAN, STEVEN LLOYD SALVINO, CORA FRANCES SALZBERG, BRUCE ANDREW SALZBERG, EDWARD SCOTT SAMARDJICH, MIJAT S. SAMMONS, EDWARD EARLY SAMONSKY, DANIEL M JR SAMPER, LUIS SAMPSON, BRUCE DUWAYNE SAMPSON, LLOYD BRENT SAMS, FERROL AUBREY III SAMS, FERROL AUBREY JR SAMS, FRANK HOUSTON JR SAMS, HELEN F SAMS, JAMES COMPTON SAMS, WILLIAM C JR SAMSON, ANTONIO L SAMSON, CORAZON S SANAL, SALAHATTIN MUSTAFA SANCHEZ, ELIO S SANCHEZ, JULIAN ALBERTO SANCHEZ, RAMON MARCOS SANCHEZ-BETHANCOURT, ANGEOLO SANDBERG, JOHN SANDERS, ANDREW CHARLES SANDERS, BEVERLY B JR SANDERS, CHARLES RICHARD, JR. SANDERS, CLYDE VERNON SANDERS, CONRAD W JR SANDERS, DRAYTON M SANDERS, FLOYD HUNT SANDERS, FLOYD ROSCOE JR SANDERS, FLOYD STUART SANDERS, GERALD EUGENE SANDERS, HARVEY J JR SANDERS, HERBERT F SANDERS, JAMES L
024079 037667 038086 025388 032650 006970 018544 035994 038943 037063 015890 037064 032468 029240 038600 024080 038944 036863 031115 036864 033188 032042 025034 029775 034460 025663 009603 018733 013713 021276 022179 019767 006064 011053 006271 022180 005194 013926 013927 022633 011612 038602 033442 015074 008006 030876 009244 029087 010074 014856 009929 011466 005059 026375 013304 016975 017730 013237
DALTON CARDIOLOGY, PC, 1436 BROADRICK DR - SUITE B 2344-C SPRING HOUSE LANE 652 CROWN POINT DR 5666 MANASSAS RUN 2572 GRAND PRIX CT NE 9 IVY CHASE 3212 SHRINE ROAD 77 BULL RIVER BLUFF DRIVE 303 VALLEY BROOK CROSSING 1805 HUNTER'S CLUB LANE, APT 1805 1049 N. HOUSTAN RD. GORDON SURGICAL GROUP, 108 HOSPITAL DRIVE 4790 OGEECHEE DR 113 UPPER RIVERDALE RD SW 1137 EAGLES LANDING PKWAY, BLDG B, SUITES 1&2 4351 SWAN DRIVE, RT 12 BOX 850 3447 N DRUID HILLS RD, APT N 4946 FIELDS POND LANE 4039 ATLANTA ST 3809 INVERNESS WAY 3809 INVERNESS WAY GA BAPTIST MEDICAL CENTER, 300 BLVD NE BOX 423 696 PIKE ST SUITE 510 5671 PEACHTREE DUNWOODY ROAD NE, SUITE 630 12385 CRABAPPLE RD, SUITE 100 212 E. TOLLISON 350 WINN WAY C/0 VA MEDICAL CENTER, 2460 WRIGHTSBORO ROAD PO BOX 550 1019 KEITH DRIVE 1406 3RD AVE 101 YORK TOWNE DRIVE 101 YORKTOWN DRIVE, INTERNAL MEDICINE SECTION BOX 536 101 YORKTOWN DR 101 YORKTOWN DR 805 W 2ND STREET PO BOX 1530 MEMORIAL DRIVE, P. 0. BOX 1320 DEPT OF MEDICINE, MEDICAL COLLEGE OF GEORGIA 6 COACH TRAIL, SE 2323 H SPRINGHOUSE LANE 5671 PEACHTREE DUNWOODY ROAD, STE 510 1209 ABERCROMBIE DRIVE 969 WINDY HILL ROAD, SUITE L 3623 J DEWEY GRAY CIRCLE, SUITE 100 1157 FORSYTH STREET 210 W HANSELL STREET 755 MT VERNON HIGHWAY, SUITE 500 1430 HARPER ST 1217 MEMORIAL DR BOX 2605 204 UPLAND ROAD BOX919 653 CHEROKEE ST 304 JONES AVENUE, PO BOX 609 4 JACKSON BLVD 1108 PROFESSIONAL BLVD
DALTON
GA
MARTINEZ
GA
MARTINEZ
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
BRUNSWICK
GA
SAVANNAH
GA
DECATUR
GA
NORCROSS
GA
WARNER ROBINS GA
CALHOUN
GA
ALPHARETTA GA
RIVERDALE
GA
STOCKBRIDGE GA
VALDOSTA
GA
DECATUR
GA
MARIETTA
GA
POWDER SPRINGS GA
MARTINEZ
GA
MARTINEZ
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
ALPHARETTA GA
BAXLEY
GA
DECATUR
GA
AUGUSTA
GA
MILLEDGEVILLE GA
PERRY
GA
COLUMBUS
GA
FAYETTEVILLE GA
FAYETTEVILLE GA
REYNOLDS
GA
FAYETTEVILLE GA
FAYETTEVILLE GA
OCILLA
GA
REIDSVILLE GA
REIDSVILLE GA
AUGUSTA
GA
ROME
GA
MARTINEZ
GA
ATLANTA
GA
ROME
GA
SMYRNA
GA
AUGUSTA
GA
MACON
GA
THOMASVILLE GA
ATLANTA
GA
AUGUSTA
GA
DALTON
GA
WARNER ROBINS GA
DECATUR
GA
CLARKESVILLE GA
MARIETTA
GA
WAYNESBORO GA
SAVANNAH
GA
DALTON
GA
30720
05
30907
32
30907
33
30087
17
30345-3927 03
30342
36
31520
34
31410-1550 10
30033
17
30093-5264 48
31093
32
30701
41
30202-7157 32
30274-4919 17
30281
15
31602
17
30033
32
30068
23
30073
17
30907
31
30907
47
30312
15
30245
25
30342
17
30201-6328 32
31513
25
30030
53
30910
33
31062
32
31069
17
31901
06
30214
17
30214
17
31076
01
30214-1585 11
30214-1585 17
31774
11
30453
01
30453
32
30912-3125 17
30161
17
30907
17
30342
23
30165
01
30080
32
30909-6553 17
31201
06
31792
10
30328
17
30910
41
30720
34
31099
03
30030
10
30523
17
30060
27
30830
17
31405
23
30720
15
Page No. 186
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SANDERS, JAY HENRY
036608 809 BON AIR DRIVE
AUGUSTA
GA
SANDERS, JERRY LEE
038946 54 HIDDEN LAKE COURT
SAVANNAH
GA
SANDERS, JOHN WOODROW
017423 ALBANY PEDIATRICS, P.C., 1801 PALMYRA ROAD
ALBANY
GA
SANDERS, KARL WALTON
029088 2302 STARLING STREET
BRUNSWICK
GA
SANDERS, KATHARINE WATSON
021803 700 COWAN ROAD
CONYERS
GA
SANDERS, KEITH ALAN
034237 993-F JOHNSON FERRY ROAD, SUITE 120
ATLANTA
GA
SANDERS, LAWRENCE LEVITICUS, J 024486 68 WADDELL STREET
ATLANTA
GA
SANDERS, LESLIE ELWOOD
030538 18 MARSH TOWER LANE
SAVANNAH
GA
SANDERS, STEPHEN LARRY
028073 * 150 WOLF CREEK DRIVE
MACON
GA
SANDERS, STEVEN L
010276 5667 PEACHTREE DUNWOODY ROAD NE, SUITE 380
ATLANTA
GA
SANDERS, WILLIAM C JR
007279 2704 BOLLING ROAD
AUGUSTA
GA
SANDERS, WILLIAM HOLT
037669 44 CARLTON DRIVE
ATLANTA
GA
SANDIDGE, ROY P JR
014422 5196 MEADOWLAKE DR
ATLANTA
GA
SANDLER, MANFRED ALLAN
038353 600 PROFESSIONAL DRIVE, SUITE 220
LAWRENCEVILLE GA
SANDS, JEFF MICHAEL
031116 1815 CREST OAKS PLACE
ATLANTA
GA
SANDVI, MUHAMMAD ASLAM
014021 1421 ROSS DRIVE, POB. 1648
DALTON
GA
SANDWICH, JAMES THOMAS
036609 2802 RIDGECREST DR
HEPHZIBAH
GA
SANFORD, KENNETH ERIC
036449 330 THORNTON DR
FAYETTEVILLE GA
SANGMALEE, UMPON
017081 4351 CHIMNEY COURT
ROSWELL
GA
SANKARAN, CHANDRASEKHAR
031549 97 ATLANTA STREET, SUITE 101
MCDONOUGH
GA
SANS, DIEGO C
013928 241 LAKESIDE DRIVE, CENTRAL STATE HOSPITAL
MILLEDGEVILLE GA
SANTIAGO, ARMANDO DE LAC
018843 CENTRAL STATE HOSPITAL, P.O. BOX 90
MILLEGEVILLE GA
SANTIAGO, FERNANDO
022885 2068 FISHER TRAIL
ATLANTA
GA
SANTIAGO, MARCELO RIVERA
016832 *PO BOX 800
CLAXTON
GA
SANTOGROSSI, JOHN ALFRED
029525 285 CROSSTREE LANE
ATLANTA
GA
SANTORA, ALBERT HEARN
022274 1079 DRUID LAKE
DECATUR
GA
SANTORO, JAMES JOSEPH
026182 321 WEST 5TH STREET
ROME
GA
SANTOS, CHAUNCEY BELTRAN
028459 2247 WRIGHTSBORO ROAD
AUGUSTA
GA
SANTOS, TEODORO A
014317 612 HOWELL BROOK DR
VALDOSTA
GA
SANUSI, H. DAVID
036450 PO BOX 124
DOUGLASVILLE GA
SAPERSTEIN, DAVID ALAN
036866 3425-Q N DRUID HILLS ROAD
DECATUR
GA
SAPP, CLARENCE JOSEPH
004702 27 TURNBULL DRIVE
ROME
GA
SAPP, GERALD LAMONT
011054 PO BOX 1368
Tl FTON
GA
SAPP, JOHN WARREN
029526 840 PINE ST - SUITE 500, PO BOX 6317
MACON
GA
SAPP, PATRICE BYNUM
020388 1105 ADAMS STREET
MACON
GA
SAPP, PHILIP B
013193 902 COHUTTA-BEAVERDALE ROAD
COHUTTA
GA
SARAIYA, MONA
037357 720 WESTVIEW DRIVE SW
ATLANTA
GA
SARAL, REIN
034461 EMORY CLINIC-DIRECTOR, 1365 CLIFTON ROAD NE
ATLANTA
GA
SARANGI, SADRUDIN J N
018546 238 PROFESSIONAL CT
RIVERDALE
GA
SARGENT, CARLTON WILLARD
019100 675 FOREST PARKWAY
FOREST PARK GA
SARIPKIN, LARRY MARVIN
026376 5455 MERIDIAN MARK ROAD, SUITE 560
ATLANTA
GA
SARMA, AKKARAJU VENKATA SEETHR 024487 PO BOX 1697, 101 BOWENS MILL ROAD
DOUGLAS
GA
SARMA, PUDIPEDDI R
018073 2707 RANGEWOOD DRIVEN E
ATLANTA
GA
SARMA, RAMASESHU P
020389 2707 RANGEWOOD DRIVE
ATLANTA
GA
SARNAT, ANDREW JAMES
037670 PO BOX 5469
FT OGLETHORPE GA
SARRELL, RICHARD WAYNE
024081 STE A HOSPITAL CIRCLE, BOX 1907
BLAIRSVILLE GA
SARRIS, GEORGE ELIAS SARZEN, CHRISTOPHER DAVID
037671 2622 SILVER LACE CT 034462 101 YORKTOWN DR
\TLANTA
GA
o"AYETTEVI LLE GA
SASINE, ROBERT LAURENCE SASNETT, RICHARD BORDEN JR
025389 125 CRESTWICKE TRACE 016523 818 ST SEBASTIAN WAY, SUITE 403
ATLANTA
GA
AUGUSTA
GA
SASTRY, VIVEK S
038947 7500 ROSWELL RD, APT 8
DUNWOODY
GA
SATCHER, DAVID SATCHER, DOUGLAS
021199 1337 DOE VALLEY DR 028644 217 ARROWHEAD BLVD, SUITE A-3
LITHONIA
GA
JONESBORO
GA
SATCHER, MILTON B JR SATHE, ANAND J SATHIAN, KRISHNANKUTTY
007887 ORTHOPAEDIC SOUTH, P.C., 1136 CLEVELAND AVE., SUITE 3 EAST POINT
GA
014776 ERIN OFFICE PPARK - SUITE 23, 2400 BELLEVUE ROAD
DUBLIN
GA
037903 3101 SANDHURST DR
WOODTOCK
GA
SATHIAN, USHA NAGARAJ SATTER, ELIZABETH KLINE
037358 3101 SANDHURST DRIVE 037672 3833 PEACHTREE RD NE, APT 403
WOODSTOCK
GA
ATLANTA
GA
30907
17
31419
33
31701
32
31520
03
30208
08
30342
23
30307
17
31411
33
31210
17
30342
41
30909
32
30342
52
30338
10
30245
05
30345
17
30722-1648 33
30815
17
30214
03
30075
41
30253
32
31061
33
31061
01
30345
41
30417
41
30328
08
30033
03
30161
30904
28
31601
31
30133
03
30033
27
30161-6476 11
31793-1368 28
31208
28
31201
10
30710
08
30310
35
30322
16
30274-2531 37
30050
15
30342
32
31533
01
30345
19
30345
32
30742
03
30512
30345
41
30214-1585 28
30319
30901
52
30350
17
30058-6201 10
30236
17
30344
46
31021
15
30188
23
30188
32
30319-3364 41
Page No. 187
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SATTERFIELD, GROVA LYNN SATTERWHITE, YVONNE EDITH SATTIN, RICHARD WARREN SAUERS, DAVID EDWARD, SR SAULS, DAVID THERON SAUMWEBER, MARTIN JR SAUNDERS, ELWYN ALVA SAUNDERS, LINDA JO SAUNDERS, WILLIAM HENRY, JR. SAURINO, JOHN A SAVAGE, JOHN BODEKER JR SAVAGE, SUSAN LYNN BALL SAVAGE-PEDIGO, DIANE RENEE SAVOIE, SOLOMON YOMTOV SAVINO, JOHN SAVORY, CARLTON GERALD SAWAYA, JABIR ISKANDAR SAWYER, HORACE KIMBRELL JR SAWYER, MARY KIRK KELLY SAX, CHARLES ELIOT SAXENA, VIRENDRA MOHAN SAXTON, CRAIG R SAXTON, NORVAL LEROY SAYE, WILLIAM B SAYEED, JAVAID SAYEGH, HASSAN SAID SAYERS, RONNY JOE SCALJON, WILLIAM MICHAEL SCALLAN, PERRY JOSEPH SCANLON, BARRY FRANCIS SCARBOROUGH, CHARLES STEPHENS SCARBOROUGH, DAVID WILLIAM SCARBOROUGH, JOHN JOSEPH, JR SCARBOROUGH, LONNIE T SCARBROUGH, ROGER W JR SCARDINO, PETER L JR SCARFF, TIMOTHY BACKLAND SCHACHNE, ELIZABETH SCHACHTER, KENNETH ALLEN SCHADE, WILLIAM JAMES SCHAEFFER, BERTON TIMOTHY SCHAFFER, KEVIN LYLE SCHAFFER, MICHAEL GREGORY SCHAFFNER, DONALD PAUL SCHAFFNER, NEIL EDWARD SCHARFF, LOUIS III SCHARYJ, GEORGE ALEXANDER SCHATTEN, SAMUEL JAY SCHATTEN, WILLIAM E SCHAUFLER, EUGENE MICHAEL SCHAUFLER, MARGARET DOWNS SCHECHTER, NEIL ALAN SCHECTER, HARVEY JAY SCHECTER, JAY ALAN SCHEETZ, ALLISON PAIGE SCHEIDT, KENNETH A SCHEINBART, ERIC ALLEN SCHEINBAUM, CLARENCE N
031822 5303 ADAMS STREET, SUITE 2 034704 1152 ANDOVER FOREST DRIVE 031316 2113 CHRYSLER DR 034705 2016 COLONIA DRIVE 026644 TOCCOA CLINIC, 800 E. DOYLE STREET 021343 1558 GOSHEN ROAD 011785 3233 RAMSGATE ROAD 031118 1934 VARIATIONS DRIVE 010658 5054 AUSTELL RD SW 038354 EYE CONSULTANTS OF ATLANTA, P.C, SUITE 3000 020483 3623 J DEWEY GRAY CIR, SUITE 210 035133 478 PEACHTREE STREET, SUITE 1022A 032043 4600 WATERS AVE, SUITE 100 015818 523 DIXIE STREET, SUITE 2 017424 PO BOX 2147 029776 6262 HAMILTON ROAD, PO BOX 9517 018115 3238 VALAIRE DRIVE 010362 3541 HABERSHAM AT NORTHLAKE 031317 69 BUTLER STREETS W, PEDIATRICS DEPT 005250 6401 HABERSHAM STREET, #1-D 017733 PO BOX 54 027656 340 EISENHOWER DRIVE, BLDG 900 033887 140 RIVER NORTH DRIVE 011055 790 CHURCH ST EXT, S-550 019420 504 WMEMORIAL DRIVE, BOX 919 036066 2312 DRUID OAKS NE 024082 PO BOX 397 019908 35 COLLIER ROAD NW 033190 900 CAMPBELL HILL STREET 021046 1708 PEACHTREE STREET, N.W., SUITE 205 022888 203 MEDICAL ARTS BLDG., 1310-13TH AVENUE 019993 PO BOX 936 037076 ONE KINGS CIRCLE 022469 2960 COLES WAY 009605 PO BOX 13517 005962 340 EISENHOWER DRIVE, 1510 CENTRAL PARK
031824 * 33 S.W. UPPER RIVERDALE ROAD, SUITE 25
037673 3433-I NORTH DRUID HILLS RD 032044 5649 BUNKY WAY 037066 642 DARTMOUTH COURT 010278 675 WHITE SULPHUR ROAD, PO BOX 1354 037674 ALLERGY & ASTHMA CENTER, 565 OLD NORCROSS RD 036275 870 CRESTMARK DRIVE, SUITE 203 021200 5455 MERIDIAN MARK ROAD, SUITE 570 035996 2303 E DOUBLEGATE DRIVE 008877 3213 MONTPELIER DRIVE 028645 1459 MONTREAL ROAD, SUITE 506 022182 700 SOUTH BRIGHTON COURT 006272 ,3280 HOWELL MILL RD NW, SUITE 121 018547 1555 DOCTORS DRIVE, SUITE 102 023043 1555 DOCTORS DR, SUITE 102 034463 3041 BRIGHTWOOD LANE 015982 976 KILLIAN HILL ROAD, SUITE A 030879 1825 MARTHA BERRY BLVD 038356 234 CHADWICK CIR 017289 25 PRESCOTT ST NE 023791 PO BOX 1709 003929 928 N HIGHLAND AVE NE
COVINGTON
GA
LEXINGTON
GA
ATLANTA
GA
SAVANNAH
GA
TOCCOA
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
AUSTELL
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
SAVANNAH
GA
CARROLLTON GA
WAYCROSS
GA
COLUMBUS
GA
DECATUR
GA
TUCKER
GA
ATLANTA
GA
SAVANNAH
GA
FT GAINES
GA
SAVANNAH
GA
ATLANTA
GA
MARIETTA
GA
DALLAS
GA
ATLANTA
GA
SARDIS
GA
ATLANTA
GA
MARIETTA
GA
ATLANTA
GA
COLUMBUS
GA
CLAXTON
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
SAVANNAH
GA
RIVERDALE
GA
DECATUR
GA
DUNWOODY
GA
LAWRENCEVILLE GA
GAINESVILLE GA
LAWRENCEVILLE GA
LITHIA SPRINGS GA
ATLANTA
GA
ALBANY
GA
AUGUSTA
GA
TUCKER
GA
ATLANTA
GA
ATLANTA
GA
LAGRANGE
GA
LA GRANGE
GA
MARIETTA
GA
LILBURN
GA
ROME
GA
MACON
GA
ATLANTA
GA
TYBEE ISLAND GA
ATLANTA
GA
30209-3237 17
40509
28
30345
17
31406
17
30577
15
30906-9306 00
30909
46
30329
41
30001
35
30309
27
30909-6511 28
30308
17
31499-3001 32
30117
41
31502-2147 33
31909
46
30033
05
30084
41
30303
32
31405
15
31751
41
31406
17
30328
10
30060
15
30132
41
30329
17
30456
17
30309
52
30060
06
30309
33
31901
41
30417
10
30305
41
30350
33
31403
15
31406
49
30274
44
30033
35
30338
10
30243
17
30505
31
30245-4313 04
30057
15
30342
32
31707
09
30909
32
30084
17
30327
04
30327
47
30240
15
30240-4139 15
30067
28
30247
10
30165-1698 23
31210-8835 17
30308
24
31328
30306
11
Page No. 188
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SCHEINBERG, PAUL JOSEPH
015984 5667 P1 TREE DUNWOODY RD., SUITE 350
SCHEIRER, ROBERT DALE
034708 1246 AUGUSTA WEST PARKWAY
SCHELLACK, JOHN KEITH
006156 490 PEACHTREE ST NE, SUITE 129-B
SCHEMANKEWITZ, GIGI BLUM
032864 5380 REDFIELD DRIVE
SCHEMANKEWITZ, HANS ERWIN
031190 5380 REDFIELD DRIVE
SCHENGBER, DAVID JOHN
036867 2935 FOX HALL CIRCLE
SCHERER, PATRICIA DUPUIS
033693 PROMPT CARE COLUMBIA COUNTY, 4106 COLUMBIA RD, SUITE
SCHERFF, ALBERT H
032813 630 MCKINNES BRANCH
SCHERMERHORN, JEFFREY WADE 035327 2490 ASBURY COURT
SCHERMERHORN, THOMAS J
011787 1762 FRIAR TUCK ROAD NE
SCHERR, JOHN MORRIS
021886 2500 HOSPITAL BLVD, SUITE 460
SCHERTZER, MARION ELLEN
037361 7150 W PEACHTREE DUNWOODY, APT 527
SCHERZ, HAL CRAIG
038357 29 UPPER RIVERDALE RD SW, SUITE 140
SCHETTINO, RAYMOND LOUIS
032814 1580 BAKERS GLEN DRIVE
SCHIEBER, RICHARD ALLEN SCHIENEMAN, BRUCE OWEN
027658 1733 TROTTERS LANE
017425 * 646 FOREST LAKE DRIVES
SCHIESS, ROBERT JOHN
032851 285 BOULEVARD NE, SUITE 240
SCHIFF, ARTHUR DAVID
024083 600 PROFESSIONAL DRIVE, SUITE 110
SCHIFF, DAVID ARLEN
036277 EMORY REHAB CENTER, 1441 CLIFTON RD, NE SUITE 404-A
SCHIFF, PATRICIA JO
032815 1627 S PONCE DE LEON
SCHILKE, PETER WILLIAM
038604 3078 CLAIRMONT, APT 6211
SCHILLING, JOHN JOSEPH
028883 2525 E ALBERSON DRIVE
SCHILLING, JOHN PATRICK
030880 EAGLE'S LANDING OB/GYN ASSOC, 150 EAGLE SPRING CT
SCHILLING, ROBINSON WELLER 011467 2283 WRIGHTSBORO RD
SCHILLINGER, JULIA ANN
037067 521 PAGE AVE
SCHINELLI, ANTHONY
037362 8550 HAVEN WOOD TRAIL
SCHLACHTER, LAWRENCE BERNARD 018736 80 LACY ST
SCHLACHTER, NINA KRAM
022803 4015 SOUTH COBB DRIVE, SUITE 250
SCHLAIRET, TIMOTHY JOHN
035510 VALDOSTA ANESTHESIA ASSOC PC, PO BOX 1727
SCHLANGER, LYNN ELLEN
032289 1282 CLAIRMONT ROAD
SCHLANT, ROBERT C
008626 CARDIOLOGY DIVISION, 69 BUTLER ST., S.E.
SCHLEGEL, GREGORY P
023222 600 PROFESSIONAL DRIVE, SUITE 250
SCHLEY, MARY W
007715 1527 FOREST AVE
SCHLEY, PHILIP THOMAS
007888 2001 HAMILTON ROAD
SCHLOSNAGLE, DAVID CARL
023106 510 OLD PATH CROSSING
SCHLOSSBERG, JAY OWEN
019996 5820 OLD NATIONAL HWY
SCHLOSSBERG, MICHAEL
012641 * 1136 CLEVELAND AVE, SUITE 508
SCHLOTTMAN, GEORGE C
010448 4111 CANYON RD
SCHMID, GEORGE PHILIP
024489 4844 MOUNTAIN WEST COURT
SCHMIDT, DAVID MARTIN
024490 790 CHURCH STREET EXTENSION, SUITE 400
SCHMIDT, DAVID ROBERT
028646 600 PROFESSIONAL DRIVE, SUITE 250
SCHMIDT, DONALD WILLIAM
006065 300 ACWORTH MEDICAL COMMONS
SCHMIDT, FRANK ERNEST
038948 2184 W PONCE DE LEON AVENUE
SCHMIDT, TODD ALLEN
030881 1950 ADAMSON PARKWAY, SUITE 140
SCHMITT, ELBERT WILLIAM JR 009931 1901 CENTURY BLVD NE, SUITE 4
SCHNAPP, MICHAEL B
024085 7575 COVINGTON HIGHWAY
SCHNAPPER, ROBERT A
018251 2850 GREENBUSH PL NE
SCHNEIDER, CHERI SUE MCCLENDON 036868 5497 HUGH HOWELL ROAD
SCHNEIDER, JULIE ANN
037363 3102 BRIARCLIFF GABLES CIRCLE
SCHNEIDER, MEYER M
004056 316 WASHINGTON AVE
SCHNEIDER, MICHAEL GRADY
029943 5497 HUGH HOWELL ROAD
SCHNEIDER, MICHAEL PHILIP
038605 RADIOLOGY ASSOC OF COLUMBUS, PO BOX 2787
SCHNEIDER, ROBERT KIRWIN
029777 35 COLLIER ROAD NW, SUITE 775
SCHNEIDER, TERRIL JOSEPH
024627 205 DENTAL DRIVE, SUITE 19
SCHNEIDER, WILBUR DONALD
013428 * P.O. BOX 407
SCHNEIDERMAN, STEVEN M
014424 2712 N DECATUR RD
SCHNELL, FREDERICK M
017290 682 HEMLOCK STREET, SUITE 100
SCHNELL, THOMAS RICHARD
027438 330 HOSPITAL DRIVE, SUITE 201
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
DUNWOODY
GA
DUNWOODY
GA
AUGUSTA
GA
MARTINEZ
GA
EVANS
GA
DECATUR
GA
ATLANTA
GA
ROSWELL
GA
ATLANTA
GA
RIVERDALE
GA
ATLANTA
GA
STONE MOUNTAIN GA
MACON
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ALBANY
GA
STOCKBRIDGE GA
AUGUSTA
GA
ATLANTA
GA
ROSWELL
GA
MARIETTA
GA
SMYRNA
GA
VALDOSTA
GA
DECATUR
GA
ATLANTA
GA
LAWRENCEVILLE GA
COLUMBUS
GA
COLUMBUS
GA
ROSWELL
GA
COLLEGE PARK GA
EAST POINT GA
MACON
GA
STONE MOUNTAIN GA
MARIETTA
GA
LAWRENCVILLE GA
ACWORTH
GA
DECATUR
GA
MORROW
GA
ATLANTA
GA
LITHON1A
GA
ATLANTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
SAVANNAH
GA
STONE MOUNTAIN GA
COLUMBUS
GA
ATLANTA
GA
WARNER ROBINS GA
ELLIJAY
GA
DECATUR
GA
MACON
GA
MACON
GA
30342
17
30909
41
30308-3101 41
30338
36
30338
30907
36
30907
10
30809
10
30033
08
30309
27
30076
17
30328
41
30274-2616 52
30350
30
30087
32
31210
17
30312
44
30245
23
30322
53
30307
08
30329
31
31707
22
30281-6330 15
30904-4790 30
30307
32
30376
03
30060
44
30080-6316 10
31603
03
30033
10
30303
05
30245
17
31906
12
31904
52
30075
31
30349
11
30344
15
31210-4714 52
30087-1036
30060
30245
01
30101
10
30030
41
30260
46
30345
46
30058
10
30345-2624 23
30087
10
30329
23
31405
15
30087
03
31994-3899 36
30367
17
31088
30540
10
30033
17
31201
16
31201
17
Page No. 189
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as o{ October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SCHNUCK, LLOYD BERNARD, JR. 012558 9 MEDICAL ARTS CENTER
SCHOBORG, THOMAS WILLIAM
016834 285 BOULEVARD, SUITE 215
SCHOCK, THEODORE K
030882 4168 TATE STREET
SCHOEN, BESS THERESIA
031120 1055 ALTA AVE., N.E.
SCHOENBERG, ERIC ALAN
032506 1018 WINDING RIDGE CT
SCHOFFSTALL, ROBERT 0
014425 6267 GOV. MACDONALD DRIVE
SCHOFIELD, RAYMOND LEE
023499 ROUTE 2 BOX 450
SCHOLNICK, FAITH TERRY
034464 220 WING MILL ROAD
SCHONBERGER, LAWRENCE BERT 033694 2234 SERPENTINE DRIVE, N.E.
SCHONBERGER, RACHEL ANN POMERA 014214 2234 SERPENTINE DR
SCHOTTENFELD, ROY SCOTT
025267 14860 EAST BLUFF ROAD
SCHRAMM, CHARLES STEVEN
029944 993 JOHNSON FERRY ROAD, BLDG F, SUITE 210
SCHREINER, ROBERT DAVID
035752 1159 OAK TRAIL COURT
SCHROEDER, DAVID PAUL
034939 2847 DOVER ROAD NW
SCHROYER, WAYNE WESLEY
028075 ADAMS DRIVE, PO BOX 399
SCHUB, HOWARDS
022051 5455 MERIDIAN MARK ROAD, SUITE 530
SCHUCHAT, ANNE
031660 785-6 HOUSTON MILL ROAD
SCHUESSLER, CARL C
012560 310 HOSPITAL DRIVE SUITE 200
SCHUESSLER, SUZANNE WRIGHT 030541 606 S GREENWOOD ST
SCHULER, JOHN ANDREW
037364 FAYETTE MEDICAL CLINIC, 101 YORKTOWN DRIVE
SCHULTE, JOHN GLENN
036451 203 LAKE FRONT DRIVE
SCHULTZ, ALICE BETH SCHWARZMAN 037675 223 LINDA DRIVE, NW
SCHULTZ, ELIZABETH LOUISE
032045 1010 OVERTON WAY
SCHULTZ, EVERETT HOYLE, JR 030210 608 AUMOND ROAD
SCHULTZ, KARL DANIEL, JR
037676 223 LINDA DRIVE, NW
SCHULTZ, MYRON G
017734 635 GREYSTONE PARK
SCHULTZ, ROBERT MICHAEL
018949 5455 MERIDIAN MARK ROAD, SUITE 520
SCHULTZ, ROSE MARIE MCDONALD 026024 P. 0. BOX 2505
SCHULZE, RICHARD R
010823 728 E 67TH ST
SCHUMAN, BERNARD MORTON
025269 MEDICAL COLLEGE OF GEORGIA, DEPT. OF MEDICINE
SCHUTZ, DAVID CHARLES
026931 6111 PEACHTREE DUNWOODY ROAD, BLOG C
SCHWAIBOLD, FREDERICK PAUL 034240 220 WING MILL ROAD
SCHWARTZ, BENJAMIN
031825 2535 SHERBROOKE DRIVE
SCHWARTZ, DAVID ALAN
032291 3078 CLAIRMONT RD, APT 825
SCHWARTZ, FRED JAY
020601 1984 PEACHTREE ROAD NW, SUITE 515
SCHWARTZ, IRA KENNETH
033888 * 940 V!STAVIA CIRCLE
SCHWARTZ, MEYER PAUL
025270 1221 GEORGE C WILSON DRIVE
SCHWARTZ, PAUL BRYAN
023328 631 HIGH HAMPTON DRIVE
SCHWARTZ, PHILIP GERALD
019599 5354 REYNOLDS ST.,SUITE 204
SCHWARTZ, ROBERT IRA
008879 376 ROGERS AVE 32
SCHWARTZ, RONALD 0
017765 3193 HOWELL MILL ROAD, SUITE 328
SCHWARTZ, SANFORD H
013930 5505 PEACHTREE DUNWOODY RD,# 200
SCHWARTZ, SETH A.
022635 150 MEDICAL WAY, SUITE F-2
SCHWARTZ, STEPHEN JAMES
035134 4 DELAMOTTE LANE
SCHWARTZ, STEVEN JEFFREY
026025 5221 OLD MOUNTAIN LANE
SCHWARTZ, TERRY S
013370 809 S MAIN ST
SCHWARTZBERG, DANIEL GEORGE 030211 PO BOX 1007
SCHWARTZMAN, JULIO
032292 P.O. BOX 267
SCHWARZ, STEVEN BENJAMIN
024129 1754 COVENTRY PLACE
SCHWARZMANN, STEPHEN WILLIAM 012067 2646 CHURCHWELL LANE
SCHWEISTRIS, JOHN ERICH 111 018420 500 EAST 66TH STREET
SCHWIN, ROBERT LOWELL
021277 3715 NORTHSIOE PKWY NW, NORTHCREEK 200, SUITE 550
SCHWINDT, ROBERT RICHARD
035512 2875 NORTH HILLS DRIVE
SCHWOCK, KATHY LEE
037677 555 TIMBER VALLEY RO
SCHYBERG, JEFFREY PAUL
036278 590 ELMWOOD DRIVE, APT
SC!PLE, GEORGE W
008205 2601 PARKWOOO DR, SUITE ONE
SCOGGINS, BERNARD PERRY
020605 1512 VALENCIA
SCOGGINS, BRENDA BELL
011985 BOX 55
SAVANNAH
GA
ATLANTA
GA
COVINGTON
GA
ATLANTA
GA
DUNWOODY
GA
MACON
GA
CRAWFORD
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ALPHARETTA GA
ATLANTA
GA
DUNWOODY
GA
ATLANTA
GA
DEMOREST
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
LAGRANGE
GA
FAYETTEVILLE GA
WARNER ROBINS GA
TUCKER
GA
WATKINSVILLE GA
AUGUSTA
GA
TUCKER
GA.
ATLANTA
GA
ATLANTA
GA
PEACHTREE CITY GA
SAVANNAH
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
AUGUSTA
GA
SAVANNAH
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
RIVERDALE
GA
SAVANNAH
GA
POWDER SPRINGS GA
STONE MTN
GA
DECATUR
GA
EAST ELLI JAY GA
DECATUR
GA
TUCKER
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
BRUNSWICK
GA
ALBANY
GA
GRACE WOOD
GA
31405
36
30312
52
30209
10
30307
27
30338
17
31206
41
30630
30350
03
30345
35
30345
17
30201
30
30342
00
30338-4027 34
30327-1209 05
30535
32
30342
32
30329-4229 01
31201
15
30240
32
30214
10
31088
33
30084
31
30677
15
30909-3308 00
30084
10
30324
53
30342
09
30269
25
31405
27
30912
11
30328
33
30350
53
30345
32
30329-1659 31
30309
03
30033
32
30909
08
30907
11
31405
17
31204
32
30327
15
30342
17
30274
15
31411
03
30073
08
30083
10
30011-007 36
30539
10
30030
30084
53
31405
01
30327
33
30305
05
30342
03
30306
17
31520
33
31707
17
30812
33
Page No. 190
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SCOGGINS, HENRY DEER
007281 3107 VASSAR DRIVE
AUGUSTA
GA
SCOGGINS, TEDDY ALLAN
029089 608 EAST V!LLANOW STREET
LAFAYETTE
GA
SCONZO, DENIS THOMAS
035136 301 BOWEN DRIVE
WARNER ROBINS GA
SCOTT, ALBERT, JR SCOTT, ANITA DARYL SCOTT, CHARLES FREDERICK
032293 2675 N DECATUR ROAD, SUITE 512
031506 1001 THORNTON ROAD, SUITE 302
028884 * 777 CLEVELAND AVE, SUITE 604
DECATUR
GA
LITHIA SPRINGS GA
ATLANTA
GA
SCOTT, CHARLES JR
006067 285 BOULEVARD N.E., SUITE 215
ATLANTA
GA
SCOTT, DAVID GRAYSON
038950 2500 HOSPITAL BLVD# 310
ROSWELL
GA
SCOTT, DONNA JEAN TINSLEY
033447 58 HOSPIAL ROAD, SUITE 205
NEWNAN
GA
SCOTT, EDWIN HUGHES
035753 UNIV OF FAMILY MEDICNE, SOUTH 3121 PEACH ORCH RD
AUGUSTA
GA
SCOTT, ERIC WILLIAM
037068 612 BRANETT WAY
EVANS
GA
SCOTT, JAMES FORREST, III
029295 1079 DRUID LAKE
DECATUR
GA
SCOTT, JAMES INGRAM
018267 5354 REYNOLDS STREET SUITE 421
SAVANNAH
GA
SCOTT, JAMES WILLIAM
015420 PO BOX 7630, 1610 JOHN ORR DR- BLDG A
TIFTON
GA
SCOTT, JEFFREY ALAN
032047 STEMMER BLDG, 2712 LAWRENCEVILLE HWY
DECATUR
GA
SCOTT, LEGH RICHMOND JR
006275 3183 MARNE DRIVEN W
ATLANTA
GA
SCOTT, LINZY JR
013364 2085 CAMPBELLTON RD SW
ATLANTA
GA
SCOTT, MICHAEL CRAIG
034051 SUITE 220, 980 JOHNSON FERRY ROAD
ATLANTA
GA
SCOTT, MICHELLE STARR
038607 345 MT MITCHELL WAY
ALPHARETTA GA
SCOTT, NEAL ANTHONY
032048 F-606 1364 CLIFTON ROAD
ATLANTA
GA
SCOTT, PETER HILL
029374 CHILDRENS MED CNTR PROF BLDG, 5455 MERIDIAN MARK RD N ATLANTA
GA
SCOTT, RANDALL PERRY
031320 9580 REDBIRD LANE
ALPHARETTA GA
SCOTT, STEVEN MARTIN
022275 1024 VISCOUNT COURT
AVONDALEESTATE GA
SCOTT, STEVEN SORRELLS
034241 43 SUTTON PLACE
AVONDALE ESTAT GA
SCOTT, THOMAS P JR
006708 1072 CLIFTON ROAD NE
ATLANTA
GA
SCOTT, THOMAS WILLIAM
035329 230B WEST COLLEGE ST
GRIFFIN
GA
SCOTT, VINCENT STEPHEN
028460 1455 BELLS FERRY RD, B
MARIETTA
GA
SCOTT, WILBUR MOATE
005195 P.O. BOX 867
MILLEDGEVILLE GA
SCOTT, WILLIAM MW
012565 N. PEACHTREE PROF BLDG, 3920 PEACHTREE ROAD
CHAMBLEE
GA
SCOTT, YVONNE LLAINE
029945 501 CROWNPOINTE WAY, SUITE 140
LAWRENCEVILLE GA
SCRUGGS, EDWARD TIMOTHY
033192 325 MORGANSHIRE PLACE
DUNWOODY
GA
SCUDERI, JOSEPH JOHN
026932 5354 REYNOLD STREET, SUITE 411
SAVANNAH
GA
SCULLY, TIMOTHY ANTHONY
034052 710 BROAD STREETS E
GAINESVILLE GA
SCURRY, RALPH BROOKS JR
013791 1430-B HARPER STREET
AUGUSTA
GA
SEAGO, RICHARD WINSTON
011469 405 ALA AVE
BREMEN
GA
SEAL, JOSEPH KENT
035754 P.O. BOX 3328
THOMASVILLE GA
SEALY, HUGH KEY JR
007124 700 SPRING ST
MACON
GA
SEALY, WILL CAMP
003931 MEDICAL CENTER OF CENTRAL GA, 777 HEMLOCK STREET
MACON
GA
SEAR, WILLIAM, II
027659 1459 MONTREAL RD, SUITE 506
TUCKER
GA
SEARCY, ASHBURN P
011058 956 ACWORTH DUE WEST RD
KENNESAW
GA
SEARLES, CHARLES DEVEREUX, JR 038951 926 HIGHLAND TERRACE
ATLANTA
GA
SEARS, CAMERON JOHNSON
038952 3137 HATHAWAY COURT
CHAMBLEE
GA
SEARS, DONALD LYNN
027660 3300 BUCKEYE ROAD, SUITE 178
ATLANTA
GA
SEAVEY, PAUL WALLACE
006973 1857 BEDFORDSHIRE CT
DECATUR
GA
SEAY, THOMAS EDWIN
030884 1100 LAKE HEARN DRIVE, NE
ATLANTA
GA
SEBASTIAN, CHIRIYANKANDATH SIM 031828 3464 EVANS LOCK ROAD
MARTINEZ
GA
SEBEL, PETER SIMON
029528 DEPT. OF ANESTHESIOLOGY, GRADY - 80 BUTLER ST., S.E. ATLANTA
GA
SECREST, WAYNE DONOVAN
016427 1459 MONTREAL ROAD, SUITE 402
ATLANTA
GA
SEEFF, LAURA CLAIRE
038953 926 HIGHLAND TERRACE
ATLANTA
GA
SEELIG, BETH JUNE
034465 1701 UPPERGATE DRIVE
ATLANTA
GA
SEEMAN, HOWARD
034709 150 HENRY BURSON DRIVE, SUITE 201
CARROLLTON GA
SEESE, PERRY GRAY
015555 2801 BUFORD HWY, SUITE 275 DRUID CHASE
ATLANTA
GA
SEFTER, JOHN CHARLES, JR
037365 800 E 70TH STREET
SAVANNAH
GA
SEGALL, NATHAN
020602 478 PEACHTREE ST NE, SUITE 107-A
ATLANTA
GA
SEGERBERG, ERIC COX
019600 3215 SHRINE RD
BRUNSWICK
GA
SEGERMAN, STUART CHARLES
022184- 1620 N. PELHAM
ATLANTA
GA
SEIBERT, ANDREW LOUIS
037366 600 PROFESSIONAL DRIVE, SUITE 130
LAWRECEVILLE GA
SEIDMAN, JESSE EDWARD
035755 487 WINN WAY, SUITE 101
DECATUR
GA
30909
15
30728
10
31088
15
30033
15
30057
17
30315
17
30312
52
30076
46
30263
33
35733
10
30809
44
30033
17
31405
41
31793
28
30033
53
30305
17
30311-4898 28
30342
15
30202
03
30306-4608 05
30342
32
30202
30002
08
30002
41
30307
32
30223
15
30066
15
31061
12
30341
33
30245
17
30350
03
31405-6098 17
30505-3198 05
30910
41
30110
01
31799-3328 33
31201
05
31208
01
30084-6925 17
30144
03
30306
17
30341
28
30341
31
30033
17
30342
17
30907
33
30335-3801 03
30084
28
30306
17
30322
33
30117
11
30329
33
31405
28
30308-3103 04
31520
41
30324
08
3024-5
17
30030-1700 28
Page No. 191
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SEILER, JOHN GRAY, III
033448 69 BUTLER STREET, ROOM 402, GLENN BUILDING
ATLANTA
GA
SEIWERT, VINCENT ROBERT
036280 RR 1 BOX 32
HILLSBORO
GA
SEKLECKI, ROGER M
017293 134 AVONDALE DRIVE
AUGUSTA
GA
SELANIKIO, JOEL DAVID
038608 178 HURT ST, NE
ATLANTA
GA
SELF, AMELIA ELLEN
036074 2704 SPRINGWOOD DR
AUGUSTA
GA
SELF, DAVID LESLIE, JR
038360 2704 SPRINGWOOD DR
AUGUSTA
GA
SELF, STANLEY JACKSON
011470 302 W6TH ST
ROME
GA
SELF, THOMAS ALLEN
021587 106 HOSPITAL CT
CALHOUN
GA
SELL, KENNETH WALTER
027440 ROOM 701 WOODRUFF MEMORIAL BLDG., EMORY UNIV. SCH. OF ATLANTA
GA
SELL, MERCER B JR
005388 828 MILLEDGE ROAD APT 1A
AUGUSTA
GA
SELLERS, CHRISTOPHER WADE
025271 6 SPRING RIDGE TRAIL
ROME
GA
SELLERS, GLADSTONE ARNOLD
035513 755 MT VERNON HWY, SUITE 400
ATLANTA
GA
SELLERS, SIDNEY L JR
006975 PO BOX 989
DALTON
GA
SELLERS, THOMAS F JR
006276 4875 FRANKLIN POND RD
ATLANTA
GA
SELLS, LINNETTE JOYCE
035756 921 BEAVER LANE
LILBURN
GA
SELMONOSKY, CARLOS ALBERTO 013163 PO BOX 778
EAST ELLIJAY GA
SELSER, HELEN GORDON
029529 100 - 10TH STREET NW
ATLANTA
GA
SELSOR, LINDA CAROL
029241 1157 FORSYTH ST., 101-W
MACON
GA
SELTMAN, MARC ALAN
028076 5505 PEACHTREE DUNWOODY ROAD, SUITE 650
ATLANTA
GA
SELVEY, HENRY ARTHUR
013429 960 JOHNSON FERRY ROAD, SUITE 214
ATLANTA
GA
SEMONSKY, CHARLES JOHN
014216 1130.UPPER HEMBREE ROAD
ROSWELL
GA
SENEVIRATNE, DEVENIMUNI GAMIN! 015821 7158 STANDING BOY ROAD
COLUMBUS
GA
SENNETT, CHARLIE OTIS JR
012367 1 CLUB DRIVE
ROME
GA
SENNOWITZ, KARL JOE
037367 876 BROOKRIDGE DRIVE, NE
ATLANTA
GA
SERGENT, PAUL MONTFORD SERMONS, ALVIN LAMAR
016280 1304 SOUTH BROAD STREET 026933 1829 INDEPENDENCE SQUARE, SUITE I
COMMERCE
GA
''DUNWOODY
GA
SERRA, MARIAN HAMILTON
024491 14485 THOMPSON ROAD
ALPHARETTA GA
SERRANO, GABRIEL SR
013714 2581 PIEDMONT ROAD, N.E., 2ND FLOOR SUITE A-590
ATLANTA
GA
SERRATO, DANIEL HENRY SERRATO, JOSE CARLOS, JR
030885 3312 HILTON AVENUE
007074 * PO DRAWER 9456
COLUMBUS
GA
COLUMBUS
GA
SERRAVEZZA, JUNE CAROL
027661 850 OAKDALE ROAD NE
ATLANTA
GA
SERVY, EDOUARD JEAN
016755 812 CHAFEE AVE
AUGUSTA
GA
SESSIONS,' GEORGE P
007583 2675 N DECATUR,# 309
DECATUR
GA
SESSIONS, ROBERT THOMAS
010077 811 CHURCH ST EXT NW
MARIETTA
GA
SETHI, KAPIL DEV
027303 3709 MERION DRIVE
AUGUSTA
GA
SETHI, RANJIT KAUR MAKHNI
031321 3709 MERION DR
AUGUSTA
GA
SETHI-DIHENIA, CHANDA SHIVANI 038954 3433 N DRUID HILLS RD, APT# P
DECATUR
GA
SETIA, RAJIV KUMAR
037368 222 RIVERBEND CIRCLE
ROYSTON
GA
SETO, CRAIG KAILANI
038361 HUGHSTON SPORTS MED HOSP, 6262 W HAMILTON PARK RD COLUMBUS
GA
SETTLE, CLIFFORD PAUL
023675 77 COLLIER ROAD, N.W., SUITE 2050
ATLANTA
GA
SETTLE, JAMES A JR
016141 3250 HOWELL MILL RD., NW, SUITE 208
ATLANTA
GA
SETTLE, LINDA
029092 2033 SILVERSMITH LANE
STONE MOUNTAIN GA
SETZER, EDWARD HUGH
010279 SAVANNAH VA OUTPATIENT CLINIC, 325 WEST MONTGOMERY CR SAVANNAH
GA
SEWARD, JAMES MICHAEL
027247 PO BOX 240
THOMSON
GA
SEWELL, ALVIN DURAND
030670 840 PINE STREET, SUITE 700
MACON
GA
SEWELL, CHARLES WHITAKER
013239 EMORY UNIVERSITY HOSPITAL, DEPT OF PATHOLOGY
ATLANTA
GA
SEWELL, MICHELE ANGELA
036281 626 WOODFALL COURT
STONE MOUNTAIN GA
SEWELL, WILLIAM MARVIN
036452 2507 FOX RIDGE LANE
ALBANY
GA
SEXSON, SANDRA _GRIFFIN BISHOP 026377 2215 RIDGEWOOD DRIVE NE
ATLANTA
GA
SEXSON, WILLIAM ROBERT
026378 804 SPRINGDALE
ATLANTA
GA
SEYFRIED, MICHAEL PAUL
028647 17 DUNWOOD PARK DR, SUITE 117
ATLANTA
GA
SHACKELFORD, HUGH WILLIAMS 011471 9141 SHETLAND TRACE, 313 BIG CANOE
BIG CANOE
GA
SHADEED, BAHEEG L.
024628 1745 OLD SPRINGHOUSE LANE, #407
DUNWOODY
GA
SHAEFER, CHARLES FREDERICK, JR 023500 3623 J DEWEY GRAY CIRCLE, SUITE 100
AUGUSTA
GA
SHAFFER, DON WARREN
037681 168 SPRINGLAKE DRIVE
MARTINEZ
GA
SHAFIQ, FLORENCE BATTLE
019773 3178 ROSEHEATH LANE
LITHONIA
GA
SHAH, BIMAL RAMNIKLAL
037682 135 MOSS CREEK DRIVE
MARTINEZ
GA
SHAH, CHANDRESH BHAUVAT
038955 C/0 SHROFF & DESAI, MD, 8954 HOSPITAL DR,# 100
DOUGLASVILLE GA
30303
42
31038-9701 10
30907
10
30307
32
30909
33
30909-2324 32
30165
06
30701-2077 10
30322
31
30904
33
30165
01
30328
17
30722
15
30342
17
30247
10
30539
48
30309
06
31201
06
30342
17
30342
33
30076
33
31904
08
30161
31
30306
03
30529
11
30350
30201
30324
10
31906
41
31908
46
30307
33
30904
15
30033
03
30060
14
30907
23
30907
23
30033
10
30662
32
31909-3006 10
30309
01
30327
34
30087
32
31406
17
30824
10
31201
03
30322
31
30087
08
31707
15
30322
33
30303
32
30338
10
30143-0313 36
30338
41
30909-6553 17
30907
16
30038
17
30907
05
30134
17
Page No. 192
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SHAH, DINESH C. SHAH, INDRAVADAN C SHAH, JAYENDRAKUMAR J SHAH, KAMLA JIVAN SHAH, KAUSHIK SUKHENDRA SHAH, KIRITKUMAR JAVANLAL SHAH, KIRT! KALIDAS SHAH, MAHENDRA RATILAL SHAH, MANOJKUMAR HIRALAL SHAH, MEENA J SHAH, NARENDRA K SHAH, RANJAN C. KOTHARI SHAH, SHAFQAT SHAH, SURESH 'HIRJI SHAH, TARUNBALA NAVIN SHAH, VIPUL BHOGILAL SHAHID SALLES, MOHAMAD SAEED SHAKEEL, MUHAMMAD SHAKER, ISSAM JOHN SHALLAL, JOHN A SHAMA, ZOUHEIR A SHANADI, GANESH SHANDS, KATHRYN NUGENT SHANEWISE, JACK STACEY SHANIK, EDWARD JOEL SHANKAR, TALLAPRAGAD SHANKMAN, ANDREWS. SHANKS, JAMES ZACHRY SHANLEY, VERA LEIGH CROOKE SHANNON, ANGELA PATRICE SHANNON, GEORGE WILLIAM SHANTHAVEERAPPA, TOTADA R SHAPIRO, ERIC DAVID SHAPIRO, JEFFREY DANIEL SHAPIRO, MICHAEL BENJAMIN SHAPIRO, ROBERT SCOTT SHAPIRO, SCOTT BRIAN SHAPIRO, STANLEY TERRY SHARIFI, ANISSA SHARKEY, MICHAEL JOHN SHARMA, CHAND! P SHARMA, KAILASH B SHARMA, PURNA DAVE SHARMA, SARITA B SHARMA, SHIVA SHARMA, SHOBHA SHARMA, VIDYA DHAR SHARON, MAR !US S SHARON, THOMAS E., JR SHARON, ZEEV SHARP, CECIL GARLAND SHARP, JOHN THOMAS SHARP, RHODA JEAN KNOX SHARPE, BRUCE ANTHONY SHARPE, MILES HERVEY, JR SHARPE, TERRY LYNN SHARPINO, GEORGE PETER SHARPTON, JULIAN DOUGLAS
027118 4175 HEATHCLIFF DR.
MARTINEZ
GA
023224 1801 OLD OCCILLA RD
TIFTON
GA
021345 5330 NORTHWATER WAY
DULUTH
GA
024726 MEDICAL COLLEGE OF GA., RADIATION THERAPY CENTER
AUGUSTA
GA
023225 1077 BAXTER STREET
ATHENS
GA
022637 6360 MABLETON PKY
MABLETON
GA
027248 401 WEST PIKE STREET, SUITE A
LAWRENCEVILLE GA
034466 2150 PEACHFORD ROAD, SUITE C
DUNWOODY
GA
028077 1021 N HOUSTON ROAD, PO BOX 2105
WARNER ROBINS GA
021464 5330 NORTHWATER WAY
DULUTH
GA
016978 220 HAWTHORNE PARK
ATHENS
GA
029780 1604 CHASE VILLAGE DR
JONESBORO
GA
036282 103 TANYARD CREEK COURT
DECATUR
GA
033193 5605 GROVE POINT ROAD
ALPHARETTA GA
020150 171 GWINNETT DRIVE, SUITE E
LAWRENCEVILLE GA
037069 616 SPARROW'S LANE
NORCROSS
GA
032050 2310 HENRY CLOWER BLVD., SUITE B
SNELLVILLE GA
037371 1018 WOODSEDGE DRIVE, APT H
AUGUSTA
GA
017883 770 PINE ST 300
MACON
GA
022638 5354 REYNOLDS ST, SUITE 418
SAVANNAH
GA
014720 * 651 INDIAM TRAIL ROAD
LILBURN
GA
034942 304 REGENCY CIRCLE
DUBLIN
GA
023502 36 LENOX POINTE, N.E.
ATLANTA
GA
036283 ANESTHESIOLOGY EMORY HOSP, 1364 CLIFTON ROAD
ATLANTA
GA
020484 1575 OLD ALABAMA RD
ROSWELL
GA
029242 6564 PROFESSIONAL PL, PO BOX 1286
RIVERDALE
GA
023876 1612 FREDERICA ROAD
ST SIMONS IS GA
007584 1005 HAMMOND DR NE
ATLANTA
GA
028648 1001 JOHNSON FERRY RD, PEDIATRIC ANESTHEIA SP
ATLANTA
GA
036661 457 LYNHURST DRIVE
ATLANTA
GA
024342 1721 - 13TH AVE
COLUMBUS
GA
014721 300 BOULEVARD NE, BOX 404
ATLANTA
GA
038956 6209 BRIXWORTH PLACE
ATLANTA
GA
030887 PIEDMONT ANESTHESIA ASSOCS, PA, 1984 PEACHTREE RD, NW ATLANTA
GA
035795 MEDICAL COL OF GA - ROOM BA-4411, 1120 - 15TH STRRET AUGUSTA
GA
020815 315 MORTON ROAD
ATHENS
GA
032469 2675 N DECATUR RD, SUITE 305
DECATUR
GA
010660 1790 MULKEY RD, SUITE 7
AUSTELL
GA
032654 673 PEPPERWOOD LAND
STONE MOUNTAIN GA
038609 5 DUTCH CT
RICHMOND HILL GA
017736 3681 AUDITORIUM WAY
COLLEGE PARK GA
015039 727 RAVENEL ROAD
AUGUSTA
GA
030543 535 HEARDS FERRY ROAD
ATLANTA
GA
032294 3554 WEST LAKE DR
MARTINEZ
GA
023798 535 HEARDS FERRY ROAD
ATLANTA
GA
037070 2499 BRIARCLIFF RD NE APT D
ATLANTA
GA
024629 4169 GLADNEY DRIVE
DORAVILLE
GA
033449 3108 RIDGE CREST DRIVE
MARTINEZ
GA
035757 830 DEWFIELD COURT
ALPHARETTA GA
025668 497 WINN WAY, SUITE A-210
DECATUR
GA
027662 UNIVERSITY HOSPITAL, 1350 WALTON WAY
AUGUSTA
GA
029099 TIFTON MEDICAL CLINIC, 712 E. 18TH STREET
TIFTON
GA
029699 885 MASTERS DRIVE
034467 * P.O. DRAWER 905, 204 EAST 15TH STREET
STONE MOUNTAIN GA
ALMA
GA
037374 4431 LUCERNE PLACE
LILBURN
GA
025826 1136 CLEVELAND AVE, SUITE 615
EAST POINT GA
038957 77 E ANDREWS DRIVE, APT 370
ATLANTA
GA
017084 ROUTE 3 BOX 333~ KNOX DR
LAVONIA
GA
30907
01
31794
01
30136
28
30912
30606
30059-5210 33
30245
17
30338
33
31099
15
30136
10
30606
36
30236-7728 33
30030
32
30202
17
30245
32
30093
05
30278
23
30904
17
31201
48
31405
40
30247
11
31021
10
30324
30322
03
30076
10
30274-2520 17
31522
33
30328
17
30363
03
30311
33
31901
17
30312
03
30319
03
30309
03
30912
41
30605
33
30033
15
30001
30
30087
32
31324
06
30337
17
30909
31
30328
36
30907
33
30328
30329-3009 31
30340
30907
17
30202
15
30030
17
30901-2629 21
31793
17
30087
17
31510
10
30247
10
30344
17
30305
10
30553
10
Page No. 193
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SHAVIN, JOEL STEPHEN
013240 2366 LENORA CHURCH ROAD
SNELLVILLE GA
SHAW, CHRISTOPHER TAYLOR
028649 4559 E. BROOKHAVEN UKIVE
ATLANTA
GA
SHAW, CLARALEE
027015 * 505 BARFIELD
HAHIRA
GA
SHAW, DAVID LAWSON
024090 225 COLEWOOD WAY
ATLANTA
GA
SHAW, GEORGE PAUL, JR.
022056 611 NORTH MAIN STREET
LAFAYETTE
GA
SHAW, KENNETH ALLEN, JR
032988 702 PIEDMONT LAKE ROAD
PINE MOUNTAIN GA
SHAW, MATTHEW CHARLES
017737 1366 PEMBRIDGE TRACE
KENNESAW
GA
SHAW, MICHAEL SETH
017766 715 WESTPHALIA COURT
ATLANTA
GA
SHAW, ROBERT JOSEPH
038958 500 NORTHLAND RIDGE COURT
ATLANTA
GA
SHEA, PATRICK CHARLES JR
005732 1860 A BRIARCLIFF CR, NE
ATLANTA
GA
SHEAHAN, KEVIN JAMES
035332 423 LAKE SIDE WAY
NEWNAN
GA
SHEAHAN, ROBERT C
010825 467 GREYSTONE TRACE TRACE NE
MARIETTA
GA
SHEAR, GLENN STEPHEN
019998 33 SW UPPER RIVERDALE ROAD, ST 114 CLAYTON PROFESSION RIVERDALE
GA
SHEARER, ROBERT DALE
036869 206 WEDGEFIELD CROSSING
SAVANNAH
GA
SHEARIN, WILLIAM ARTHUR, JR 030544 PO BOX 80668
CONYERS
GA
SHEEHEY, SHARNE SARAH HAMPTON 030375 2511 MCKINNON DRIVE
DECATUR
GA
SHEERIN, KATHLEEN ANN
035514 1965 NORTH PARK PLACE, NW
ATLANTA
GA
SHEFFIELD, CHARLES R
009608 405 E. CHURCH STREET
AMERICUS
GA
SHEFFIELD, PHILIP A
012368 1010 PRINCE AVE, SUITE 282
ATHENS
GA
SHEFTEL, THOMAS GARY
027663 833 CAMPBELL HILL STREET, SUITE 410
MARIETTA
GA
SHEHEE, WALTER H
006709 2691 JEFFERSON TERRACE
EAST POINT GA
SHE!LS, ANDREW T JR
013081 7 ST JOSEPHS PROF PLAZA, 11706 MERCY BLVD
SAVANNAH
GA
SHEILS, WAYNE CHRIS
015422 GA RADIATION THERAPY CTR, MCG - BLDG H-K
AUGUSTA
GA
SHELINE, MARTIN ENGWALL
034710 550 PICKERING LANE
ATLANTA
GA
SHELLEY, MARTHA ELIZABETH
033891 2258 WRIGHTSBORO ROAD, SUITE 400
AUGUSTA
GA
SHELLEY, ROBERT JOHN
028650 4600 WATERS AVE, SUITE 100
SAVANNAH
GA
SHELTON, ANNE BELLIN
030721 3280 HOWELL MILL ROAD, T-25
ATLANTA
GA
SHELTON, LEE RAYMOND
009402 725 LYNHURST DRIVE, S.W.
ATLANTA
GA
SHELTON, SUSAN LYNNE BECHTEL 029244 THE EMORY CLINIC - ROOM 5316, 1365 CLIFTON ROAD NE ATLANTA
GA
SHENKMAN, CARL
036000 1814 TRUMBULL DRIVE
DUNWOODY
GA
SHEPARD, JACK N
018953 PO BOX 280, 205 E 14TH STREET
ALMA
GA
SHEPARD, SHELLEY MARIE
036870 3125 SAINT ANDREWS DRIVE
DULUTH
GA
SHEPHERD, EDWIN C
005790 8 PENNEFEATHER LANE
SAVANNAH
GA
SHEPHERD, MASON H
006710 3059 HILLSDALE DRIVE
AUGUSTA
GA
SHERBERT, JOHN DAVID
036287 2401 SEMINOLE RD
AUGUSTA
GA
SHERBOURNE, GILLIAM MAY
036288 101 PEAVINE CREEK COURT
DECATUR
GA
SHERIDAN, JEFFREY ANDREW
038959 6520 ROSWELL RD, APT 31
ATLANTA
GA
SHERIDAN, KIM MARKL
036001 3232 COBB PARKWAY# 14
ATLANTA
GA
SHERIF, SALAH ABDEL GELIL
035758 3421 VALLEY BROOK PLACE
DECATUR
GA
SHERLAG, ANTHONY PAUL
031662 2121 FOUNTAIN DRIVE, SUITED
SNELLVILLE GA
SHERLINE, DONALD MORTON
024493 DEPT. 08-GYN, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
SHERMAN, ELOISE BAIM
014137 1710 EAST HENRY STREET
SAVANNAH
GA
SHERMAN, HARRY CARD
008558 14308 HARPER ST
AUGUSTA
GA
SHERMAN, HARRY. CARD, JR
035333 MED COLLEGE OF GA, DEPT OF ANESTHESIOLOGY
AUGUSTA
GA
SHERMAN, JAMES CARMICHAEL
031122 2819 BETHEL PLACE
AUGUSTA
GA
SHERMAN, JERALD J
013082 915 IVY FALLS DR
ATLANTA
GA
SHERMAN, JO ANN SIGMAN
037686 2819 BETHEL PLACE
AUGUSTA
GA
SHERMAN, ROBY ANGELINA HIRST 031663 WILDWOOD LIFESTYLE HOSPITAL
WILDWOOD
GA
SHERMAN, ROGER T.
024727 1170 WOODS CIRCLE NE
ATLANTA
GA
SHERMAN, STANLEY WILLIAM
016282 2675 NORTH DECATUR ROAD, SUITE 607
DECATUR
GA
SHERRER, CARL WILLIS
013003 105 COLLIER ROAD, N.W., SUITE 1010
ATLANTA
GA
SHERRER, JACK D., JR
028079 1051 TALBOTTEN ROAD
COLUMBUS
GA
SHERRER, JAMES SCOTT
036871 1850 A OWENS AVE
ALBANY
GA
SHERRER, WEBSTER A
006711 833 CAMPBELL HILL STREET, SUITE 111
MARIETTA
GA
SHERRIER, ROBERT HENRY
035516 1660 MULKEY ROAD, SUITED
AUSTELL
GA
SHERRILL, REGINALD ROBERT
023677 1501 BROADRICK DRIVE
DALTON
GA
SHERROD, OLGA MARIA BONILLA 034944 5455 MERIDIAN MARK RD SUTIE 100
ATLANTA
GA
SHERRY, RICHARD MARK
034712 837 SPARKLEBERRY RD
EVANS
GA
30278
06
30319
17
31632
10
30328
36
30728
10
31822
03
30144
03
30350
OT
30342
10
30329
41
30265
03
30068
17
30274
45
31405
33
30208
03
30030
10
30339
53
31709
08
30606-5870 30
30090
17
30344
33
31419
46
30912
36
30317
36
30904
15
31499-3001 32
30327
15
30311
08
30322
33
30338
23
31510-0280 15
30136
15
31411
32
30909
50
30904
03
30030
36
30328
27
30339
03
30033
17
30278
52
30912
16
31404
31
30901-2618 41
30912-0000 03
30909
41
30328
15
30909
37
30757
17
30324
41
30033
05
30309
15
31993
31705
10
30060
31
30001
36
30720
30342
32
30809
41
Page No. 194
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SHERVETTE, ROBERT EDWARD, III SHERWINTER, JULIUS SHERWOOD, BOZEMAN KEITH SHERWOOD, JUAN JOSE SHESSEL, FREDERICKS SHESSEL, HERBERT L SHETH, HINA B. MEHTA SHETTY, NARAYAN S SHETTY, YESHWANTHI SHEVITZ, STEWART ALLEN SHEWELL, KENNETH WILLIAM SHIELDS, JAMES GORDON JR SHIELDS, JOHN MARK SHIELDS, JOSEPH DUNBAR III SHIELDS, RICHARD OWEN JR SHIH, CHEN-WEN SHIHATA, FIKRY K SHIKH, CHARANJIT SINGH SHIN, YOUNG SHIK SHIPPEL, ALLAN HENDLEY SHIRAZ!, SYED H SHIREY, MARY SUZANNE SHIRLEY, GRANT CARLTON SHIRLEY, JACOB L JR SHIRLEY, RUDY MCKEY SHIRLEY, STEVE MAX SHIRLEY, WILLIAM CSR SHIRLEY, WILLIAM COTTLES JR SHIVASWAMY, SUBBARAYAPPA SHIVELY, PATRICIA ANN SHIVER, CHARLES BRINSON JR SHIVER, JAMES MICHAEL SHIVER, ROBERT B JR SHIVERS, MICHAEL EDWARD SHIVERS, OLIN GRIGSBY, JR. SHIVERS, WILLIAM FRANKLYN JR SHLAER, STEPHEN M SHLEIFER, NISON H SHMERLING, RICHARD ALAN SHMERLING, SANFORD A SHOAF, WALKER THOMAS III SHOBE, MERRITT BUTLER SHOEMAKER, MARK MACGILLIVRAY SHOEMAKER, RUSSELL LOWELL SHOFFNER, GEORGE MICHAEL SHOFFNER, JOHN MCKINLEY, IV SHOFFNER, KAREN LOUISE SHOJI, MAMORU SHOLES, THOMAS EARLE SHOLES, WILLIAM MCNEIL SHONKOFF, DAVID WILLIAM SHOOK, THOMAS EARL SHOPTAW, JAMES HAROLD, JR SHORE, STEVEN LEWIS SHORES, DAVID GERALD SHORT; JAMES BERNARD, JR. SHORT, JEFFREY KEITH SHORT, LOUISE JOY
030423 019602 026379 032470 017297 007019 030376 020816 014722 036002 038090 027911 036003 012369 026935 014318 016980 037451 020604 026936 018740 033452 037072 005089 016283 023503 006476 029102 034713 016981 006068 026381 017489 036004 007127 030214 016487 017298 029376 006976 026383 038092 029781 036005 030215 032655 034469 015635 025275 034714 024494 031831 033699 015611 034945 023877 037375 035518
115 DAVIS ROAD, PO BOX 211849
MARTINEZ
GA
5501 CHAMBLEE-DUNWOODY ROAD
DUNWOODY
GA
3580 PEBBLE BEACH DR
AUGUSTA
GA
7949 WOODLAKE DRIVE
RIVERDALE
GA
960 JOHNSON FERRY ROAD, SUITE 335
ATLANTA
GA
755 MOUNT VERNON HWY, NW, STE 200
ATLANTA
GA
1660 STONE MEADOW
MILLEDGEVILLE GA
716 HOSPITAL ROAD
COMMERCE
GA
3756 LAVISTA ROAD SUITE 100
TUCKER
GA
MCG - PSYCHIATRY
AUGUSTA
GA
608-B VILLAGE CIR
DUBLIN
GA
P.O. BOX 2191
DOUGLAS
GA
2789 MCCLAVE DRIVE
DORAVILLE
GA
618 ORANGE ST
MACON
GA
20 MONASTERY ROAD
SAVANNAH
GA
ROUTE 1, BOX 6-A
HINESVILLE GA
123 HUNTINGTON RD.
DALTON
GA
1204 BON AIR DRIVE
AUGUSTA
GA
3850 HOLCOMB BRIDGE RD, SUITE 438
NORCROSS
GA
PO BOX 730
HARTWELL
GA
1637 DUNWOODY SQUARE
ATLANTA
GA
751 CRESTRIDGE DRIVEN E
ATLANTA
GA
78 WAKEFILED DRIVE, NE
ATLANTA
GA
411 SO MADISON
ALBANY
GA
1436 BROADRICK DRIVE
DALTON
GA
1270 PRINCE AVE, SUITE 102
ATHENS
GA
380 HOSPITAL DR 100
MACON
GA
380 HOSPITAL DR., SUITE 100
MACON
GA
4222 KNOLLCREST CIRCLE
MARTINEZ
GA
5960 CROOKED CREEK RD
NORCROSS
GA
806 THIRTEENTH ST
AUGUSTA
GA
1801 BROADLANDS DRIVE
WATKINSVILLE GA
48 US 19 SOUTH, PO BOX 469
CAMILLA
GA
2811 LOMBARDY COURT
AUGUSTA
GA
47 PEACHTREE PK DR NE
ATLANTA
GA
PLANTATION MENTAL HEALTH SER PC, 300 MAIN ST, SUITE 2 ST SIMONS ISLE GA
818 ST. SEBASTIAN WAY, SUITE 205
AUGUSTA
GA
1664 MASON MILL ROAD NE
ATLANTA
GA
5036 GREEN PINE DRIVE
ATLANTA
GA
1082 JUDITH WAY NE
ATLANTA
GA
35 CEDAR BLUFF
WINDER
GA
195 SHORE RUSH DR
ST SIMONS ISL GA
920 - 3RD AVE
ALBANY
GA
MEDICAL CLINIC OF BLAKELY, PO BOX 547
BLAKELY
GA
389 MULBERRY STREET, SUITE 200
MACON
GA
472 SHERMAN WAY
DECATUR
GA
PO BOX 10
DECATUR
GA
1131 WOODRUFF MEM BLOG, EMORY UNIVERSITY
ATLANTA
GA
715 JESSE JEWELL PARKWAY, SUITE 201
GA!NSVILLE GA
3215 SHRINE RD, APT 8
BRUNSWICK
GA
601-A PROFESSIONAL DRIVE, SUITE 370
LAWRENCEVILLE GA
PO BOX 15135
SAVANNAH
GA
212 CLOVERDALE COURT
DUBLIN
GA
993-0 JOHNSON FERRY ROAD, SUITE 110
ATLANTA
GA
1906 GRAYMONT DRIVE
AUGUSTA
GA
1054 FERNCLIFF RD NE
ATLANTA
GA
1212 LANIER BLVD, NE
ATLANTA
GA
2645 DANFORTH LANE
DECATUR
GA
30917-2118 33
30338
32
30907
30274
32
30342
52
30328-4277 15
31061
32
30529
32
30084
33
30912-3800 33
31021
41
31533
30340
53
31298
17
31411-1736
31313
15
30720
03
30907
17
30092-5223 04
30643
53
30338
05
30306
01
30309
41
31701
10
30720
30
30606
41
31201-3898 15
31201-3896 15
30907-1634 33
30092
33
30901
17
30677
10
31730
10
30909
10
30309
32
31522
00
30901
00
30329
11
30342
03
30324
17
30680
32
31522
46
31701
03
31723-0547 10
31201
23
30033
23
30031-0010 36
30322
16
30505
15
31520
47
30245
05
31405
52
31021
41
30342
32
30909
03
30324-2555 17
30306
36
30033
17
Page No. 195
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SHORTER, HENRY F JR
005472 1370 MOZLEY PLACES W
ATLANTA
GA
SHORTT, JAMES DAWSON
033701 PO BOX 7147
MACON
GA
SHOULTZ, CHARLES ALBERT
033703 228 GARDEN LANE
DECATUR
GA
SHOUP, GEORGE DANIEL
028214 PO BOX 1466
FT. VALLEY GA
SHOWALTER, KELLY KAY ROGERS 037376 4570 PEACHTREE DUNWOODY RD NE
ATLANTA
GA
SHOWALTER, LARRY DUANE, JR 037073 4570 PEACHTREE-DUNWOODY RD
ATLANTA
GA
SHROFF, GIRISH I
019103 8954 HOSPITAL DRIVE, SUITE 100-B
DOUGLASVILLE GA
SHUCK, SUSAN MARY
038093 1145 LEXINGTON AVE
SAVANNAH
GA
SHUFORD, WADE HENRY
008278 1578 W PACES FERRY RD NW
ATLANTA
GA
SHULER, ROBERT K
009253 105 COLLIER ROAD, SUITE 4060
ATLANTA
GA
SHULL, NANCY BETH
032296 4750 WATERS AVENUE, SUITE 206
SAVANNAH
GA
SHULMAN, GERALD
028081 1427 SHERIDAN WALK
ATLANTA
GA
SHULMAN, JONAS A
011819 1440 CLIFTON ROAD NE
ATLANTA
GA
SHULMAN, NEIL BARNETT
014562 2272 VISTAMONT DR
DECATUR
GA
SHULMAN, SCOTT JEFFREY
033196 1372 PEACHTREE STREET, SUITE 301
ATLANTA
GA
SHULTZ, SANDY WARREN
031123 8 WYLLY ISLAND DR
SAVANNAH
GA
SHUMAN, IVY LEE, JR.
017110 3694 BAY HILL COURT
MARTINEZ
GA
SHUMAN, ROBERT CHARLES
006977 120 LEWIS DR, SUITE 7
MARIETTA
GA
SHUMAN, ROBERT D
018253 104 FAIRVIEW PARK DRIVE
DUBLIN
GA
SHUMAN, VILDA
005733 701 LAUREL ST
WAYCROSS
GA
SHUMAN,MONTY BRUCE
018742 116 CREEKVIEW CIRCLE
DUBLIN
GA
SHUMANS, DAVID LEROY
034242 PO BOX 647
HAZLEHURST GA
SHUMATE, MARK JACKSON
036611 3097 WILSON RD
DECATUR
GA
SHUMPERT, CYNTHIA RAMSEY
029782 2293 ROME HWY
ROCKMART
GA
SHUMPERT, PAUL KEITH
029783 ROCKMART FAMILY PHYSICIANS, P.A., 2293 ROME HIGHWAY ROCKMART
GA
SHURE, MERTON ALLYN
006978 730 PEACHTREE ST NE, SUITE 115
ATLANTA
GA
SHUTTER, LORI ANNE
036006 3 LULLWATER ESTATES RD
ATLANTA
GA
SIB~L, IRINEO MINA
018845 3502 CARIBBEAN COURT, PO BOX5711
AUGUSTA
GA
SIDDALL, BRIAN DOUGLAS
023227 PO BOX 330
MCRAE
GA
SIDDAPPA, DODDAMETIKURKE S 021810 1662 KANAWHA DRIVE
ST. MOUNTAIN GA
SIDDAPPA, JALAJA PATIL
017085 1662 KANAWHA DRIVE
STONE MOUNTAIN GA
SIDDIQ, YAHYA KHALID
018954 2953 FOUR OAKS DRIVE
ATLANTA
GA
SIDDIQUI, MOHAMMED ABDUL QADEE 036007 624 FOREST HILL RD, RIVOLI PARK APT D-1
MACON
GA
SIDHPURA, JAGDISH RATILAL
026752 PROFESSIONAL TOWER, SUITE 304, 700 CENTER STREET
COLUMBUS
GA
SIEDLECKI, BRUCE JOSEPH
029949 3000 OLD ALABAMA RD, SUITE 110
ALPHARETTA GA
SIEGAN, STEVEN WAYNE
025671 P.O. BOX 551, 226 ALCOVY PLACE, SUITE B-2
MONROE
GA
SIEGEL, ANN MUSICK
028315 2511 CADILLAC DRIVE
ATLANTA
GA
SI EGEL, BURTON E
022640 3939 ROSWELL ROAD, SUITE 200
MARIETTA
GA
SIEGEL, DONALD CARL
011475 2801 N DECATUR ROAD, SUITE 280
DECATUR
GA
SIEGEL, GARRY EARL
029784 2500 HOSPITAL BLVD, SUITE 150
ROSWELL
GA
SIEGEL, GARY EDWARD
036289 3427-F N DRUID HILLS RD
DECATUR
GA
SIEGEL, JON LEWIS
034243 1130 PIEDMONT AVE NE #1307
ATLANTA
GA
SIEGEL, ROBERT JAMES
023679 2511 CADILLAC DRIVE
ATLANTA
GA
SIEGELSON, HENRY JOEL
023109 4150 OAKMONT COURT
CLARKSTON
GA
SIEHL, PAUL W
017652 6690 ROSWELL ROAD, #310-348
ATLANTA
GA
SIEVERT, ALAN JOHN
009255 DEKALB COUNTY BOARD OF HEALTH, 440 WINN WAY PO BOX 9 DECATUR
GA
SIGHTLER, WILLIAM STEPHEN
034715 2220 LIONS CLUB ROAD
MADISON
GA
SIGMAN, CAROLYN HARRIS
037904 970 SIDNEY MARCUS BLVD, APT 1403
ATLANTA
GA
SIGMAN, HOLLIS D
009934 SUITE 105, LANDMARK II, 5820 HAMILTON ROAD
COLUMBUS
GA
SIGMAN, STEVEN ROBERT
036612 970 SIDNEY MARCUS BLVD, APT 1403
ATLANTA
GA
SILBIGER, JILL MARIE SATZLER 029950 3323 SULKY CIRCLE
MARIETTA
GA
SILBIGER, MARTIN LAWRENCE
031323 1660 MULKEY ROAD, SUITED
AUSTELL
GA
SILCOX, DANIEL HAL, III
031834 644 WENDAN DRIVE
DECATUR
GA
SILFEERAUCH, SUSAN J.
036008 6568 A TARA BLVD
JONESBORO
GA
SILFEN, SHERYL LEDERMAN
022642 2726 PARKVIEW DRIVE
ATLANTA
GA
SILK, HOWARD JAY
029785 6667 VERNON WOODS DRIVE, SUITE A-30
ATLANTA
GA
SILLERS, MICHAEL JAY
037075 3311 CRANE FERRY ROAD
AUGUSTA
GA
SILLS, CARL EDWARD
008970 * 208 MCDONALD ST
CUTHBERT
GA
30314-2514 10
31209
46
30030
17
31030
41
30342-2843 32
30342
28
30134
17
31404
15
30327
36
30367-3701 32
31404
21
30324
31
30322
53
30033
17
30309
17
31406
36
30907
10
30060
03
31021
17
31501-4406 32
31021
10
31539
10
30033
17
30153-3577 10
30153
10
30308-1263 46
30307
23
30906
17
31055
30087
33
30087
01
30060
07
31210
10
31901
23
30202-5860 15
30655
27
30345
33
30062
10
30033
41
30076
15
30030
03
30309
36
30345
30021
08
30328
14
30031
53
30650
10
30324
17
31904
03
30324
05
30067
33
30001
36
30033
46
30236
17
30345
15
30328
04
30907
30
31740
01
Page No. 196
NAME
SILPA, DANIEL EVAN SILVA, VICTOR AUGUSTO SILVER, BRENT DAVID SILVER, CAROL DIANA SILVER, JEROME IRA SILVER, ROBERT CHARLES SIL~ER, WILLIAM EDWARD SILVERMAN, BARRY DAVID SILVERMAN, HOWARD WAYNE SILVERMAN, MARK EDWIN SILVERMAN, ROBERT GLEN SILVERMAN, STUART HAROLD SILVERMAN, VICTOR ELI SILVERSTEIN, ANDREW MARK SILVERSTEIN, CHARLES M. SILVERSTEIN, GARY M SILVERSTEIN, JUDITH LILA SILVERTHORNE, JOHN DIENER SIMIEN, QUINN ANTHONY SIMMONDS,-DIAZ, JORGE E SIMMONS, BARBARA JOY SIMMONS, BERNARD RUSSELL SIMMONS, CLYDE CRANVILLE SIMMONS, DAVID BANKS SIMMONS, DEBORAH ALGRANTI SIMMONS, EARNEST CALVIN SIMMONS, EMET HOLT SIMMONS, JOHN WEBB III SIMMONS, MACK SIMMONS, MALCOLM F SIMMONS, NEAL BENJAMIN SIMMONS, RICHARD SANFORD SIMMONS, ROBERT WEBB SIMMONS, WILLIAM CRAWFORD SIMMS, WESLEY WOODROW SIMON, ARTHUR JAY SIMON, HAROLD KENNETH SIMON, JOSEPH ERIC SIMON, NEAL PATRICK SIMON, RICHARD SHEREEF SIMON, STUART JAY SIMONDS, ROBERT JAMES SIMONE, GREGORY L SIMONE, JEAN SIMONE, PATRICIA MARIE SIMONEAUX, STEPHEN FARROW SIMONOFF, PAUL ANDREW SIMPKINS, SIDNEY MARTIN SIMPSON, ALVIN THOMAS JR SIMPSON, CAROLE ANN SIMPSON, HARVEY LEE JR SIMPSON, JOHN RUSTON SIMPSON, MALCOLM THOMAS SIMPSON, MARSHALL ALBERT SIMPSON, STEPHEN LAWRENCE SIMPSON, WILLIAM BRYAN SIMPSON-JONES, SHERYL MARIE SIMROD, ERIC LOREN
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
026183 1394 CORNELL ROAD 036613 GRADY HEALTH CENTER-BLOOD BANK, 80 BUTLER STREET SE 037377 3078 CLAIRMONT RD, NE, APT. 638 025038 606 LENOX WAY 017011 4961 HIDDEN BRANCHES CLOSE 017300 330 TURNER MCCALL BLVD, SUITE 201 010282 4553 N SHALLOWFORD RD, SUITE 60-C 012964 1000 JOHNSON FERRY ROAD NE, NORTHSIDE HOSPITAL 035521 12385 CRABAPPLE RD, SUITE 100 013307 508 DYKES DR NW 032656 3111 PINE HEIGHTS DRIVE NE 016983 5243 SNAPFINGER WOODS DRIVE, SUITE 101 016284 5505 PEACHTREE DUNWOODY RD, #200 032989 831 BYRNWYCK ROAD 005197 NORTHSIDE HOSPITAL, 1000 JOHNSON FERRY RD 016430 6278 LAWRENCEVILLE HWY 032990 993-D JOHNSON FERRY ROAD, SUITE 100
023801 * PO BOX 746
037379 1128 ARBOR GATES DR NE 034947 3349 CALLENWOLDE COURT 034716 802 OAK TRAIL DRIVE 014564 2737-A WARN SPRINGS ROAD 017301 802 E 18TH ST 035760 414 BON AIR DRIVE 028706 910 COUNTRY CLUB RD 020352 505 FAIRBURN ROAD, SW, #208 034056 1555 RAYONIER ROAD 009743 4112 E PONCE DE LEON AVENUE 006139 DOVER BLUFF CLUB B-84 004785 301 WOODVIEW DRIVE 026649 142 LAKEVIEW DRIVE NORTH 028651 1551 DOCTOR DRIVE, SUITE 301 011476 P.O. BOX 2706 012411 5605 GLENRIDGE DRIVE, SUITE 720 035335 603 ARNOLD STREET 031125 125 HELMSLEY DRIVE 038962 3429 P N DRUID HILLS RD 026385 280 HAMPTON FARMS CT 034948 2998 CRAVEY DRIVE 036009 * 4470 CEDAR GLN 032053 1700 HOSPITAL SOUTH DRIVE, SUITE 202 033705 2604 FLEMINGTON ROAD, N.E. 017302 800 CANTON ROAD 028891 615 GREEN ST. NE 036292 1159 OAK TRAIL CT 035761 2047 SILVASTONE DRIVEN E 037688 906 CALIBRE WOODS DRIVE 025828 7680 BRIGHAM DRIVE 034949 ROME HEMATOLOGY/ONC SPECIALISTS, 318 WEST 5TH STREET 034717 3481 LAKESIDE DRIVE,# 2702 008208 PO BOX 1265 031126 325 N. MILLEDGE AVE 035762 551 BELGRAVE LANE 012966 2105 WELLS DRIVE 038364 1668 MULKEY RD, SUITE A 025040 2101A NORTH AVENUE 036615 932 BOBCAT COURT 036011 3449 SHERIDAN CHASE
ATLANTA ATLANTA ATLANTA ATLANTA DUNWOODY ROME ATLANTA ATLANTA ALPHARETTA ATLANTA ATLANTA DECATUR ATLANTA ATLANTA ATLANTA TUCKER ATLANTA THOMASTON ATLANTA ROSWELL MARIETTA COLUMBUS TIFTON AUGUSTA LA GRANGE ATLANTA JESUP CLARKSTON WAVERLY DECATUR MACON LA GRANGE DALTON ATLANTA THOMSON ATLANTA DECATUR MARIETTA ATLANTA STONE MTN AUSTELL ATLANTA MARIETTA GAINESVILLE DUNWOODY ATLANTA ATLANTA ATLANTA ROME ATLANTA AMERICUS ATHENS TUCKER COLUMBUS AUSTELL COLUMBUS MARIETTA MARIETTA
GA 30306
GA 30335
31
GA 30329
03
GA 30324
17
GA 30338
36
GA 30165-2747 22
GA 30338-6408 43
GA 30342
05
GA 30201
32
GA 30342
05
GA 30324
03
GA 30035
27
GA 30342
17
GA 30319
36
GA 30342-1735 36
GA 30084
27
GA 30342
06
GA 30286
08
GA 30324-5606 17
GA 30075
10
GA 30062
15
GA 31904
52
GA 31794
32
GA 30907
17
GA 30240
03
GA 30331
10
GA 31545
03
GA 30021
32
GA 31565
01
GA 30030-1040 08
GA 31210
GA 30240
34
GA 30722
10
GA 30342
33
GA 30824
31
GA 30327
47
GA 30030
32
GA 30068
32
GA 30345
21
GA 30083-1881 03
GA 30001-8112 34
GA 30345-3508 32
GA 30060
05
GA 30501-3319 15
GA 30338
17
GA 30345
36
GA 30329
17
GA 30350
03
GA 30165
16
GA 30326
32
GA 31709-1265 41
GA 30601
30
GA 30084
10
GA 31906
33
GA 30001-1114 46
GA 31904
25
GA 30067
15
GA 30067
08
Page No. 197
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SIMS, CURTIS ANNE SWORDS
011479 1521 WILDWOOD AVE
SIMS, FAYETTE A III
016713 488 GWINNETT DR
SIMS, HARRY EDWARD
008209 * POB 955
SIMS, JEROME PAYNE
006842 1 THOMAS RD
SIMS, MICHAEL COOLIDGE
019775 1900 HAMILTON RD
SIMS, STUART EUGENE
005396 4041 BEECHWOOD DRIVE
SINATRA, ROBBIN BETH
036872 5671 PEACHTREE DUNWOODY RD NE, SUITE 440
SINCLAIR, JAMES STANLEY
036457 2403 WATERMARK RD
SINEWAY, MICHAEL JOSEPH
024345 600 PROFESSIONAL DRIVE, SUITE 160
SINGER, ARTHUR GREGG, JR
005473 210 BLVD
SINGER, BARRY ALAN
038366 324 TUXWORTH CIR
SINGH, ARV!ND K. SONI
027119 3699 INVERNESS WAY
SINGH, GOBIND ~HARAN
026651 2145 CHURCH STREET
SINGH, HAR!NDERJIT
026652 3685 WHEELER ROAD, SUITE 201
SINGH, JASBIR M.
026808 6806 PEACHTREE IND. BLVD.
SINGH, JASVINDER PAL
038963 2204 DRUID LANE
SINGH, MANJ!T
017303 715 RAVENEL ROAD
SINGH, REKHA
038154 6116 SPALDING BLUFF CT
SINGHAL, SUNIT K.
035763 817 CARLYLE LAKE
SINGLETON, CHARLES KENNETH 006279 1205 8TH ST NW
SINGLETON, PETER THOMAS, JR 012568 P.O. BOX 115448
SINGLETON-GASTON, GLORIA ELAIN 023505 3280 HOWELL MILL ROAD NW,# 341
SINHA, ASHOK KUMAR
033706 4624 COUNTRY MEADOWS CT
SINHA, DHARMBEER
027147 4251 QUAIL SPRINGS CIRCLE
SINHA, RANJIT
030891 507 GRIFFIN ST
SINHA, SUSAN
038095 4624 COUNTRY MEADOWS CT
SINNOTT, JAMES ALEXANDER
035336 VALDOSTA MEDICAL CLINIC, 3207 COUNTRY CLUB DRIVE
SINYARD, ROBERT DARNELL
025829 700 OGLETHORPE AVE, PO BOX 5860
SIPKENS, GORDON NEIL
027665 5208 AUGUSTA ROAD
SISK, ROGER HARLON
021812 880 CRESTMARK DR, SUITE 100
SISLEY, JOHN FRANKLIN
019776 3215 SHRINE ROAD, #3
SISSON, WILLIAM H
017304 102 WYNGATE ROAD
SISTLA, LEELA
037382 127 NORTH DECATUR LANE
SISTRUNK, THOMAS LEWIS
019424 605 DIXIE STREET
SIZEMORE, CHARLES PAUL
016532 * 246 SYCAMORE STREET, SUITE 240
SIZEMORE, JULIAN J JR
007283 808 21ST STREET
SKAGGS, HAROLD LAVON, JR
034472 3317 SULKY CIRCLE
SKALIY, PETER MICHAEL
031835 271 CHASTAIN COMMMONS
SKANDALAKIS, JOHN ELIAS
007893 35 COLLIER ROAD NW, SUITE 315
SKANDALAKIS, LEE JOHN
027443 35 COLLIER ROAD, SUITE 315
SKANDALAKIS, VIDA MARIA REKLAI 034718 5081 RIVERVIEW RD
SKARDASIS, GEORGE MICHAEL
014097 25 PRESCOTT ST NE, SUITE 5441
SKARDASIS, MICHAEL GEORGE
038096 1216 CALIRE WOODS DR
SKELTON, CHARLES B
006477 251 EAST BROAD STREET
SKELTON, LANA S.
011614 3212 SHRINE RD
SKELTON, MARVIN E
011480 3020 SHRINE ROAD
SKELTON, WILLIAM DOUGLAS
010284 1550 COLLEGE STREET
SKERRETT, PHILIP VINCENT
037906 370 WOODLAND WAY, PO BOX 459
SKILLAN, MARKE
024094 PO BOX 95544
SKILLING, VINCENT
024186 5429 WHITE HOUSE PLANTATION RD
SKINNER, JAMES MARVIN
006713 1123 MAPLE DRIVE
SKIPWORTH, GEORGE BROOK
007894 1915 - 7TH AVE
SKOUFIS, ELIAS GEORGE
038367 2886 THORNBR!AR RD
SLACK, PHILIP TENNENT
035523 691 W!LLIVEE DRIVE
SLADE, BARBARA ANN
022107 175 COVENTRY ROAD
SLADE, HELEN B
006140 385 PEACHTREE BATTLE AVE NW
SLADE, IRA H JR
007895 101 COUNTY LINE RD
SLADE, JOY FELICIA
035764 1590 ADAMSON PKWY, SUITE 260
COLUMBUS
GA
LAWRENCEVILLE GA
FORT VALLEY GA
FT OGLETHORPE GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
LAWRENCEVILLE GA
TOCCOA
GA
DECATUR
GA
AUGUSTA
GA
COVINGTON
GA
AUGUSTA
GA
DORAVILLE
GA
DALTON
GA
AUGUSTA
GA
NORCROSS
GA
DECATUR
GA
CAIRO
GA
ATLANTA
GA
ATLANTA
GA
MARTINEZ
GA
MARTINEZ
GA
EASTMAN
GA
MARTINEZ
GA
VALDOSTA
GA
ATHENS
GA
GARDEN CITY GA
LITHIA SPGS GA
BRUNSWICK
GA
SAVANNAH
GA
DECATUR
GA
CARROLLTON GA
DECATUR
GA
COLUMBUS
GA
MARIETTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
WINDER
GA
BRUNSWICK
GA
BRUNSWICK
GA
MACON
GA
DUBLIN
GA
ATLANTA
GA
MACON
GA
GRIFFIN
GA
COLUMBUS
GA
DORAVILLE
GA
DECATUR
GA
DECATUR
GA
ATLANTA
GA
GRIFFIN
GA
MORROW
GA
31906
03
30245
01
31030
01
30742
01
31904-8982 10
30327-3113 41
30342-5000 27
30033
17
30245
30577
36
30033-5616 44
30907
17
30209
30909
27
30360
30720
17
30909
11
30092-4539 10
30033
16
31728
01
30310
37
30327
37
30907
10
30907
17
31023
33
30907
17
31602
11
30606
05
31408
01
30057-2606 32
31520
41
31410
33
30033
17
30117
36
30030
17
31904
32
30067
08
30342
03
30309
41
30309
41
30327
.08
30308
50
30329
41
30680
10
31520
05
31520
36
31207
33
31021
31
30347
17
31210
03
30223
15
31901
06
30340-5136 17
30033
03
30030
31
30305
33
30233
17
30260-1763 08
Page No. 198
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SLADICKA, STEPHEN JOSEPH SLAGEL, GERALD ANTHONY SLAKER, DIRK PAUL SLAPPEY, EDWIN DUNCAN SLAPPEY, GREGORY STEVEN SLAPPEY, JOSEPH EARL, JR SLATE, ROBERT WESLEY SLATER, ROBERTA ANNE MOORE SLATER-SHELTON, CHARLESETTA SLAUGHTER, HOWEL WILLIAM JR SLAUGHTER, WILLIAM G SLAVICO, ANDREW JOSEPH SLAYDEN, ROBERT MCLEAN SLOAN, ALLEN LEE SLOAN, GEOFFREY DAVID SLOAN, WYMAN PLATT III SLOAN, WYMAN PLATT JR SLOCUMB, JOHN THOMAS SLODERBECK, JAMES DANIEL SLOMKA, CHARLES VINCENT SLOTT, EDWIN FREDERICK, JR SLOVIS, RANDALL JAY SLUTSKER, LAURENCE SLUTSKY, MORTON SLUTZKY, MICHAEL STUART SMAHA, JERRY JOSEPH SMALL, DAVID SMALL, WILLIAM CLARK SMALLEY, GLENDON WILLIAM SMARR, ERWIN RANDOLPH SMARTT, WALTER HAINES SMILEY, DAVID THEODORE SMILEY, RUSSELL BRUCE JR SMISSON, HUGH FRANKLIN, Ill SMITH, ALAN EUGENE SMITH, ALISA REBECCA SMITH, AMOS ALLEN SMITH, ANDREW LEE SMITH, ANTHONY VAN SMITH, ARTHUR M SMITH, ARTHUR RENARD SMITH, ASHLEY ALLGOOD SMITH, BARRY JOE SMITH, BLAKE THOMAS SMITH, BOBBY ANTHONY SMITH, BRENDAL. BLACK SMITH, BRUCE A SMITH, BRYAN DORSEY SMITH, CANDACE KAY SMITH, CARL ANDERSON SMITH, CARL WOODROW JR SMITH, CARTER JR SMITH, CASON CONRAD SMITH, CHARLES M SMITH, CHARLES WALTER SMITH, CHESTER M JR SMITH, CHRISTOPHER CAMPBELL SMITH, CINDY ELIZABETH
034719 030893 028317 020180 038964 034473 009938 029788 032472 016984 018955 037691 016985 031127 030378 021814 006158 030672 035337 018589 036873 025392 038097 013859 028653 017087 038098 031836 028892 026654 024095 006979 013687 035524 036294 038368 011063 035765 035525 018077 034245 023110 034475 038612 038966 027444 014567 036874 019017 010287 017305 009257 004913 007343 004060 009259 020820 032301
695 LOW MEADOW DRIVE
EVANS
GA
FAYETTE MEDICAL CENTER, 101 YORKTOWN DRIVE
FAYETTEVILLE GA
35 COLLIER ROAD SUITE 535
ATLANTA
GA
310 HOSPITAL DRIVE, SUITE 300
MACON
GA
2781 LOG CABIN DR
SMYRNA
GA
1590 FORSYTH STREET
MACON
GA
172 PINE VALLEY DR
TOCCOA
GA
2704-D NORTH OAK STREET
VALDOSTA
GA
700 CENTER STREET
COLUMBUS
GA
1935 CLIFF VALLEY WAY, SUITE 225
ATLANTA
GA
313 CLEREMONT
THOMASVILLE GA
202 KEENE ST
CUTHBERT
GA
7000 PEACHTREE DUNWOODY ROAD, BUILDING 16 SUITE 100 ATLANTA
GA
417 OLD EVANS RD
MARTINEZ
GA
110 STONEWALL DRIVE
CARROLLTON GA
35 COLLIER ROAD, N.W., SUITE 775
ATLANTA
GA
4266 VALLEY TRAIL
ATLANTA
GA
682 HEMLOCK ST, SUITE 300
MACON
GA
153 KENTON PLACE
PEACHTREE CITY GA
59 HOSPITAL ROAD
NEWNAN
GA
1119 OAKDALE RD
AUGUSTA
GA
480 LEONARDO AVE., NE
ATLANTA
GA
365 SHEPPARD PL
ATLANTA
GA
993 JOHNSON FERRY RD NE, C-215
ATLANTA
GA
939 THORNTON ROAD
LITHIA SPRINGS GA
4733 BRAE BURN LANE
MACON
GA
2321-G DUNWOODY CROSSING
ATLANTA
GA
2061 SOUTH AIKEN DRIVEN E
ATLANTA
GA
DUBLIN EYE ASSOCIATES, BELLEVUE ROAD
DUBLIN
GA
2 HEATHERSTONE LANE
SAVANNAH
GA
ROUTE 1, BOX 300
RISING FAWN GA
3193 HOWELL MILL RD.
ATLANTA
GA
3728 CLOUDLAND DR NW
ATLANTA
GA
840 PINE STREET, SUITE 880
MACON
GA
1205 LEXINGTON AVE
SAVANNAH
GA
68 PEACHTREE MEMORIAL DR NW, APT 4
ATLANTA
GA
PO BOX 2765
AUGUSTA
GA
1124 WESTBROOKE WAY
ATLANTA
GA
PO BOX 3944
AUGUSTA
GA
MED COLLEGE OF GA, DEPT OF UROLOGY
AUGUSTA
GA
12480 CRAB APPLE TREE COURT
ATLANTA
GA
646 RED BUD RD NE
CALHOUN
GA
957 PIEDMONT AVE, NE
ATLANTA
GA
1401 CHASTAIN DRIVE
ATLANTA
GA
2675 N DECATUR RD, SUITE 200
DECATUR.
GA
2500 HOSPITAL BLVD, SUITE 490
ROSWELL
GA
1110 N MONROE
ALBANY
GA
4340 N PARK DRIVE
TUCKER
GA
2147 OAKAWANA ROAD
ATLANTA
GA
550 PEACHTREE STREET
ATLANTA
GA
UNIV OF GEORGIA HEALTH SERVICES, UNIVERSITY OF GEORGI ATHENS
GA
COLONY MEDICAL GROUP# PC, 1938 P'TREE RD NW, 705 ATLANTA
GA
3201 HUXLEY DRIVE
AUGUSTA
GA
PO BOX 507
ROCKMART
GA
14 KINGS WALK NE
ATLANTA
GA
P.O. DRAWER 338
FITZGERALD GA
PO BOX 1686
ALBANY
GA
1724 KODIAC CIRCLE, NE
ATLANTA
GA
30809
08
30214-1585 06
30309
11
31201
15
30080
28
31201
28
30577
11
31602
36
31909
33
30329
33
31792
33
31740
10
30328-1615 33
30907
17
30117
03
30367
17
30339
17
31201
15
30269
08
30263
15
30904
08
30307
30307
17
30342-1645 47
30057
46
31210
36
30338
27
30345
36
31021
27
31411
33
30738
30327-2100 30
30327
05
31201-2109 44
31404
15
30309-1012 33
30914-2765 03
30319
05
30914
10
30912
52
30201
15
30701-1963 36
30309
03
30342
08
30033
05
30076
25
31701
32
30084
33
30345-3548 32
30365
03
30602
01
30309-1279 17
30909
06
30153
11
30307
RE
31750
11
31701
41
30345
10
Page No. 199
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SMITH, CLIFFORD RANDALL
038613 876 BROOKR IDGE
ATLANTA
GA
SMITH, CONNIE
023229 1001 HIGHLAND AVE
AUGUSTA
GA
SMITH, CRAIG EVAN
028464 ATLANTA MEDICAL ASSOCIATES, 100 TENTH STREET NW
ATLANTA
GA
SMITH, CURTIS NATHANIEL
020821 999 PEACHTREE STREET, SUITE 850
ATLANTA
GA
SMITH, DARIUS A
009939 PO BOX 950
DALLAS
GA
SMITH, DAVID ALAN
032659 5669 PEACHTREE DUNWOODY ROAD, SUITE 315
ATLANTA
GA
SMITH, DAVID GLENN
018744 ST. JOSEPH'S MED OFFICE PARK, 11700 MERCY BOULEVARD, SAVANNAH
GA
SMITH, DAVID HELMAR
018423 11706 MERCY BLVD, #8
SAVANNAH
GA
SMITH, DAVID JOHN
033707 445 WOODRUFF CROSSING
WOODSTOCK
GA
SMITH, DAVID PETER
029104 728 CHOCTAW COURT
COLUMBUS
GA
SMITH, DAWN KRISTEN
034951 2450 SKYLAND TRAIL
ATLANTA
GA
SMITH, DEIRDRE KAY
039022 5030 OAK PARK CIRCLE
ATLANTA
GA
SMITH, DENISE WESTON
022643 2701 BOARD HEAD RD
MARTINEZ
GA
SMITH, DENNIS MICHAEL
033457 650 BROAD ST SE
GAINESVILLE GA
SMITH, DIANE KAY
023111 MEDICAL COLLEGE OF GEORGIA, BG 230
AUGUSTA
GA
SMITH, DON TERREL
012004 P. 0. BOX 1348
TIFTON
GA
SMITH, DOUGLAS
006980 1405 CHURCH ST, P. 0. BOX 1517
DECATUR
GA
SMITH, EDWARD H JR
011565 1203 A GEORGE C WILSON DRIVE
AUGUSTA
GA
SMITH, EDWIN AGAN
034246 355 REDLAND RD
ATLANTA
GA
SMITH, EMORY POWERS
025281 103 PEACHTREE RUN
STATESBORO GA
SMITH, ETHEL LOUISE
031510 35 WYMAN STREET, SE
ATLANTA
GA
SMITH, FORREST ANN
023230 1295 HEMBREE RD, SUITE 103
ROSWELL
GA
SMITH, FRANK QUILLIAN
009261 PO BOX 2748
VALDOSTA
GA
SMITH, GAIL MARIE FORTUNE
034059 140 ERIE AVENUE
DECATUR
GA
SMITH, GARY LAURENCE
015509 1511 JOHNSON FERRY RD, SUITE 145
MARIETTA
GA
SMITH, GARY LEE
010666 * DOCTORS BLDG
TRION
GA
SMITH, GENE KYLE
027914 BOX 1485, 200 SHADOWLAWN DRIVE
ST MARY'S
GA
SMITH, GEOFFREY PHILLIP
038155 198 PONCE DE LEON AVE NE, APT E-5
ATLANTA
GA
SMITH, GEORGE BERTLING
005793 2122 SMITH ROAD
FORTSON
GA
SMITH, GEORGE L Ill
021816 PO BOX 1557, 5303 ADAMS ST - SUITE 2
COVINGTON
GA
SMITH, GREGORY ALLEN
034511 730 PEACHTREE ST NE, #915
ATLANTA
GA
SMITH, GREGORY BURDICK
037077 1660 MULKEY ROAD, SUITED
AUSTELL
GA
SMITH, GREGORY V
017739 650 BROAD STREET
GAINESVILLE GA
SMITH, GREGORY WARREN
026939 411 CANDLER ST NE
ATLANTA
GA
SMITH, HENRY BRIGGS
008563 2910 NORTH PATTERSON STREET
VALDOSTA
GA
SMITH, HENRY MCCORD JR
019189 2090 PRINCE AVENUE
ATHENS
GA
SMITH, HENRY WILDER
005397 122 JEFFERSON ST
SWAINSBORO GA
SMITH, HERBERT DEAN
008888 104 MEADOW GLEN COURT
WARNER ROBINS GA
SMITH, HERSCHEL WELLINGTON, 11 031129 65 SKYLINE DRIVE
ROSWELL
GA
SMITH, HILTON EUGENE
008889 2300 MANCHESTER RD
COLUMBUS
GA
SMITH, HUBERT RANDOLPH
018745 412 NORTHSIDE DRIVE EAST, SUITE 200
STATESBORO GA
SMITH, HUGH DORSEY
024097 214 CHEROKEE ROAD
THOMASTON
GA
SMITH, JAMES D
016431 ST. JOSEPH'S MED. OFC. BLDG., FSU!TE 2-D, 11702 MERCY SAVANNAH
GA
SMITH, JAMES EDWARD
012570 505 GORDON AVE
THOMASVILLE GA
SMITH, JAMES F JR
015424 682 HEMLOCK STREET, SUITE 100
MACON
GA
SMITH, JAMES KIMBROUGH
025282 3410 HEATHER DRIVE
AUGUSTA
GA
SMITH, JAMES LEON
013774 1270 PRINCE AVENUE
ATHENS
GA
SMITH, JAMES MICHAEL
022644 15 CAVENDER ST
NEWNAN
GA
SMITH, JAMES OLVIN JR
022703 800 W THOMAS ST
MILLEDGEVILLE GA
SMITH, JAMES W JR
006479 PO BOX 3188
MANCHESTER GA
SMITH, JASON LOUIS
032302 302 W 6TH ST
ROME
GA
SMITH, JEFFREY EDWARD
038967 P.O. BOX 8169
WARNER ROBINS GA
SMITH, JERRY OSCAR
017885 261 WOOD LAKE DRIVE
ATHENS
GA
SMITH, JOEL PERRY JR
009263 100 10TH ST NW
ATLANTA
GA
SMITH, JOHN CONNOR
027916 303 SMITH STREET
LAGRANGE
GA
SMITH, JOHN DARRELL
036012 ATLANTA HEART INSTITUTE, 1368 SOUTHLAKE PLAZA DRIVE MORROW
GA
SMITH, JOHN DORSEY
014003 BOX 538, MEDICAL ASSOC OF METTER
METTER
GA
SMITH, JOHN MORTON JR
014754 1 RETREAT PLACE, PO BOX 21059
ST SIMONS ISL GA
30306
36
30904-4625 17
30309
17
30309
05
30132
00
30342
17
31419
34
31419
47
30188
01
31904- 1234 10
30319
53
30324
32
30907
32
30505
46
30912
17
31794
01
30031
46
30909-4502 06
30309
49
30458
17
30317
10
30076
01
31604
15
30030
32
30062-6438 15
30753
01
31558
30308-1930 31
31808
17
30209
10
30308
15
30001
36
30505
32
30307-2035 33
31602
30
30606
23
30401
01
31093
33
30075
17
31904
01
30458
10
30286
17
31419
15
31792
41
31201
17
30909
17
30606
11
30263-1931 17
31061
10
31816-3188 10
30165-2827 06
31095
05
30606
36
30309-3846 30
30240
30260
05
30439
10
31522
17
Page No. 200
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SMITH, JOSEPH MILEY
027669 109 PROFESSIONAL PLACE
CARROLLTON GA
SMITH, JOSEPH RITCHIE
027250 MED COL OF GA - NEUROSURGERY, 1120 15TH ST
AUGUSTA
GA
SMITH, JOY LYNNE SMITH, JUDITH WILSON
038968 1311 WEATHERSTONE WAY 032992 20 LINDEN AVENUE NE, SUITE 3703
ATLANTA
GA
ATLANTA
GA
SMITH, KENNETH DOUGLAS
027446 2959 ANDREWS DRIVE
ATLANTA
GA
SMITH, KIMBERLY KAY EDWARDS 037384 1808 RIDGEFIELD WAY
DALTON
GA
SMITH, LADONNA SHARON MEREDITH 036458 101 YORKTOWN DRIVE
FAYETTEVILLE GA
SMITH, LARRY EUGENE
013794 1612 MEADOWS LANE
VIDALIA
GA
SMITH, LARRY EUGENE
037694 2013 DRUID OAKS, NE
ATLANTA
GA
SMITH, LARRY EVERETT
022277 * 4740 HIGHWAY 20
SUGAR HILL GA
SMITH, LARRY RAY
023506 P. 0. BOX 70397
ALBANY
GA
SMITH, LAURIN GRESHAM, Ill
013795 4001 CANTON HWY, SUITE 6
MARIETTA
GA
SMITH, LEON FREDRICK
029951 2412 NOAK STREET
VALDOSTA
GA
SMITH, LEWIS RUil
006983 103 PARKWAY DR
EATONTON
GA
SMITH, LUCIUS STONE
007286 717 COLLINSWOOD RD
ROME
GA
SMITH, LUTHER J II
006480 2927 CARSON DRIVE
COLUMBUS
GA
SMITH, LUTHER JEROME, III
024865 2927 CARSON DRIVE
COLUMBUS
GA
SMITH, MALCOLM ANDREW
036875 1112 MAYFIELD DRIVE
DECATUR
GA
SMITH, MALLORY GWYNN
022471 * 213 MARGO TRAIL
ROME
GA
SMITH, MARJORIE MCCOY
021817 2750 RIDGE VALLEY ROAD NW
ATLANTA
GA
SMITH, MARK TODD
037908 2630 NATIONAL WOODS DRIVE
AUGUSTA
GA
SMITH, MARTIN HENRY
005201 540 DIXON DRIVE
GAINESVILLE GA
SMITH, MICKE JOE
028894 100 JOHN MADDOX DR
ROME
GA
SMITH, MILLEDGE GLENN
007287 3003 SHERWOOD DRIVE
BRUNSWICK
GA
SMITH, MIRIAM FRANCES
011904 3756 LAVISTA RD., SUITE 104
TUCKER
GA
SMITH, NORMAN JOE
014568 310 HOSPITAL DR, SUITE 210
MACON
GA
SMITH, PATTON PAUL
009941 235 MEDICAL COURT
FORSYTH
GA
SMITH, QUENTIN TED
012135 2750 RIDGE VALLEY RD NW
ATLANTA
GA
SMITH, RANDOLPH RELIHAN
013533 820 ST SEBASTIAN WAY STE 2F, UNIVERSITY HOSP MED CENT AUGUSTA
GA
SMITH, RANDY VINCENT
025673 261 MEDICAL WAY, SUITE C
RIVERDALE
GA
SMITH, REGINALD DILLARD
020000 2855 CANDLER RD, SUITE 6
DECATUR
GA
SMITH, REUBEN JOSHUA
010667 ATHENS WOMEN'S CLINIC, 1270 PRINCE AVENUED
ATHENS
GA
SMITH, RICHARD AURELIUS
009405 2496 BROOKHAVEN PLCE NE
ATLANTA
GA
SMITH, RICHARD B
009406 1150 HAMMOND DRIVE, SUITE A-1170
ATLANTA
GA
SMITH, RICHARD C
019603 POB 967
LAFAYETTE
GA
SMITH, RICHARD EUGENE
038969 24 OGLETHORPE BLVD, SUITE 300, PO BOX 14149
SAVANNAH
GA
SMITH, RICHARD LAVERNE
011481 *PO BOX 1317, 472 SOUTH ENOTA AVE
GAINESVILLE GA
SMITH, RICHARD LYNDON
004915 PO BOX 470
COCHRAN
GA
SMITH, RICHARD LYNDON JR
021818 1260 RUSSELL PARKWAY, PO BOX 8309
WARNER ROBINS GA
SMITH, ROBERT BOULWARE
008212 2701 COLDWATER CANYON DR.
TUCKER
GA
SMITH, ROBERT ELTON
025043 3 DOVER DR SE
ROME
GA
SMITH, ROBERT LOUIE
009942 1514 ANTHONY RD
AUGUSTA
GA
SMITH, ROBERT STEPHEN
019473 140 CARTIER COURT
ROSWELL
GA
SMITH, ROBERT TERENCE
037695 913 CARRIAGE PLACE COURT
DECATUR
GA
SMITH, ROBERTA M
018552 4750 WATERS AVE, SUITE 206
SAVANNAH
GA
SMITH, ROBIN GREGORY
038099 * P.O. BOX 15194
ATLANTA
GA
SMITH, ROBLEY D Ill
006984 PO BOX 788
TIFTON
GA
SMITH, RODNEY LEWIS
018553 590 SOUTH ENOTA DRIVE
GAINESVILLE GA
SMITH, ROGER DEANE
019425 BELLEVUE RD, ERIN OFFICE PARK
DUBLIN
GA
SMITH, ROGER MICHAEL
020607 820 ST SEBASTIAN WAY, 4E
AUGUSTA
GA
SMITH, ROGER PERRY
028319 3731 SAPPHIRE
MARTINEZ
GA
SMITH, RONNIE RUSSELL
017886 P.O. BOX 960
VIDALIA
GA
SMITH, SAMUEL RAYMOND
006985 507 S KEELER WOODS DR
MARIETTA
GA
SMITH, SARA EVE CULPEPPER
029618 RT 4, BOX 1300
TIFTON
GA
SMITH, SARAH CATHERINE
019426 801 COLSTON RD
MARIETTA
GA
SMITH, SHARON DENISE
029952 5775 GLENRIDGE, BLDG C
ATLANTA
GA
SMITH, SHEILA JEANNE
020001 696 GA HWY 20 SW
LAWRENCEVILLE GA
SMITH, SIDNEY DION
011068 * 6260 MOUNTAINVIEW DRIVE
COLUMBUS
GA
30117
15
309121003 44
30324
32
30308
45
30305
30720
23
30214
36
30474
32
30329
17
30518
03
31707
04
30066
10
31602
10
31024-1440 41
30161-6263 36
31906
33
31906
30033 3333 17
30161
01
30327
31
30904
17
30501
32
30165-1420 10
31520
01
30084
33
31201
46
31029
10
30327
33
30901
47
30274-2522 33
30034
17
30606
15
30319
44
30328
32
30728
10
31416
17
30503
01
31014
10
31095-8309 17
30084
41
30161-9484 10
30902
11
30076
31
30033
36
31404
21
30333
36
31794
10
30501
31
31021
27
30901
27
30907
15
30474
17
30064
03
31794
32
30064
36
30328
00
30245
01
31904
33
Page No. 201
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SMITH, STANLEY THOMAS JR
019604 3623 J DEWEY GRAY CIRCLE, SUITE 100
AUGUSTA
GA
SMITH, STANLEY WAYNE
037696 613 CLAIRMONT CIRCLE
DECATUR
GA
SMITH, STEPHEN HAROLD
027447 GEORGETOWN PEDIATRICS, 11 DUNWOODY PARK SUITE 190 DUNWOODY
GA
SMITH', STUART AUSTIN
014099 15 JOHN MADDOX DR
ROME
GA
SMITH, SUSAN ELLEN
037385 1758 COVENTRY RD
DECATUR
GA
SMITH, SUZANNE MARGARET
025285 792 GRESHAM AVENUE, S.E.
ATLANTA
GA
SMITH, THEODORE WILLIAMS
032303 2150 PEACHFORD ROAD, BUILDING II, SUITER
ATLANTA
GA
SMITH, THOMAS HARDING, JR
007288 3024 N PATTERSON ST
VALDOSTA
GA
SMITH, TYSON DELLOYD, JR
023407 4182 TATE STREET
COVINGTON
GA
SMITH, WT
006282 STATE HOSPITAL
MILLEDGEVILLE GA
SMITH, WALTER H.
028895 6330 RIVERDALE ROAD
RIVERDALE
GA
SMITH, WALTER TORRENCE SMITH, WENDELL
037078 232 12TH STREET, APT 2
025674 * 245 RADCLIFFE TRACE
ATLANTA
GA
COVINGTON
GA
SMITH, WILLIAM A
006986 5083 OVERLOOK DR
ROSWELL
GA
SMITH, WILLIAM BARRY
025830 228 AMBERWOOD DRIVE
VIDALIA
GA
SMITH, WILLIAM CURTIS
022889 2007 OLD LAFAYETTE ROAD
FT OGLETHORPE GA
SMITH, WILLIAM MORGAN
029377 ROUTE 4, BOX 1300
TIFTON
GA
SMITH, WILLIAM POSEY JR
005794 1510 S. LUMPKIN ST., APT. J-1
ATHENS
GA
SMITH, WILLIAM ROBERT, JR
030894 760 KENNESAW AVE
MARIETTA
GA
SMITH, WILLIAM SIDNEY
010668 285 BOULEVARD NE, SUITE 110
ATLANTA
GA
SMITH, WILLIAM STUART
014569 3614 A J DEWEY GRAY CIRCLE
AUGUSTA
GA
SMITH, WILLIAM VALDON
010288 503 S EIGHTH ST
GRIFFIN
GA
SMOLIN, MATTHEW RICHARD WEITZ 036459 909 WOODHILL TRAIL
AUGUSTA
GA
SNAPPER, HOWARD JAMES
038970 29 SW UPPER RIVERDALE RD
RIVERDALE
GA
SNEED, VICTORIA ANN
036876 4405 BAKERS FERRY ROAD, SW
ATLANTA
GA
SNELL, WILLIAM EDWARD
024495 833 CAMPBELL HILL STREET, SUITE 360
MARIETTA
GA
SNIADACK, DAVID HOUGHTON
034952 CDC MS-COB, 1600 CLIFTON ROAD NE
ATLANTA
GA
SNIDER, DIXIE E JR
018188 1508 DRAYTON WOODS DR
TUCKER
GA
SNIPAS, ROMAS PRANAS
034247 1601 NORTH COLUMBIA STREET
MILLEDGEVILLE GA
SNITZER, JOSEPH ALBERT Ill
010290 1405 CLIFTON ROAD NE, PEDIATRIC DEPT
ATLANTA
GA
SNODGRASS, KEVIN RAY
038616 3753 WINCHESTER TRAIL
MARTINEZ
GA
SNOW, JAMES STRATTON JR
013569 PO BOX 746
DARIEN
GA
SNOWDEN, RANSOM GRADY
037697 2083 MCLENDON AVE
ATLANTA
GA
SNOWDY, HARRY A., JR.
029107 1514 ANTHONY ROAD, PO BOX 2787
AUGUSTA
GA
SNYDER, AVEREL BRADLEY
035769 315 BOULEVARD NE, SUITE 224
ATLANTA
GA
SNYDER, LISA BETH
037386 3034-D CLAIRMONT RD, POST PLACE
ATLANTA
GA
SNYDER, MICHAEL L.
024347 1296 WILDCLIFF PARKWAY
ATLANTA
GA
SNYDER, SCOTT
027918 215 OAK BEND DRIVE
ATHENS
GA
SNYDER, WILLARD ALEXANDER
008891 503 PLANTATION RD.
BRUNSWICK
GA
SNYDER, WILLARD ALEXANDER, JR 032304 2314 STARLING STREET
BRUNSWICK
GA
SOBCZYK, ROWENA GAIL
024496 2705 MABRY RD.
ATLANTA
GA
SOBEL, KENNETH JAY
024099 696 PIKE STREET, SUITE 240
LAWRENCEVILLE GA
SOBRINHO, TITO C.M.
017557 AUGUSTA DOCTORS MEDICAL CENTER, 1109 MEDICAL CENTER D AUGUSTA
GA
SOCKWELL, MATTHEW DEAN
036616 310-B PLANTATION WAY
RI~CON
GA
SODER, PARRY D
011682 1100 JOHNSON FERRY ROAD, SUIUTE 107
ATLANTA
GA
SOFFER, OVED
020354 18 WEST 7TH STREET
COLUMBUS
GA
SOFFER, TANYA
021204 7245 STILLWATER DRIVE
COLUMBUS
GA
SOFSKY, JACOB
021819 1709 WHITMERE WAY
DUNWOODY
GA
SOJICO, CHARLENE DYMIRANDA 030381 11702 MERCY BLVD, SUITE 1-E
SAVANNAH
GA
SOLIS, MAURICE MANUEL
030673 MERCER UNIV SURGERY DEPT, 801 SPRING STREET
MACON
GA
SOLITARIO, JOHN STEVEN
034248 3 VESTRY LANE
SAVANNAH
GA
SOLODAR, SEYMOUR OSCAR
014956 2550 WINDY HILL RD, SUITE 301
MARIETTA
GA
SOLOMON, ALVIN ROY, JR.
031131 1180 ROXBORO DRIVE
ATLANTA
GA
SOLOMON, EMMANUEL RICKY
032473 125 MILLS CIRCLE
BYRON
GA
SOLOMON, HARVEY MARK
026032 CRAWFORD LONG HOSPITAL, 550 PEACHTREE STREET NE
ATLANTA
GA
SOLOMON, STEVEN LOUIS
032305 1183 OXFORD RD, NE
ATLANTA
GA
SOLSONA, CARLOS ROBERTO
019606 ROUTE 1 BOX 34
CANON
GA
SOLT, GARY RONALD
024497 385 PIEDMONT LAKE DRIVE
PINE MOUNTAIN GA
30909-6553 17
30033
17
30338
32
30161
30
30030
36
30316
09
30338
33
31602
27
30209
31062
33
30274
01
30309
10
30209
01
30075-5425 RE
30474
36
30742
10
37194
46
30605
01
30060
32
30312-4205 30
30909
05
30223
15
30905
05
30274
05
30331
03
30060
17
30333
53
30084
17
31061
15
30322
32
30907
47
31305
01
30307-1807 32
30904-2787 46
30312
40
30329
03
30329
30606
33
31525
10
31520
10
30319
30245
17
30909
32
31326
10
30342
36
31901
22
31904
31
30338
17
31419-1750 32
31201
41
31411
03
30067-8665 33
30324
06
31008
27
30365
31
30306
10
30520
50
31822
Page No. 202
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SOLURSH, LIONEL PAUL
028216 3526 YEST LAKE DRIVE
AUGUSTA
GA
SOMEREN, AYTEN
013715 ANATOMIC PATH., EMORY UNIV. HOSP, 1364 CLIFTON RD NE ATLANTA
GA
SOMEREN, TUNCER
013716 25 PRESCOTT STREET, SUITE 4437
ATLANTA
GA
SOMMERS, DOUGLAS RODNEY SOMMERS, GUY HOYARD
037910 RR 2 BOX 19-A
PEMBROKE
GA
030548 * RIDGEVIEY INST. PROF BLDG SOUTH, 4015 S COBB DRIVE - SMYRNA
GA
SOMMERS, JEFFERSON MAURICE 035770 3050 SOUTH ATLANTA RD.
SMYRNA
GA
SOMMERVILLE, MARGARET LOSEKE 010829 3269 LARAMIE DRIVE
ATLANTA
GA
SOMOGYI, JAMESY.
021279 100 - 10TH STREET NY
ATLANTA
GA
SOMOHANO, JOSE VICENTE
022645 5775 GLENRIDGE DRIVE, BLDG C
ATLANTA
GA
SONES, PETER JOHN JR
009944 2706 BRIARLAKE YOODS YAY NE
ATLANTA
GA
SONG, JONG-KYU
015637 960 JOHNSON FERRY ROAD NE, SUITE 310
ATLANTA
GA
SONG, YOUNG-HAE PARK
016489 5795 RIVERYOOD DRIVE
ATLANTA
GA
SONYIKA, HAIBA,
033713 SOUTHSIDE HEALTHCARE, INC, 1039 RIDGE AVE SY
ATLANTA
GA
SOOD, LOVELINA MANORAMA
021592 6439 JONESBORO ROAD
MORROY
GA
SOOD, PRAN NATH
021593 6635 LAKE DR
MORROY
GA
SORACCO, GERARDO JULIAN
011193 1136 CLEVELAND AVENUE, SUITE 300
EAST POINT GA
SORG, JACK LEE
016434 5973 SHADOY ROCK DRIVE, C/0 BARRY YATERS
LITHONIA
GA
SORIANO, MARIA JESUE RIVERO DE 013432 105 COLLIER ROAD, NY, SUITE 4030
ATLANTA
GA
SORKEY, DAVID P
019608 CHILD AND FAMILY PSCHIATRY, 1968 NORTH AVENUE
COLUMBUS
GA
SORRENTINO, DENISE MARIE MACIA 036014 95 JOHN-JEFF DRIVE
LILBURN
GA
SORSDAHL, OLIVER A
009612 9970 HUNTCLIFF TRACE
ATLANTA
GA
SOSIN, DANIEL MARC
031838 2252 ECHO TRAIL, N.E.
ATLANTA
GA
SOTOMAYOR, GERARDO LIONEL
026184 2181 NORTHLAKE PARKYAY, BLDG 6 SUITE 120
TUCKER
GA
SOTUSNAYAR, ATHENA HELENE 031512 27 LENOX POINTE NE
ATLANTA
GA
SOULES, VIRGINIA GERHAR
018427 1860 NO. ROCK SPRING RD, SUITE 200
ATLANTA
GA
SOUMA, JOHN AZIZ
014218 770 PINE STREET
MACON
GA
SOURS, HAROLD EUGENE
020608 1764 E. CLIFTON ROAD, N.E.
ATLANTA
GA
SOUTHER, JOSEPH C
015425 251 EAST BROAD STREET
YINDER
GA
SOUTHERLAND, JAMES EDYARD
024632 1181 SILOAM RD
GREENSBORO GA
SOUVAL, PARIS A
009945 3969 SOUTH COBB DRIVE, SUITE 206
SMYRNA
GA
SOUZA, RENATO CHAVES
015826 204 SENOIA RD
FAIRBURN
GA
SOYARD, RICKY
037079 3450 JONES MILL RD, APT 403
NORCROSS
GA
SOYDER, JOSEPH THOMAS
037699 2488 YOODSIDE YAY
ATLANTA
GA
SOYELL, DAVID S
006715 3578 ATLANTA AVE
HAPEVILLE
GA
SOYELL, RAYMOND H JR
008566 * P.O. BOX 69
GUYTON
GA
SPAFFORD, PATRICK STEVEN
038971 5555 PEACHTREE DUNYOODY ROAD, SUITE 349
ATLANTA
GA
SPAHR, KATHRYN ANN
037080 755 MARTINA DRIVE
ATLANTA
GA
SPAIN, STEPHEN DANNY
024348 505 NORTH ISABELLA ST
SYLVESTER
GA
SPANDORFER, MICHAEL ALAN
038617 431 BRIARHILL LANE
ATLANTA
GA
SPANGLER, DENNIS LEE
018428 6667 VERNON YOODS DRIVE, SUITE A-30
ATLANTA
GA
SPANIER, JACOB AARON
009409 755 MOUNT VERNON HYY, NY, STE 200
ATLANTA
GA
SPANJER, RICHARD FRANKLIN
015426 1109 BURLEYSON ROAD
DALTON
GA
SPANN, CHARLES G
019609 1321 GORDON AVE
THOMASVILLE GA
SPANN, CYRIL OTIS
027671 GYN- ONOCOLOGY, 69 BUTLER STREET
ATLANTA
GA
SPARROY, JOHN GREGORY
033459 53 HERON'S NEST
SAVANNAH
GA
SPART!, JOHN GEORGE
016148 318 MAIN ST, PO BOX 89
DALLAS
GA
SPEAKMAN, CHARLES FRANCIS, II 034249 PO BOX 4276, 2000 - 10TH AVE~ SUITE 400
COLUMBUIS
GA
SPEAR, JOHN LOUIS
013086 1075 A SPRING STREET
GAINESVILLE GA
SPEARMAN, DAVID RONALD
017310 820 ST SEBASTIAN YAY, SUITE 6-D
AUGUSTA
GA
SPEARMAN, YILLIAM BENJAMIN 013195 1938 PEACHTREE ROAD, NY, SUITE 705
ATLANTA
GA
SPEARS, ROBERT PAUL
035144 1017 STEVEN'S CREEK RD M225
AUGUSTA
GA
SPEARS, ROBERT SENTELL
009266 400 HARDEMAN AVE
FT. VALLEY GA
SPEARS, YENTFORD ABNER
007902 212-H HOSPITAL DRIVE
YARNER ROBINS GA
SPECTOR, CRAIG MARSHALL
034476 295 SOUTH SHORE DRIVE
NEYNAN
GA
SPECTOR, FAYE ELLEN
023685 1664 MULKEY ROAD
AUSTELL
GA
SPECTOR, MICHELLE
037700 3206 BRIARCLIFF GABLES CIRCLE
ATLANTA
GA
SPECTOR, ROBERT HARVEY
019778 980 JOHNSON FERRY ROAD, SUITE 550
ATLANTA
GA
SPEESE, SARA CATHERINE
032995 2258 YRIGHTSBORO ROAD, SUITE 400
AUGUSTA
GA
30907
33
30322
31
30308
22
31321
10
30080
08
30080
33
30339
17
30309
36
30328
32
30345
36
30342
25
30328
33
30315-1611 15
30264
32
30260-2355 46
30344
41
30058
41
30309
32
31901
33
30247
05
30350
36
30345
17
30384
15
30324
33
30324
01
31201
25
30307
17
30680
10
30642
10
30080
10
30213-1536 41
30092
10
30341
08
30354
26
31312
00
30342
21
30305
36
31791
01
30324
17
30328
04
30328-4277 .15
30420
32
31792
03
30335
25
31410
47
30132
01
31904
27
30501
36
30901
17
30309
17
30907
30
31030
03
31088
17
30263
03
30001
17
30329
15
30342
27
30910
15
Page No. 203
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SPEIR, WILLIAM ARTHUR JR SPEKTOR, SHULIM SPELLMAN, JOHN GERARD SPENCE, STANSTON D'ANDREA SPENCER, CHARLES LOUIS SPENCER, JILL YORGEY SPENCER, KIMBERLY ANN SPENCER, MICHAEL ANDREW SPENCER, MILLARD CRARY SPENCER, ROGER WILLIAM SPERK, EVA M SPERLING, LAURENCE STEVEN SPERRY, KRIS LEE SPICER, JOHN WALLACE SP I EGEL, JOHN SPIEGL, PAUL VICTOR SPIELVOGEL, DAVID PAUL SPIER, GEORGE EUGENE SPILKER, EDWARD FRASER SPILKER, THOMAS CRAIG SPILLANE, ROSEMARIE SPILLMAN, EMIL VINCENT III SPINELLA, PETER MATTHEW SPINOLO, JORGE ALBERTO SPIRA, THOMAS J SPIRA, VLADIMIR SPITZNAGEL, JOHN KEITH SPIVEY, HERMAN EVERETT JR SPIVEY, JAMES DAVID SPIVEY, JAMES WESLEY JR SPIVEY, JIMMY ALLEN SPIVEY, OSCAR SMITH SPIZMAN, SAMUEL JAMES SPRAGUE, AMY MCELROY SPRAKER, MARY KATHERINE SPRATLIN, VICKY ELIZABETH SPRAUVE, MARGARET ELAINE SPRINGER, ROBERT EARL, III SPROLES, SCOTT WESLEY SPRUELL, WILLIAM HUGH SPURR, CHARLES LEWIS, JR. SRBINOSKA, ANETA SREERAM, KAMAGAMATHORI M SRIDHARAN, MARANDAPALLI SRIDHARAN, VIDYA CHAKRAVARTHY SRINIVASAN, RADHA SRINIVASIAH, JAYANTHI SRIRATANASATHAVORN, CHARN SRIVASTAVA, RAMESK KUMAR SRIVASTAVA, SHIKHA STAMANT, WILLIAM CLARK ST PIERRE, RICK K. ST. CLAIR, JANE TURLEY ST. LOUIS, JOSEPH A., JR. ST. LOUIS, MICHAEL ERNEST STAATS, ETHAN FREEMAN STACHURA, MAXIMILLIAN EDWARD STACK, KATHRYN ELEANOR
011071 959 HEARD AVE 026810 5036 PATRIOT DRIVE 030382 4750 WATERS AVE, SUITE 302 032474 1337 ANGEL FALLS LANE, SW 019779 3546 COVINGTON HIGHWAY 033785 4435 ARCADIA DRIVE 033714 4560 SENTINEL POST ROAD NW 029791 3026 PINEEDLE ROAD 036878 16 MARSH TOWER LANE 037701 C/0 MIDDLE GA ANESTHESIA ASSOC, PO BOX 1889 020155 2122 COLUMBUS MANCHESTER EXPWY, P.O. BOX 7000 034250 1655 RIDGEWOOD DRIVE 032818 FULTON CO MED EXAMINERS, 50 COCA COLA PLACE 038619 * 211 PERIMETER CENTER PARKWAY, SUITE 400 026391 389 MULBERRY ST, SUITE 200 025045 5667 PEACHTREE DUNWOODY RD., 'suITE 150 025481 3850 HOLCOMB BRIDGE ROAD, SUITE 440 018958 1324 ROSCOE ROAD 031133 4390 SAGEBRUSH DRIVE 029108 440 ENGLAND PLACE 037702 4920 HIGHPOINT RD, NE 009267 292 BANKHEAD HIGHWAY 033715 100 - 10TH STREET NW 036016 STEMMER BLDG, 2712 LAWRENCEVILLE HWY 017492 CDC BLDG 1 ROOM 1225 032819 CALHOUN CHILDREN'S CLINIC, PO BOX 999 022186 3001 ROLLINS RESEACH CENTER 010011 P. 0. BOX 409 034252 1109 W PEACHTREE STREET 012006 124 HOSPITAL DR 012572 4151 HOSPITAL DR NE 006073 MERCER UNIVERSITY SCH. OF MED. 029993 1419-E WILLOWLAKE DRIVE 035145 820 SAINT SEBASTIAN WAY, SUITE SE 023232 1365 CLIFTON ROAD, N.E., DEPT. OF DERMATOLOGY 033716 2864 LOOKOUT PLACE NE 036617 1608 COBB CROSSING 037081 2675 NORTH DECATUR ROAD, SUITE 404 038972 77 E ANDREWS DRIVE, NW# 202 011906 2712 N. DECATUR ROAD 024728 820 ST SEBASTIAN WAY, SUITE SB 037082 2303-E SPRING HOUSE LANE 014146 700 SPRING ST 4TH FL 026392 3411 SASANQUA DRIVE 026393 3411 SASANQUA DRIVE 032660 8513 LAKE FOREST DRIVE 033204 STEMMER BUILDINGOAD, 2712 LAWRENCEVILLE HWY 037911 1305 CORNERSTONE PL 021596 2003 PRINCE AVENUE 038973 150 SPALDING CIRCLE 021585 6035 RIVERSIDE DRIVE NW 022646 4290 LAWRENCEVILLE HWY 024485 851 SPRINGDALE RD. NE 010675 275 CARPENTER DRIVEN E, SUITE 104 036879 1031 OAKDALE RD 008893 35 COLLIER RD NW 360 022892 3130 NATALIE CIRCLE 038621 2760 MERRIMAC COURT
AUGUSTA
GA
STONE MOUNTAIN GA
SAVANNAH
GA
ATLANTA
GA
DECATUR
GA
NORCROSS
GA
ATLANTA
GA
AUGUSTA
GA
SAVANNAH
GA
DUBLIN
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
NORCROSS
GA
NEWNAN
GA
KENNESAW
GA
MARIETTA
GA
ATLANTA
GA
MABLETON
GA
ATLANTA
GA
DECTUR
GA
ATLANTA
GA
CALHOUN
GA
ATLANTA
GA
SUMMERVILLE GA
ATLANTA
GA
WARNER ROBINS GA
COVINGTON
GA
MACON
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
SMYRNA
GA
DECATUR
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
MARTINEZ
GA
MACON
GA
AUGUSTA
GA
AUGUS_TA
GA
JONESBORO
GA
DECATUR
GA
TUCKER
GA
ATHENS
GA
ATHENS
GA
ATLANTA
GA
LILBURN
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
LAWRENCEVILLE GA
30904
34
30087
38
31404
17
30311
41
30032
17
30093
01
30327
36
30909
17
31411
36
31040-1889 03
31908-7000 31
30307
17
30303
31
30346
10
31201
23
30342
28
30092
30263
03
30144
08
30066
08
30342
03
30059
01
30309
30
30033
19
30333
17
30703-0999 32
30322
17
30747
10
30309
17
31092
46
30209-3203 46
31207
32
30329
32
30901-2643 22
30322
17
30305
33
30080
15
30030
04
30305
10
30033
37
30901
11
30907
53
31201
05
30909
05
30909
17
30236
41
30033
16
30084
17
30606
47
30605
41
30328
08
30247
46
30306
30328
27
30307
32
30309
30
30909
17
30244
03
Page No. 204
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
STACY, LUTHER D JR STAFFELD, CATHERINE GWENDOLYN STAFFORD, CHARLES T STAFFORD, CHESTER T STAGER, PETER JOSEPH STAHL, LOREN CARL STAHL, NORMAN LEE STAHL, ROBERT L STAHLKUPPE, ROBERT FRANK STALEY, IRVING TEAGUE STALLING, KENNETH MONROE STALLINGS, CHARLES E STALLINGS, FRED LOUIS STALLINGS, ROOSEVELT JEROME STALLWORTH, MARK JUNG STAMBUK, ROBERT B STAMEY, CHARLES CURTIS STAMMERS, THOMAS WILLIAM STANCIL, MELODY ANN, STANFORD, WARNER FLOYD STANLEY, CASSIUS M III STANLEY, LEWIS CHRISTOPHER STANLEY, THOMAS MAURY STAPLES-HORNE, MICHELLE J STAPLETON, GERALD MICHAEL STAPLETON, JOHN L STAPLETON, SIDNEY L JR STAPLETON, TIMOTHY ROGER STAPLETON, TOMMY K STAPPENBECK, RICHARD ALDIS STAR, FRANKLIN JULIAN STARGEL, MICHAEL DON STARK, RICHARD REY STARKE, SUZANNE STARKEY, DONALD LEROY STARR, DAVID EUGENE STARR, DONALD C STARR, HARLAN M STARR, TRAMMELL III STATHAM, GEORGE WILKES STATON, GERALD WAYNE, JR. STATON, JEAN STEWART STATON, TED LOGINE JR STAUFFER, ROBERT ALAN STEAD, NANCY WHITE STEBBINS, GEORGE GRISWOLD STEBLER, MICHAEL STECKER, DONALD C STECKL, PETER DANIEL STEED, ROBERT DENNIS STEED, WILLIAM A STEELE, ALGERNON ODELL STEELE, BARBARA JEAN STEELE, BETTI JO STEELE, FRANK CARSON STEELE, JOHN CARSON HAY, JR STEELE, JOHN RICHARD STEELE, SHARON
010670 28 BRIGHTON ROAD NE
ATLANTA
GA
037387 3095-C COLONIAL WAY
CHAMBLEE
GA
017767 PROFESSIONAL ARTS BUILDING, 1323 E. SHOTWELL ST.
BAINBRIDGE GA
023113 ALLERGY IMMUNOLOGY SECT, MC G
AUGUSTA
GA
038974 1900 WESLEYAN DR, APT 708
MACON
GA
013089 618 ORANGE STREET
MACON
GA
027121 380 HOSPITAL DRIVE, SUITE 400
MACON
GA
027919 DEPT OF HEMATOLOGY, 1365 CLIFTON ROAD NE
ATLANTA
GA
017089 2 HOSPITAL STREET
HIAWASSEE
GA
010736 653 CHEROKEE ST
MARIETTA
GA
038975 330 FAUNA COURT
DUNWOODY
GA
020824 2550 WINDY HILL ROAD
MARIETTA
GA
019780 4289 WYNDHAM PARK DRIVE
DECATUR
GA
029298 945 WINDMILL LANE
EVANS
GA
037388 548 WIMBLEDON RD, NE
ATLANTA
GA
011617 110 CHELSEA CIRCLE
STATESBORO GA
014429 2000 HAMILTON RD
COLUMBUS
GA
029794 4531 OUTER BANK DRIVE
NORCROSS
GA
014958 DISTRICT 2, DHR, P.O. BOX 1295
GAINESVILLE GA
025833 * 204 RIVOLI OAKS DRIVE
MACON
GA
016987 673 PINE STREET
MACON
GA
035771 169 N VALHALLA DRIVE
CORDELE
GA
015511 PO BOX 23059, 4600 WATERS AVE - SUITE 200
SAVANNAH
GA
036463 3533 TELSTAR DRIVE
ELLENWOOD
GA
014866 1790 MULKEY RD, SUTIE 7
AUSTELL
GA
003407 2846 COLLEGE DRIVE
COLUMBUS
GA
011485 755 COMMERCE DRIVE, SUITE 601
DECATUR
GA
036295 HUGHSTON SPORTS MEDICINE HOSPITA, PO BOX 9517
COLUMBUS
GA
007290 WESTSIDE DRIVE BOX 769
DOUGLAS
GA
020825 33 UPPER RIVERDALE RD, SUITE 111
RIVERDALE
GA
011194 920 EIGHTEENTH STREET
COLUMBUS
GA
020488 5665 PEACHTREE DUNWOODY RD NE
ATLANTA
GA
038104 1001 PARK PLACE
LAGRANGE
GA
022648 641 CHURCH ST
MARIETTA
GA
037084 899 NELSON LAKE RD, SW
CALHOUN
GA
031328 847 ADAIR AVENUE
ATLANTA
GA
016685 503 EISENHOWER DRIVE, PO BOX 14444
SAVANNAH
GA
005641 3 RIDGEWOOD RD
ROME
GA
018556 1825 MARTHA BERRY BLVD
ROME
GA
005401 4112 E PONCE DELEON
CLARKSTON
GA
022473 550 PEACHTREE STREET NE
ATLANTA
GA
006988 2313 WYNN DRIVE
AVONDALE ESTAT GA
006989 3213 WYNN DRIVE
AVONDALE ESTAT GA
036464 5033 SEDONA COURT
COLUMBUS
GA
023233 1848 BLUE RIDGE DRIVE
GAINESVILLE GA
027449 ROUTE 1 BOX 1889
CLARKESVILLE GA
011566 1313 CARSWELL AVE
WAYCROSS
GA
009341 RT 1, BOX 394, HWY 51314
LAKELAND
GA
036296 1209 HANCOCK DR NE
ATLANTA
GA
027122 3193 HOWELL MILL ROAD, SUITE 230
ATLANTA
GA
004552 1122 DRUID PARK AVENUE
AUGUSTA
GA
028218 77 EAST ANDREW DRIVE, SUITE 120
ATLANTA
GA
033893 2203 GABLES DRIVE
ATLANTA
GA
028654 9335 PRESTWICK CLUB DRIVE
DULUTH
GA
029378 * 145 EAGLES WALK, SUITE A
STOCKBRIDGE GA
023234 CLIN PATH LABS-MICRO BAS 1738, MEDICAL COLLEGE OF GE AUGUSTA
GA
013828 45 OLD VERMONT PLACE, NW
ATLANTA
GA
029795 2570 DORAL DRIVE
DULUTH
GA
30309
31
30341-5331 17
31717
00
30912
04
31210
10
31210
17
31201
30322
16
30546
10
30090
27
30350
30
30067
33
30034
01
30809
41
30324
36
30458
00
31904-8927 15
30092
01
30503-1295 PH
31210
17
31201
52
31015
17
31403
23
30049
10
30001
30
31906
RE
30030
41
'31908-9517 28
31533
10
30274
23
31901
41
30342
31
30240
17
30060
17
30701
10
30306
52
31416-1444 36
30165
32
30165-1698 34
30021
32
30365
34
30002
17
30002
52
31907
15
30501
12
30523
41
31501
31
31635
08
30306-2515 08
30327
17
30904
30
30305
15
30319
32
30136
32
30281
10
30912
30328
33
30136
32
Page No. 205
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
STEELMAN, DAVID D STEENERSON, RONALD LEIF STEFANIS, GEORGES STEFANSSON, STURLA STEGALL, FRANK DURHAM STEGELMAN, MARK FREDERICK STEIGELMAN, LAWRENCE EUGENE STEIN, ANN PALMER COE STEIN, BRUCE STEIN, DANIEL STEVEN STEIN, IGNATIUS JOSEPH STEIN, JOSEPH DAVID STEIN, MICHAEL ALAN STEIN, PETER PARIS STEIN, SIDNEY F STEIN, THEODORE D. STEINBERG, CARL SHELLEY STEINBERG, DAVID LEWIS STEINBERG, FREDRIC MURRY STEINBERG, HARVEY VICTOR STEINBERG, JAMES PAUL STEINBERG, PAUL LEON STEINBERG, RICHARD CLARK STEINBOCK, MICHAEL NEIL STEINFELD, LAURENCE ALLAN STEINFELDT, MICHEL FRANKLIN STEINHART, CURT MITCHEL STEINHAUS, JOHN EDWARD JR STEINICHEN, KARL STEINSCHNEIDER, ALFRED STEIS, RONALD GEORGE STELLA, RONALD ARMAND STEM, WILLIAM C STEMMER, SHLOMO MARC STENBERG, BRIAN DAVID STENGEL, SCOTT MONTY STEPHENS, DANNY BRYAN STEPHENS, DAVID LAMAR STEPHENS, DAVID SAMUEL STEPHENS, JAMES RONALD STEPHENS, JEFFREY LEE STEPHENS, MARVIN RONALD STEPHENS, MARY HARRIS STEPHENS, RICHARD NORRIS STEPHENS, ROBERT GRIER III STEPHENS, ROBERT ORIEN, JR STEPHENS, WILLIAM HUGH JR STEPHENSON, ALLAN M STEPHENSON, CAROL ANN STEPHENSON, JANICE MAY STEPHENSON, JOHN RICHARD STEPHENSON, ROBERT E Ill STEPHENSON, ROBERT HILTON JR STERGUS, INGRID STERN, BARNEY JOEL STERN, MARK ALAN STERNBERG, PAUL, JR STERNLIEB, MICHAEL JAY
019781 127 GRIMES RD NE
MILLEDGEVILLE GA
029110 DRS MED BLDG SUITE 470, 980 JOHNSON FERRY RD NE ATLANTA
GA
023409 310 HOSPITAL DR., SUITE 205
MACON
GA
020489 770 STONINGTON
MACON
GA
019107 1825 MARTHA BERRY BLVD, C/0 HARBIN CLINIC
ROME
GA
034721 1356 WAYNE AVENUE
ATLANTA
GA
031135 59 HOSP IT AL ROAD
NEWNAN
GA
034722 D OF FAM/PREVENT MED EMORY SCHOO, 69 BUTLER STREET SE ATLANTA
GA
029535 490 PEACHTREE STREET NE, SUITE 242-B
ATLANTA
GA
037704 2870 PHARR CT SOUTH, NW, #3002
ATLANTA
GA
010832 * 33 CHURCH STREET, PO BOX 69
GRANTVILLE GA
009672 SUITE 105, LANDMARK II, 5820 HAMILTON ROAD
COLUMBUS
GA
034478 1900 BRANCH BEND, NE
ATLANTA
GA
038976 3205 MONTPLIER DR
AUGUSTA
GA
017312 25 LULLWATER PLACE NE
ATLANTA
GA
015179 PO BOX 670
MILLEDGEVILLE GA
027743 5462 ROARING BRANCH ROAD
COLUMBUS
GA
015612 5667 PEACHTREE DUNWOODY ROAD, SUITE 385
ATLANTA
GA
035338 705 NORTH CROSSING WAY
DECATUR
GA
027450 370 SPINDLE COURT
DUNWOODY
GA
022474 20 LINDEN AVE, SUITE 101
ATLANTA
GA
036880 1090 5TH STREETS E
CAIRO
GA
025046 315-A PRIME POINT
PEACHTREE CITY GA
026661 2300 MANCHESTER EXPRESSWAY, SUITE G-203
COLUMBUS
GA
034253 2404 SUMMIT POINT WAYNE
ATLANTA
GA
015133 5102 PAULSEN ST, BLDG 3
SAVANNAH
GA
025289 DEPT. OF PEDIATRICS, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
008339 836 CASTLE FALLS DRIVE
ATLANTA
GA
026187 630 CROSSFIRE RIDGE
MARIETTA
GA
024867 6065 ROSWELL RD NE, SUITE 876
ATLANTA
GA
034479 993 JOHNSON FERRY ROAD N E'SU!TE, SUITE 430, BLDG D ATLANTA
GA
021052 2349 FRANKLIN STREET
AUGUSTA
GA
015613 CANTON MED CTR SUITE 1, 100 MEDICAL LANE
CANTON
GA
037706 1218 WINSTON AVENUE
SAVANNAH
GA
035772 5920 ROSWELL ROAD, #B107
ATLANTA
GA
036017 2202 WESLEY DRIVE
ALBANY
GA
012372 140 VANN STREET, SUITE 300
MARIETTA
GA
032996 5106 OVERLOOK DRIVE
ROSWELL
GA
025048 DEPT OF MEDICINE, 69 BUTLER STREETS E
ATLANTA
GA
016287 490 PEACHTREE ST NE, SUITE 330-B
ATLANTA
GA
031329 MED CTR OF CEN GA, PO BOX 6000
MACON
GA
012007 743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
029796 1301 WELLBROCK CIRCLE
CONYERS
GA
030222 133 THE PRADO NE
ATLANTA
GA
014574 1999 PRINCE AVENUE
ATHENS
GA
010673 677 CHURCH STREET
MARIETTA
GA
017111 14 MEDICAL ARTS CENTER
SAVANNAH
GA
021824 1809 RIVERSIDE DRIVE
GAINESVILLE GA
032821 2892 CRAVEY DRIVE
ATLANTA
GA
037912 4116 D'YOUVILLE TRACE
ATLANTA
GA
018255 ST FRANCIS MEDICAL PARK, BLDG H, SUITE 104
COLUMBUS
GA
014668 755 COMMERCE DRIVE #205
DECATUR
GA
026188 RADIOLOGY ASSOC. OF MARIETTA, 70 TOWER RD
MARIETTA
GA
009696 316 MT ALTO RD
ROME
GA
038623 6455 RIVER CHASE CIRCLE
ATLANTA
GA
038624 1257 CUMBERLAND ROAD
ATLANTA
GA
027672 1327 CLIFTON ROAD
ATLANTA
GA
030899 870 CRESTMAKR DRIVE SUITE 102
LITHIA SPRINGS GA
31061
01
30342
30
31201
31210
03
30165-1698 05
30306
32
30263
15
30303
10
30308
52
30305
13
30220
11
31904
03
30345
05
30909
17
30307
16
31061
01
31904
30342
05
30033
10
30350
36
30308
53
31728
17
30269
06
31904
11
30329
36
31405
32
30912
32
30329
03
30060
15
30328-4011 32
30342
53
30906
17
30114
46
31404
15
30328
47
31707
03
30060
15
30075
00
30303
OT
30308
41
31208
17
30503
03
30207
17
30309-3327 52
30606
33
30060
32
31405
37
30501
36
30345
53
20707
17
31904
28
30030
36
30060-6983 36
30165
01
30328
23
30306
11
30322
27
30057
28
Page No. 206
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
STEUER, KATHRYN LEE KNUTZEN 038376
STEUER, MAX ROBERT
034254
STEVENS, JOHN GOLDEN
036881
STEVENS, JOHN KIRWIN, JR
037389
STEVENS, NORMAN BRADFORD
029953
STEVENS, PAUL H
016758
STEVENS, WALTER CLARENCE
021280
STEVENSON, CHARLES EDWARD, JR. 016288
STEVENSON, ROBIN LINDELL
031514
STEVES, ELMA MERA
010080
STEVES, SEVERO
011821
STEVICK, JAMES ALLEN
034481
STEWART, AARON DAVID
038377
STEWART, CHARLES P JR
013092
STEWART, DANITA ARLENE
031136
STEWART, DEANNA BORRON
012876
STEWART, JAMES BENHAM
004162
STEWART, JAMES LAMAR
033205
STEWART, JEFF LOVVORN
022650
STEWART, JOHN ALVIN
011822
STEWART, JOHN PRESTON
014575
STEWART, LARRY DANIEL, JR.
027123
STEWART, MARK JAY
032058
STEWART, MICHAEL FREDERICK 034062
STEWART, RICHARD BURNETT
009270
STEWART, RICHARD MCBEE
020490
STEWART, ROBERT NEAL
038625
STEWART, THOMAS MASON
031840
STEWART, THOMAS RUSSELL
031331
STEWART, THOMAS WILLIAM, JR. 027673
STEWART-SCHILLING, DEBRA ANN 028897
ST! CH, ERNEST
017314
STICH, JOHN WILLIAM
020357
STIEBER, ANDREI CAROL
036298
STIEFEL, WILLIAM CHARLES, III 036882
STILES, RICHARD GLEN
025675
STILL, JOSEPH MCCAIN
011073
STILL, MARGARET MOTHERSHEAD 031332
STILL, ODELL PAUL
037085
STILLERMAN, JAMES DONALD
031515
STILLWAGON, GARY BOULDIN
035774
STINCER, EDUARDO JOSE
034063
STINCER, ELPIDIO JUAN
020829
STINSON, MICHAEL DUANE
034064
STINSON, OLDEN EDWARD
007907
STIRNE, HOWARD DOUGLAS
025050
STIVELMAN, JOHN COOPER
031667
STOCK, MARIE CHRISTINE
027124
STOCKS, SIRAS ALLAN
012008
STOKES, HUGH G JR
004674
STOLL, BARBARA J.
028899
STOLOVITZKY, JOSE PABLO
029536
STONE, CHRISTOPHER DURANT
038977
STONE, DAVID ALBERT
024501
STONE, JAMES HEXIE
018558
STONE, JOHN H III
012807
STONE, LAWRENCE B
017316
STONE, TIMOTHY LYNN
037086
2046 WESTMINISTER WAY 993 JOHNSON FERRY ROAD, SUITE F100 107 JOHNSTON DRIVE 4627 WICKFORD CIRCLE 1071 ST ANDREWS DRIVE 3648 A CHAMBLEE TUCKER RD 1351 CHARTER OAKS LANE 1100 OLD NEWNAN ROAD 100 A VICTORY DRIVE 3624 CHAMBLEE TUCKER RD PO BOX 6104 154 WAKEFIELD DRIVE 1307 JOHNS RD 3913 NORTH PEACHTREE ROAD 771 GREENHEDGE DRIVE 833 CAMPBELL HILL STREET, SUITE 270 1234 NOTTINGHAM DRIVE 3941 HOLCOMB BRIDGE ROAD, SUITE 100 301 WEST COLLEGE STREET, PO BOX 429 4485 LI SA WAY 2400 MT ZION PARKWAY 1024 KEITH DRIVE 812 WALTON WOODS COURT 840 W THOMAS STREET 2675 N DECATUR ROAD, SUITE 410 660 B LANIER PARK DRIVE 15 EDEN DRIVE 2929 WINGFIELD DRIVE 2000 HAMILTON ROAD 3138 MARTHASVILLE COURT 2525 E. ALBERSON DRIVE 6244 LEXINGTON RD DEPT. OF PATHOLOGY, W. GEORGIA MED CENTER 20 BATTLE RIDGE DRIVE NE 1938 PEACHTREE RD EMORY CLINIC - RADIOLOGY DEPT, 1365 CLIFTON ROAD NE POST OFFICE BOX 3726 11685 ALPHARETTA HWY, SUITE 125 809 BARKSDALE DRIVE 4119 TATE STREET 655 RIVER CHASE RIDGE 2008 ASHTON WAY 3624 J DEWEY GRAY CIRCLE# 220 1925 PADDOCK COURT 155 RIVERSIDE DRIVE 5469 WOODLAND COURT 2354 ELON WAY DEPT OF ANESTHESIOLOGY, 1365 CLIFTON ROAD NE 3520 WALTON WAY EXT P.O. BOX 70596 DEPT OF PEDIATRICS, 69 BUTLER STREETS E 2675 NORTH DECATUR ROAD, SUITE 307 MCG - DEPT OF SURGERY, 1120 15TH ST 113 ATHENS STREET 2202 EAST OGLETHORPE BLVD EMORY UNIVER. SCHOOL OF MEDICINE, 1440 CLIFTON ROAD, 820 POWERS LAKE DRIVE 1280 WPEACHTREE ST# 2105
ATLANTA
GA
ATLANTA
GA
THOMASTON
GA
ROSWELL
GA
MACON
GA
ATLANTA
GA
LAWRENCEVILLE GA
CARRROLLTON GA
SWAINSBORO GA
CHAMBLEE
GA
COLUMBUS
GA
MACON
GA
AUGUSTA
GA
ATLANTA
GA
STONE MOUNTAIN GA
MARIETTA
GA
MACON
GA
NORCROSS
GA
BOWDON
GA
LILBURN
GA
JONESBORO
GA
PERRY
GA
AUGUSTA
GA
MILLEDGEVILLE GA
DECATUR
GA
GAINESVILLE GA
ROME
GA
COLUMBUS
GA
COLUMBUS
GA
GAINESVILLE GA
ALBANY
GA
RAYLE
GA
LAGRANGE
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
AUGUSTA
GA
ROSWELL
GA
VIDALIA
GA
COVINGTON
GA
ATLANTA
GA
BAINBRIDGE GA
AUGUSTA
GA
LAWRENCEVILLE GA
MILLEDGEVILLE GA
DUNWOODY
GA
DECATUR
GA
ATLANTA
GA
AUGUSTA
GA
ALBANY
GA
ATLANTA
GA
DECATUR
GA
AUGUSTA
GA
HARTWELL
GA
ALBANY
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
30307
06
30342
44
30286
03
30075
32
31210
00
30341
27
30245
03
30116
32
30401
25
30341
32
31907-0085 01
31210
41
30904-4409 15
30341
33
30088
32
30060
32
31211
00
30092
17
30108
10
30247
PH
30236
32
31069-2999
30909
03
31061
52
30033
15
30505
17
30165
10
31906
03
31993
15
30506
31
31707
34
30660-1706 46
30240
31
30342
53
30309
32
30322
08
30914-3726 01
30076
17
30474
10
30209-3237 17
30328
53
31717
36
30909
17
30243
15
31061
41
30338
08
30033
22
30322
03
30909
27
31708
30303
32
30033
30
30912-4000 40
30643
10
31707
08
30322
40
30327
36
30309
15
Page No. 207
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
STONE, WILLIAM DONALD
010676 384 PEACHTREE STREET NE, SUITE 211
ATLANTA
GA
STONECIPHER, MARCUS RANDALL 037087 1142 N. JAMESTOWN RD, UNIT 305
DECATUR
GA
STORNIOLO, FRANK ROSARIO
029797 353 PARKWAY DRIVE NE, SUITE 101
ATLANTA
GA
STORY, FRANK CRAWFORD
006717 1505 WINTER STREET, SUITE 81
AUGUSTA
GA
STORY, JAMES LLEWELLYN, JR 011074 505 GORDON AVE
THOMASVILLE GA
STORY, STACY HAMMOND III
017559 862 HALAL! FARM RD
EVANS
GA
STOUDEMIRE, GEORGE ALAN
025676 PSYCHIATRY SECTION, 1365 CLIFTON ROAD, N.E.
ATLANTA
GA
STOUT, ALAN WAYNE
026664 1217 MEMORIAL DRIVE, SUITE 3
DALTON
GA
STOUT, ROBERT MCRAE
025835 301 MEDICAL DRIVE
LAGRANGE
GA
STOVALL, RAYMOND LEE
025291 600 PROFESSIONAL DRIVE, SUITE 150
LAWRENCEVILLE GA
STOVALL, WILLIAM STEVEN
034957 696 PIKE ST, SUITE 520
LAWRENCEVILLE GA
STOVROFF, MARK COOPER
037088 1195 WOODS CIRCLE
ATLANTA
GA
STOWE, ZACHARY NEIL
034958 EMORY UNIV PSYCHIATRY, PO DRAWER AF
ATLANTA
GA
STOWELL, CHRISTOPHER WERNER 026943 PO BOX 2257
MARIETTA
GA
STOWERS, JEFFERSON WAYNE
023114 PO BOX 369
AUSTELL
GA
STRACHAN, JOYCE S HENRY
011195 * 2211-2209 CASCADE ROADS W
ATLANTA
GA
STRAETMANS, JOHN PATRICK
036019 611 CAMPBELL HILL ST., SUITE 101
MARIETTA
GA
STRAIN, WILLIAM MICHAEL
027921 101 YORKTOWN DR
FAYETTEVILLE GA
STRANGE, PAMELA LEE
034723 301 PEACHTREE HILLS CIRCLE
ATLANTA
GA
STRANKMAN, NANCY ANN SMITH 031183 3939-E LAVISTA ROAD, SUITE 619
TUCKER
GA
STRASSER, DALE CHRISTIAN
033463 340 OAKDALE ROAD, NE
ATLANTA
GA
STRATTON, DOUGLAS SCOTT
032478 140 VANN STREET, SUITE 140
MARIETTA
GA
STRAUGHN, SHERRIE-ANN VERONICA 033207 4978 CLUBGREEN SUMMIT
STONE MOUNTAIN GA
STRAUS, BARRY NEIL
027452 12190 CHARLOTTE DRIVE
ALPHARETTA GA
STRAUSS, ROBERT M.
027307 INTERNAL MED - EMORY CLINIC, 1365 CLIFTON ROAD, NE ATLANTA
GA
STRAWN, ESTIL YOUNG
036619 285 BOULEVARD NE, SUITE 320
ATLANTA
GA
STRAWN, LOY DANIEL STREAT, ALVIN PERRY
031669 120 SURREY LANE
034279 * 204 EAST 15TH STREET
MACON
GA
ALMA
GA
STREET, ELIZABETH ANN
032307 643 CAMPBELL HILL ST
MARIETTA
GA
STREIFF, IRWIN G
017317 5102 PAULSEN STREET, SUITE
SAVANNAH
GA
STREK, WILLIAM BRONISLAW
037089 240 MITCHELL BRIDGE ROAD
ATHENS
GA
STRESE, FRITZ WILHELM HANS 011823 RT 1, BOX 97-G
OCHLOCKNEE GA
STRICKLAND, AVERY W
010677 3010 HAMPTON AVE
BRUNSWICK
GA
STRICKLAND, DARRIN AVERY
038105 545 BLUE RIDGE CROSSINDG
EVANS
GA
STRICKLAND, ELTON COLUMBUS, JR 024104 570 CLARK DRIVE
ELLENWOOD
GA
STRICKLAND, GRADY WILLIAM JR 012009 835 MIMOSA BLVD
ROSWELL
GA
STRICKLAND, ROBERT SOLOMON JR 016149 318 MAIN STREET
DALLAS
GA
STRICKLAND, ROBERT SOLOMON SR 013481 LELAND MEDICAL CENTER, 278-A BANKHEAD HWY S.W.
MABLETON
GA
STRICKLAND, SAMUEL LEON
019610 PO BOX 2406 425 W THIRD AVE, MEDICAL TOWER SUITE 5 ALBANY
GA
STRICKLAND, WORTHY EDWARD
011618 1119 MORNINGSIDE DR
PERRY
GA
STRIKAS, RAYMOND A.
027453 420 COVENTRY RD.
DECATUR
GA
STRINGER, EDWARD FOREST Ill 015716 OFFICE MED AFFAIRS-MEMORIAL MED, CTR-PO BOX 23089 SAVANNAH
GA
STRINGER, HAROLD GENE, JR
036300 720 WESTVIEW DRIVE SW
ATLANTA
GA
STRINGFELLOW, JACKIE LEE
025052 101 DOCTORS DRIVE
CARROLLTON GA
STRIPLING, JOHN ROBERT
029800 PO BOX 1067
TUCKER
GA
STRITTMATTER, JAMES C
012373 BOX 2417
GAINESVILLE GA
STROHEKER, ROBERT LEIGHTON 037391 2817 LIVSEY OAKS DRIVE
TUCKER
GA
STROM, PRISCILLA RUTH
021053 660 LANIER PARK DRIVE, N.E.
GAINESVILLE GA
STRONG, WILLIAM BRYAN
013168 MED COLLEGE GA, PEDIATRIC/CARDIOLOGY DEPT.
AUGUSTA
GA
STROPNICKY, ELIZABETH MARIE 023689 814 ATKINSON DR
DALTON
GA
STROTHERS, HARRY SHAW, Ill
038979 MOREHOUSE FAMILY PRACTICE, 505 FAIBURN RD, SE
ATLANTA
GA
STROUP, DAVID GARRISON
007130 12 GOSSAMER LANE
SAVANNAH
GA
STRUTH, ALAN GADSON
019110 PO BOX 2405
WARNER ROBINS GA
STUART, ANDRE ST CLAIR
037707 5559 MOUNTAIN VIEW PASS
STONE MOUNTAIN GA
STUART, CARLOS A
010013 1938 PEACHTREE ROAD NW, SUITE 705
ATLANTA
GA
STUART, DOUGLAS SCOTT
035527 105 COLLIER ROAD, SUITE 5000
ATLANTA
GA
STUART, KAREN ADRIENNE
030223 2000 10TH AVENUE SUITE 380
COLUMBUS
GA
STUART, LLOYDS.
031334 5340 GREENLAND ROAD
ATLANTA
GA
30308
01
30033
06
30312
03
30904
15
31792
41
30809
03
30322
33
30720
30240
17
30245
17
30245
15
30324
32
30322
33
30061
03
30001
00
30311
33
30060
33
30214-1585 08
30305
36
30084
33
30307
38
30060
03
30088
06
30201
03
30322
17
30312-4205 15
31210
36
31510
10
30060
15
31405
10
30606
33
31773
11
31520
05
30809
15
30049
30075
15
30132
10
30059
01
31702
36
31069
15
30030
17
31403
41
30310-1495 17
30117
30085
52
30503
36
30084
10
30505
41
30912
32
30720
30331-2099 10
31411-2503 15
31099
17
30087
10
30309
17
30309
44
31901
00
30342
17
Page No. 208
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
STUART, SUSAN MARIE
036067 2865 LENOX RD, NE, APT 310
ATLANTA
GA
STUART, WILLIAM HENRY
012645 105 COLLIER ROAD, NW, SUITE 5000
ATLANTA
GA
STUBBS, DAVID MANNING
012010 MEDICAL COLLEGE OF GA
AUGUSTA
GA
STUBBS, JOE CALVIN
008899 101 NORTHSIDE DR
VALDOSTA
GA
STUBBS, JOSEPH T JR
010293 720 E 71ST ST
SAVANNAH
GA
STUBBS, JOSEPH WYTCH
024105 425 THIRD AVE, SUITE 300
ALBANY
GA
STUBBS, MICHAEL BARRY
022652 465 WINN WAY, SUITE 211
DECATUR
GA
STUBBS, MIGUEL EL HALCON
037708 757 ROSALIA STREET
ATLANTA
GA
STUBBS, OLAN WYTCH JR
011488 606 PARK LANE
DECATUR
GA
STUBIN, CHARLES HAROLD
038980 GRADY GENERAL HOSPITAL, 1155 5TH ST, SE
CAIRO
GA
STUCK, ROBERT GEORGE
013691 5303 ADAMS ST NE
COVINGTON
GA
STUCKEY, KATHERINE
011684 2675 N DECATUR RD, SUITE 309
DECATUR
GA
STUCKEY, WESLEY MABRY
036620 1525 CHATTANOOGA ROAD
DALTON
GA
STULBERGER, ABRAHAM
028656 CSRA INTERNAL MED ASSOCIATES, 3623 J DEWEY GRAY CIR, AUGUSTA
GA
STULTING, ROBERT DOYLE JR
022476 1327 CLIFTON ROAD NE
ATLANTA
GA
STURKIE, THOMAS OTIS
008569 652 CHURCH ST
MARIETTA
GA
STURM, HIRAM M
008009 2001 PEACHTRE ROAD NE, SUITE 445
ATLANTA
GA
STURM, RICHARD LOWELL
023509 2001 PEACHTREE ROAD NE, SUITE 445
ATLANTA
GA
STUTZMAN, DOUGLAS RICHARD
034099 2 FIDDLER CRAB LN
SAVANNAH
GA
STYBLO, TONCRED MARYA
030678 977 CASTLE FALLS DRIVE
ATLANTA
GA
SU, CLAUDE T
035147 EXECUTIE COURT SUITE 124, 5105 PAULSEN ST
SAVANNAH
GA
SU, SHAW CHENG-TSUAU
014723 PO BOX 14459
SAVANNAH
GA
SUAREZ, ALFREDO ERNESTO
016490 655 FIRST STREET
MACON
GA
SUAREZ, JUAN RAMON
038379 PO BOX 9517
COLUMBUS
GA
SUAREZ, RAMON A
021054 105 COLLIER RD, NW, SUITE 2030
ATLANTA
GA
SUBER, HUBERT MCCRARY
024730 P. 0. BOX 30
VIDALIA
GA
SUBHANI, HAMEED ULLAH
017318 * C/0 PRIMUS, 1727 BOXWOOD DRIVE
COLUMBUS
GA
SUBRAMANIAM, SANTHI BALASUBRAM 037393 700 FOURTH STREET, APT G-72
ATHENS
GA
SUCHER, JOHN DAVID
032308 1700 BRANDYWINE WAY
DALTON
GA
SUDDALA, SATYA R
035148 311 MONTROSE DR
MCDONOUGH GA
SUDDUTH, COLMAN DAVID
031841 1807 OAK AVE
BRUNSWICK
GA
SUDDUTH, ELIZABETH DIANE JONES 031267 1807 OAK AVE
BRUNSWICK
GA
SUDMAN, JON HENRY
028222 2501 KINGS POINT DRIVE
DUNWOODY
GA
SUE-LING, KEITH
021825 1349 DRUID PARK AVE
AUGUSTA
GA
SUGERMAN, RANDAL CLYDE
036465 325 MORGAN HILL CT
ALPHARETTA GA
SUGRUE, MARJORIE LANIER
020611 105 CALLE VERDE
WARNER ROBINS GA
SUHGE D'AUBERMONT, PETER CLAUD 022894 5669 PEACHTREE-DUNWOODY ROAD, NE, SUITE 133
ATLANTA
GA
SUHR, GARY MICHAEL
037394 27 ALLENWOOD RD
THOMASTON
GA
SUIT, JAMES IVORY
016289 P.O. BOX 956
MACON
GA
SULIEMAN, SOBHI IBRAHEM
032309 707 NORTH HOUSTON ROAD
WARNER ROBINS GA
SULKOWSKI, THOMAS EDWARD
038380 28 WINDSOR ON THE MARSH
SAVANNAH
GA
SULLIVAN, DANIEL BERNARD
006075 BUILDING C, SUITE I, 1430 HARPER STREET
AUGUSTA
GA
SULLIVAN, FRANCIS JOSEPH II 036301 1313 WNANCY CREEK DRIVE
ATLANTA
GA
SULLIVAN, GARY. BRIAN
030224 PO BOX 1066
STATESBORO GA
SULLIVAN, KELLEY WILLIS
036020 750 SUVANEE LAKES CIRCLE
SUWANEE
GA
SULLIVAN, LOUIS WADE
017319 PRES.,MOREHOUSE SCHOOL MEDICINE, 720 WESTVIEW DR SW ATLANTA
GA
SULLIVAN, RICHARD JOSEPH
037395 214 WESTBURY COURT
WARNER ROBINS GA
SULLIVAN, ROBERT F
006487 PO BOX 189
CARNESVILLE GA
SULLIVAN, THOMAS D
015512 SCOTTISH RITE CHILDREN'S MED CTR, 1001 JOHNSON FERRY ATLANTA
GA
SULLIVAN, TIMOTHY JOHN, III 037913 EMORY CLINIC - INT MED, 1365 CLIFTON RD, NE
ATLANTA
GA
SULTON, JACQUELINE RHODA HOLLO 027675 1760 CHANDLER ROAD, SUITE A
DECATUR
GA
SUMERS, KAREN DEBORAH
021600 3280 HOWELL MILL ROAD, SUITE 130
ATLANTA
GA
SUMMERER, ROBERT WAYNE
031671 313 HABERSHAM ROAD
MARTINEZ
GA
SUMMERS, ROLAND STEVEN
014755 340 EISENHOWER DRIVE, 510 CENTRAL PARK
SAVANNAH
GA
SUMMERVILLE, GREGG PAUL
036621 5134 - PE PONCE DE LEON AVE
ST MOUNTAIN GA
SUMNER, JEAN RAWLINGS
030225 PO BOX 237, 508 WE~M STREET
WRIGHTSVILLE GA
SUMNER, RANDOLPH PAGE
028323 100 JOHN MADDOX DR
ROME
GA
SUNAY, ATILLA S
015042 28 ROME RD, BOX 68
CAVE SPRINGS GA
30324
06
30309
23
30912
36
31602
17
31405
27
31701
17
30030
48
30312
17
30033
10
31728
10
30209-3345 46
30033
03
30720
15
30909
17
30322
27
30060
46
30309
06
30309
06
31411
17
30329
41
31405
05
31406
49
31201
10
31908-9517 28
30319
15
30474
31906
32
30601
17
30720
03
30253-4257 15
31520
17
31520
17
30338
32
30904
17
30202
41
31093
10
30342
06
30286
36
31298
27
31093
22
31419-2408 10
30901-2665 19
30319
03
30458
00
30174
17
30310-1495 17
31088
08
30521
10
30342
32
30322
04
30032
32
30327
27
30907
01
31406
34
30083
10
31096
00
30165-1420 10
30124
41
Page No. 209
Composite State Board of Medical Examiner&. Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
SUNDE, DAVID ALAN SUNDE, ELIZABETH READ SUNG, YUNG-FONG SUNSHINE, ALAN GILBERT SURAPU, LAKSHMANA SURRATT, JAY CECIL SURRATT, JULIA LYNNE SUSKIN, DAN SUSSMAN, HY CHARLES SUTCLIFFE, BRIAN THOMAS SUTER, ROBERT EDUARD SUTHERLAND, JAMES ALBERT, JR. SUTHERLAND, JAMES LAWRENCE SUTLIVE, WILLIAM G SUTLIVE, WILLIAM GREENE. III SUTTER, LUTHER O'NEAL SUTTON, ANDREW EVERETT SUTTON, ARNOLD EDWARD II SUTTON, JOSEPH CARL. JR SVOREN, VELIMIR SWABY, SAMUEL CARLYLE SWABY-ELLIS, EDITH DAWN SWAMI, RAJENDRA VIPIN SWAMY, VIJAYA L.R. SWAN, JOHN VAN SWANN, JULIAN W SWANN, RALPH WADE, JR SWANSON, RONALD FREDERICK SWARTWOUT, JOSEPH R SWARTZ, AMY ANN SWARTZ, EDWARD IRA. SWAYZE, ORRIN SCOTT SWEAT, MAXWELL JAMES JR SWEEN, STEVEN LIND SWEENEY, MARY ELLEN THERESE SWERDLOW, DAVID LEWIS SWERL!CK, ROBERT ANDREW SWEZY, NISHA JOHAR! SWICORD, ROBERT LUTHER SWIFT, JONATHAN S SW! FT, THOMAS R SWINDLE, ROY ERNEST JR. SWINGLE, HANES MCPHERSON SWINGLE, ROGER LYNN SWINT, ROBERT H SWYGERT, LESLIE ANN SYBERS, ROBERT GERALD SYKES, CHARLES HENRY SYLVAN, RICHARD LAURENCE SYMBAS, PANAGIOTIS N SYN, WAI YUN SYRIBEYS, JOHN P SZECSEY, ALEXANDER SZPAK, MICHAEL WALTER
028223 VAMC-DD-WARD SC, 15TH STREET & WALTON WAY 025257 4664 HARDY MCMANUS KOAD 015325 5 DOWNSHIRE 028904 20 LINDEN AVE NE, BOX 27 030704 3395 BRIDAL RUN TRAIL 034255 416-A E MCPHERSON, PO BOX 398 029955 125 WILTON DRIVE 036883 1444 WILLOW LAKE DRIVE 009271 818 ST SEBASTIAN WAY, 105 038109 3423 - T NORTH DRUID HILLS RD 037709 4585 SWAN COURT 029380 72 PLAZA WAY 014960 285 BOULEVARD NE, SUITE 140 007594 210 LEE BLVD 023235 5357 TRWBRIDGE CT 011686 PO BOX 709 036884 1790 MULKEY ROAD, SUITE 7 031335 PO BOX 80363 034960 1137 EAGLE'S LANDING PKWY, BLDG B SUITE 7 020612 154 HIGHLAND WAY 028089 P.O. BOX 54555 029112 6280 PHILLIPS CORNER ROAD 030226 1482 SWEET BOTTOM CIRCLE 028905 903 RIVERBEND DRIVE SE 020156 160 N MAIN ST 008900 478 PEACHTREE ST NE, SUITE 1007-A 021055 3B TOWER MEDICAL PARK, 3215 SHRINE RD 036021 RT 1 BOX 14718 009674 MERCER UNIVERSITY, SCHOOL OF MEDICINE 033718 795 N PARKWOOD ROAD 026396 1700 HOSPITAL SOUTH DRIVE, SUITE 202 032823 652 CHURCH STREET 007909 2609 DOUBLEGATE DR 029539 240 MARCHAND COURT, N.W. 025837 600 ASBURY CIRCLE 032663 806 NORTH CROSSING WAY 030906 EMORY UNIV. SCH. OF MED, DERMATOLOGY 5014 WMB DR SS 034724 PO BOX 301 032480 20 FULL SWEEP DRIVE 007346 440 BARRETT PARKWAY, SUITE 55 012858 3014 FOX SPRING ROAD 027925 2841 N. PATTERSON STREET 034962 2307 DEVON DRIVE 010082 125 KING AVE 006488 * 911 E INMAN ST, POB 1088 032310 751 NORTH MAIN STREET 010739 1308 NORTH DECATUR RD NE 037397 9175 NESBIT LAKES DRIVE 035150 C/0 ANDREE FROST STE 380, 115 PERIMETER CTR W 010453 69 BUTLER STREETS E 010294 4455 NANTUCKET COVE 009272 3576 A CHAMBLEE TUCKER RD, P.O. BOX 941009 007721 1370 DRIFTWOOD CT 034256 1909 ABERDEEN DRIVE
AUGUSTA
GA
EVANS
GA
DECATUR
GA
ATLANTA
GA
MARIETTA
GA
NASHVILLE
GA
DECATUR
GA
ATLATNA
GA
AUGUSTA
GA
DECATUR
GA
EVANS
GA
MARIETTA
GA
ATLANTA
GA
SAVANNAH
GA
DUNWOODY
GA
CHATSWORTH GA
AUSTELL
GA
CONYERS
GA
STOCKBRIDGE GA
CHATSWORTH GA
ATLANTA
GA
LITHONIA
GA
MARIETTA
GA
MILLEDGVILLE GA
ALPHARETTA
Gt.
ATLANTA
GA
BRUNSWICK
GA
TWIN CITY
GA
MACON
GA
DECATUR
GA
AUSTELL
GA
MARIETTA
GA
ALBANY
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
COMMERCE
GA
SAVANNAH
GA
KENNESAW
GA
AUGUSTA
GA
VALDOSTA
GA
ALBANY
GA
ATHENS
GA
STATESBORO GA
ASHBURN
GA
ATLANTA
GA
ALPHARETTA GA
ATLANTA
GA
ATLANTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
ROSWELL
GA
ALBANY
GA
30910
33
30809
33
30033
03
30365
11
30064
316390398 10
30030
17
30329
32
30901
22
30033
32
30809-9436 08
30060
15
30312-4205 32
31405-5613 15
30338
01
30705
10
30001
30
30208
03
30281
46
30705-8110 33
30308
03
30058
32
30064
00
31061
01
30201
01
30308
11
31520
06
30471
10
31207
15
30030 01
30001-8112 34
30060
28
31707
32
30328
03
30322
17
30033
17
30322
06
30529
03
31419
30144
28
30909
23
31602
31707
21
30610
28
30458
41
31714
35
30306
36
30202
36
30346-1223 17
30303
48
30083
17
30341
41
30075
15
31701
17
Page No. 210
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
-T-
TABANERA, MAYLINDA M
021207 CENTRAL STATE HOSPITAL, BOX 76
TABANERA, PABLITO ABABAT TABATABAI, JAFAR TABIO, PAULE.
022062 CENTRAL STATE HOSPITAL, BOX 76
014868 * 1037 3RD STREET 026397 P.O BOX 429, HARRIS &MAIN STREETS
TABLAN, OFELIA CASTRO
026398 2713 BRIAR LAKE ROAD
TADROS, TALAAT SADEK
031184 1747 LEARNLEAF CIRCLE, N.W.
TADSEN, TRENT SKAAR
027676 1225 LAMBETH WAYS E
TAFFEL, BRUCE HENRY
018559 980 JOHNSON FERRY ROAD NE, SUITE 510
TAGOE, ALBERT TEIKO
033720 203 BLAIRMORE COURT
TAIT, COLUMBUS DOWNING, JR 010455 3895 CHAUCER WOOD
TAKAGI, LUIS RAUL
018753 804 COMMERCE BLVD, SUITE A
TAKE!, YOSHIO
023311 5065 SPRUCE BLUFF DRIVE
TAKLE, LEIV MUNLAUG
015043 646 S 8TH ST
TALBOTT, GEORGE DOUGLAS
016839 TALBOTT-MARSH RECOVERY CAMPUS, 5448 YORKTOWNE DRIVE
TALLEDO, OSCAR EDUARDO
012975 PO BOX 23089, 4700 WATERS AVENUE
TALLEY, DEAN BEAURY
012577 523 DIXIE STREET, SUITE 5
TALLEY, DONALD BECK
031336 607 BRAE BURN DRIVE
TALLEY, JOSEPH L JR
008223 901 N MADISON ST
TALLEY, ROY LAMAR, JR
029957 4182 TATE STREET
TALLEY, THOMAS CARTER
033895 901 NORTH MADISON ST
TALLEY, WILLIAMS
007910 3415 RENNES DR NE
TALLEY-WILLIS, SANDRA KAY
031140 7101 STILLWATER DRIVE
TALLMAN, JAMES MASON
015430 1054 GREYMONT CIR
TALMADGE, SAM MC NEILL
004290 150 PLUM NELLY ROAD
TAM, VINCENT K.H.
038983 15 ROSEGATE DRIVE
TAMAYO, ELMO R
017741 1 HOSPITAL DRIVE, PO BOX 70
TAMAYO, PEDRO LUIS
012647 PO BOX 714
TAMAYO, WILMA SITJAR
021056 PO BOX 70
TAMBAKIS-ODOM, CONSTANCE ROSEA 034725 18 WEST TAYLOR STREET
TAMBE, PRADNYA B
018338 1826 CAMEO COURT
TAMBLYN, THOMAS M III
017323 RR 3 BOX 9, LONGVIEW ROAD
TAMIM, HIBA MOHAMAD
038156 2312 DRUID OAKS NE
TAN, CARLOS CASTILLO
027927 201 MEDICAL ARTS DRIVE
TAN, CARLOS YAP
021435 4 POOLER PROFESSIONAL PLAZA, WEST HIGHWAY 80
TAN, CORAZON CABRERA
036662 1800 WESLEYAN DRIVE# 90
TAN, JOSEFINA C
019193 PO BOX 38
TAN, MIKE YAP
017494 P.O. BOX 2027
TANENBAUM, JULIAN BERNARD
008901 2315 CENTRAL AVE
TANENBAUM, MARC ALAN
019429 6667 VERNON WOODS DR NE, SUITE B 45
TANG, PAK SEONG
034483 SUMTER REG HOSPITAL, PO BOX 1959
TANJUATCO, MANUEL C
018429 1520 EAST EVANS STREET, P. 0. BOX 463
TANNEHILL, WILLIAM BRUCE
036023 563 OAKBROOK DRIVE
TANNER, CLYDE VERNON
008572 RT 1
TANNER, DAVID DUANE
020834 2045 PEACHTREE ROAD, N.W., SUITE 333
TANNER, DAVIDE
006287 MEMORIAL MED CENTER
TANNER, GEORGE E
005644 ERIN OFFICE PK
TANNER, JACK E., JR
030553 324 CHINQUPIN DR
TANNER, JAMES C JR
005404 1180 MT. PARAN ROAD
TANNER, JAMES WESTLEY
018256 3455 LAWRENCEVILLE HWY
TANNER, MARK LESLIE
025677 1935 HOWELL MILL RD
TANNER, MAURICE BASKERVILLE 012668 1310 GORDON AVENUE
TANNER, ROBERT EUGENE
009617 1232 AUGUSTA WEST PARKWAY
TANNER, SUSAN LEIGH
025488 1725 PINEHURST RD
TANNER, TERRELL BENSON
008903 110 WCLARK ST, PO BOX 1327
MILLEDGEVILLE GA
MILLEDGEVILLE GA
STONE MTN
GA
PAVO
GA
ATLANTA
GA
ATLANTA
GA
CONYERS
GA
ATLANTA
GA
DULUTH
GA
ATLANTA
GA
RIVERDALE
GA
ATLANTA
GA
GRIFFIN
GA
COLLEGE PARK GA
SAVANNAH
GA
CARROLLTON GA
MARTINEZ
GA
ALBANY
GA
COVINGTON
GA
ALBANY
GA
ATLANTA
GA
COLUMBUS
GA
MARIETTA
GA
ATHENS
GA
ATLANTA
GA
CHATSWORTH GA
MILLEDGEVILLE GA
CHATSWORTH GA
SAVANNAH
GA
TUCKER
GA
SWAINSBORO GA
ATLANTA
GA
SANDERSVILLE GA
POOLER
GA
MACON
GA
GUYTON
GA
JONESBORO
GA
AUGUSTA
GA
ATLANTA
GA
AMERICUS
GA
BAINBRIDGE GA
MARTINEZ
GA
AMBROSE
GA
ATLANTA
GA
SAVANNAH
GA
DUBLIN
GA
MARIETTA
GA
ATLANTA
GA
LAWRENCEVILLE GA
ATLANTA
GA
THOMASVILLE GA
AUGUSTA
GA
SNELLVILLE GA
OXFORD
GA
31062
03
31062
31
30083
10
31778
01
30345
17
30318-1417 31
30208
03
30342
15
30136
41
30319-1687 33
30296-3319 15
30360
53
30223
27
30349
38
31405
15
30117
17
30907
01
31708
15
30209
03
31708
15
30319
11
31904
36
30064-1330 36
30606
41
30342
05
30705
10
31062
46
30705
32
31401
03
30084
32
30401
17
30329-3275 10
31082
31322
41
31210
10
31312
03
30237
03
30904
32
30328
32
31709
03
31717
15
30907
10
31512
08
30309
04
31403
36
31021
41
30064
36
30327
41
30244
01
30318
10
31792
36
30909
32
30278
05
30267-0068 10
Page No. 211
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TAORMINA, FRANK EUGENE
019613 PO BOX 3132
VALDOSTA
GA
TAPIA, RENE A
012972 3300 BUCKEYE ROAD, SUITE 178
ATLANTA
GA
TAPLEY, BENSON WAYNE
031337 * MEDICAL ASSOCIATES OF METTER, PO BOX 538
METTER
GA
TARABADKAR, SANJIWAN VANSANT 022280 148 HOWARD OAKS DRIVE
MACON
GA
TARANCO-MOLL, DIANA
033721 107 LENOX PLACE
MARTINEZ
GA
TARANTO, ALAN ISAAC
012578 993-D JOHNSON FERRY RD NE, SUITE 420
ATLANTA
GA
TARASZKA, STEVEN ROBERT
036885 3833 PEACHTREE RD, NE, APT 1609
ATLANTA
GA
TARCAN, YAVUZ ALI
013871 1670 CLAIRMONT RD., VA MED. CTR. (115)
DECATUR
GA
TARK, MARVIN DENNY
018257 140 VANN STREET, SUITE 410
MARIETTA
GA
TARLTON, REBECCA SUSAN
028470 RADIOTHERAPY CLINICS OF GEORGIA, 2349 LAWRENCEVILLE H DECATUR
GA
TARPLEE, SCOTT L
021057 2300 PARKWOOD DRIVE
BRUNSWICK
GA
TARPLEY, BARRY THOMAS
029541 3623 J DEWEY GRAY CIRCLE, SUITE 100
AUGUSTA
GA
TARYLA, MARIANNE FRANCES
031517 2752 FAIRBURN RD
DOUGLASVILLE GA
TASCARELLA, DAVID WILLIAM
038383 2460 PEACHTREE RD, NW, APT 1412
ATLANTA
GA
TASHJIAN, LOUISE SOPHIE
028471 1370 MONTREAL ROAD, SUITE 130
TUCKER
GA
TATE, JOSEPH LOUIS
023237 , 4036 WETHERBURN WAY
NORCROSS
GA
TATUM, HOWARD JAMES
023691 3159 MARNE DRIVE, NW
ATLANTA
GA
TATUM, JOSEPH CALDWELL
008905 1405 CHURCH STREET
DECATUR
GA
TATUM, LUCIAN LAFAYETTE JR 009748 653 S 8TH ST
GRIFFIN
GA
TATUM, VANESSA LEFAVE
038984 901 OGLETHORPE DR
ATLANTA
GA
TATUM, WILLIAM THOMAS, JR
033467 1361 WEST PEACHTREE STREET, MIDTOWN PLAZA II, SUITE 1 ATLANTA
GA
TAUB, LARRY ROBERT
033722 1450 NORTH CROSSING DRIVE
ATLANTA
GA
TAUBE, TITUS AUGUSTINE
025296 2034 WATSON BLVD
WARNER ROBINS GA
TAUBER, CHARLES P
011197 25-A LENOX POINTE, N.E.
ATLANTA
GA
TAUBER, HARVEY B
016438 5667 PEACHTREE DUNWOODY ROAD
ATLANTA
GA
TAUBIN, RHONDA GAYLE
032482 1722 HARTS RUN
CHAMBLEE
GA
TAUNTON, ELWIN GLYNN
025297 PO BOX 689
OGLETHORPE GA
TAUNTON, WILLIAM STEPHEN
020903 90 MARTIN LUTHER KING JR DR# A
FORSYTH
GA
TAWADROS, AZMI M
034726 5471 BELLS FERRY ROAD, SUITE 104
ACWORTH
GA
TAYLOR, ANDREW THOMPSON
029382 1220 TYNESCASTLE WAY
ATLANTA
GA
TAYLOR, BERRY BROOKS
031518 1609 NEWCASTLE
BRUNSWICK
GA
TAYLOR, BEVERLY ANN D.
025053 720 WESTVIEW DRIVE SW
ATLANTA
GA
TAYLOR, CHARLES HENRY
038110 EMORY CLINIC AT THE PERIMETER, 875 JOHNSON FERRY RD N ATLANTA
GA
TAYLOR, CLARENCE FREDERICK JR 008972 2076 STARFIRE DRIVE
ATLANTA
GA
TAYLOR, DAVID M
011198 980 JOHNSON FERRY ROAD NE, SUITE 820
ATLANTA
GA
TAYLOR, DONALD DWIGHT
035340 PO BOX 667
CALHOUN
GA
TAYLOR, DONALD RAY
031842 339 LANDS MILL
MARIETTA
GA
TAYLOR, EARLE MCRAE
025298 510 SPARTA ROAD
SANDERSVILLE GA
TAYLOR, ELDRED BERNARD
030227 2675 N DECATUR RD STE 512
DECATUR
GA
TAYLOR, FRANCES CORINNE PEARSO 031095 612 PARK DRIVE
ATLANTA
GA
TAYLOR, GENA ELYSE TAYLOR, GEORGE E
036024 696 PIKE STREET, SUITE 510
032313 * 130 NORTH GROSS ROAD
LAWRENCEVILLE GA
KINGSLAND
GA
TAYLOR, JAMES PARHAM
006993 507 GORDON AVE
THOMASVILLE GA
TAYLOR, JAMES WITMER
011077 304 RIVERSIDE DR.
WAYCROSS
GA
TAYLOR, JEFFREY GRAY
034257 614 NOBLE OAKS DR
SAVANNAH
GA
TAYLOR, JEROME HENRY
025839 3699 HOFSTRA COURT
DECATUR
GA
TAYLOR, JOAN KATHRYN
032665 1059 LAUREL VALLEY DR
MARIETTA
GA
TAYLOR, JOHN E JR
005206 4112 E PONCE DE LEON AVE
CLARKSTON
GA
TAYLOR, NEILL OLIVER
024731 237 LAKESHORE DRIVE
AMERICUS
GA
TAYLOR, PAUL WORDEN JR.
027929 ROUTE 2 BOX 2970
DEMOREST
GA
TAYLOR, RICHARD JAMES
016150 105 COLLIER ROAD, N.W., SUITE 2030
ATLANTA
GA
TAYLOR, ROBERT EDISON
031338 P.O. BOX 128, 5235 CLEVELAND HWY
CLERMONT
GA
TAYLOR, ROBERT PIERPONT
009619 833 CAMPBELL HILL ST, SUITE 380
MARIETTA
GA
TAYLOR, ROSE MARIE JOHNSON 026666 715 VILLAGE SQUARE DRIVE
STONE MOUNTAIN GA
TAYLOR, SAMUEL
022479 P.O. BOX 2737
VALDOSTA
GA
TAYLOR, SHARON LYLE
029905 561 JEFFERSON HWY
WINDER
GA
TAYLOR, SHERRY ARLENE PITTMAN 035151 2721 H WOODCREST DR
AUGUSTA
GA
TAYLOR, STEVEN BRUCE
032314 NORTHLAKE REG MED CTR - RAD, 1455 MONTREAL RD
ATLANTA
GA
31602
48
30341
31
30439
17
31210
03
30907
01
30342
30319
03
30033
24
30060-
03
30033-3143 36
31520
01
30909-6553 17
30135
08
30305-4158 33
30084
17
30092
01
30305
30030
46
30223
52
30319
33
30309
17
30329
27
31093
10
30324
33
30347
52
30341
08
31068
01
31029-1682 10
30102
41
30350
24
31520
PH
30310
10
30342-1410 10
30345-3976 36
30342
11
30703-0667 15
30067
03
31082
01
30033
00
30306
32
30245
15
31548
10
31792
13
31501
27
31406
17
30034
17
30064-3973 08
30021
32
31709
30535
30309
15
30527
10
30060
27
30083
31604
15
30680
00
30909
15
30085
36
Page No. 212
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TAYLOR, TERRY WILLIAM
009274 993F JOHNSON FERRY RD., SUITE 220
TAYLOR, THOMAS BRELIN, JR
034963 4755 PAXTON WAY
TAYLOR, THOMAS KENNETH, Ill 033212 4168 LOCH HIGHLAND PARKWAY
TAYLOR, WILLIAM DENNIS, JR 033213 104 FAIRVIEW PARK DRIVE
TAYLOR, WILLIAM ELI
012011 116 SMITH ST, POB 386
TAYLOR, WILLIAM MARTIN, JR 032666 5403 REDFIELD CIRCLE
TAYLOR, WILLIAM RICHARD
016439 116 GARDEN LANE
TAYLOR, WILLIAM ROBERT
030908 2170 SKYTOP DRIVE
TEABEAUT, JAMES ROBERT II
009047 721 MONTROSE COURT
TEAFORD, HENRY ST GEORGE JR 014107 715 JESSE JEWELL PARKWAY, SUITE 301
TEAGUE, VICTORIA BRAND
033724 7181 SURREY POINT
TEAGUE, WILLIAM GERALD, JR 032667 985 RIDGE TARN
TEAL, CHARLES, B JR
006844 3705 ARROWHEAD PLACE
TEATE, HENTZ LUTEN JR
005207 2825 GLADE SPRINGS DRIVE
TECHMAN, THERESE MARIE
028906 4130 MOUNTAIN OAK COVE
TEDESCO, FRANCIS JOSEPH
019785 MEDICAL COLLEGE OF GA, OFFICE OF THE PRESIDENT
TEEM, MARTIN V JR
010312 200 CHEROKEE ST
TEES LINK, CHARLES REX
013310 VASCULAR RADIOLOGY ASSOC II, 1125 TROUPE STREET
TEFFERA, FASS! L
037399 950 STEVENS CREEK DRIVE, #M6
TEHENG, RAYMUNDO V
021208 PO BOX 796
TEJANI, NIZAR ALI
036302 1135 EAGLE'S LANDING PARKWAY, BLDG A SUITE 1
TEKIN, MAHIR
013932 490 WEST PACES FERRY RD
TEMPLE, JOHN ROGERS, JR.
035776 2368 BATTLE FOREST DRIVE
TEMPLETON, DAMON ARNOLD
031843 1210 EISEHHOWER DR
TEMPLETON, HORACE WAYNE
017654 1790 MULKEY ROAD, SUITE 8A
TEMPLETON, STEPHEN FARWELL 032483 36 DARTMOUTH AVE
TENEBAUM, STANLEY
011493 11 LAVISTA PERIMETER OFF PARK, SUITE 22
TENENBAUM, RAYMOND
005878 HAMILTON MEDICAL CENTER
TENJARLA, GAYATHRI JARUGUMILLI 038986 1107 SUMMIT POINTE WAY, NE
TENOVER, JOYCE S
033725 2044 BRECKENRIDGE DRIVE
TEODORESCU, AUREL
018352 #1 REARDON COURT
TEPLI S, PAUL
005646 3250 HOWELL MILL RD NW, SUITE 302
TERMOTTO, DAVID WALTER
017114 3530 BRIARCLIFF RD
TERRY, CAROL ANN
035341 3776 WHITLOCK AVE
TERRY, DANIEL B JR
012204 1508 TEBEAU ST
TERRY, GLENN COUGHRAN
022896 HUGHSTON ORTH. CLINIC, P.C., P. 0. BOX 9517
TERRY, THOMAS LEE
022897 1157 FORSYTH ST2ND FLOOR
TERRY, WILLIAM H Ill
014578 857 ORANGE TERRACE
TESTERMAN, JOHN ROBERT
026038 2100 PALMYRA ROAD
TEUTSCH, CAROL BETH
019786 5505 PEACHTREE DUNWOODY, SUITE 200
TEWES, PATRICIA ALLISON
032824 2015 OLD DOMINION ROAD
TEXADA, CHARLES THERIOT
038112 100 FIRST CT
THACKER, SHERYL VERNON
024356 1512 PIEDMONT AVENUE, NE, SUITE 200
THACKREY, JEFFREY LEE
028327 * 1179 N. NIGHLAND AVENUE
THAGARD, ROY FRANK
007723 PO BOX 31241
THAKKAR, PANKAJKUMAR N
033896 4574 OXFORD DRIVE
THALIATH, LIZY JOSEPH
021929 5455 WEDGEWOOD COURT
THAMES, FRANK MAYNARD, JR
013799 3602 OLD DAWSON ROAD
THARP, JEFFREY LANIER
035153 504 WMEMORIAL DRIVE
THARPE, LAURIE GAY CARTER
036303 107 MUIRFIELD ROAD
THAXTON, PAUL MICHAEL
016291 1430 HARPR STREET, SUITE 10
THAYER, MICHAEL ANDREW
036886 702 - 1ST STREETS E
THEBAUT, BEN ROBERT
004423 5479 COBURN COURT
THERIAULT, ELAYNE FLORENCE 028328 4360 CHAMBLEE DUNWOODY ROAD, SUITE 202
THERIOT, GEORGIA MARIE
024357 51 HOSPITAL ROAD
THEUS, THOMAS L
009949 2300 MANCHESTER EXPRESSWAY, BLDG F-4
THEUS, WILLIAM LEON
037091 PO BOX 609
THEVAOS, THEO GEORGE
005795 504 AUMOND RD
ATLANTA
GA
EVANS
GA
ROSWELL
GA
DUBLIN
GA
TENNILLE
GA
DUNWOODY
GA
DECATUR
GA
STONE MOUNTAIN GA
AUGUSTA
GA
GAINESVILLE GA
ALPHARETTA GA
ATLANTA
GA
GAINESVILLE GA
ATLANTA
GA
STONE MOUNTAIN GA
AUGUSTA
GA
MARIETTA
GA
AUGUSTA
GA
AUGUSTA
GA
CLAXTON
GA
STOCKBRIDGE GA
ATLANTA
GA
MARIETTA
GA
AUGUSTA
GA
AUSTELL
GA
AVONDALE ESTAT GA
TUCKER
GA
DALTON
GA
ATLANTA
GA
ATLANTA
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
SUWANEE
GA
WAYCROSS
GA
COLUMBUS
GA
MACON
GA
MACON
GA
ALBANY
GA
ATLANTA
GA
DUNWOODY
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
SEA ISLAND GA
EVANS
GA
LILBURN
GA
ALBANY
GA
DALLAS
GA
MACON
GA
AUGUSTA
GA
MOULTRIE
GA
DUNWOODY
GA
ATLANTA
GA
NEWNAN
GA
COLUMBUS
GA
TOCCOA
GA
AUGUSTA
GA
30342
27
30809
10
30075
15
31021
17
31089
10
30338
03
30030
35
30087
10
30904
31
30501
41
30201
32
30350
32
30506
PH
30345
32
30083
17
30912
11
30060
17
30904-4178 36
30907
17
30417
15
30281
17
30305
03
30064
47
30904
03
30001
10
30002
06
30084
32
30720
03
30329
32
30345
12
31406
01
30327
17
30345
03
30174
31
31501
41
31995-3299 28
31201
17
31201
22
31701-1320 28
30342
09
30350
03
31908-7188 28
30324
17
30306
03
31561
32
30809
52
30247
33
31707
36
30132
17
31210
17
30910-3699 15
31768-5510 08
30338
41
30341
00
30263
01
31904
17
30577
41
30909
32
Page No. 213
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
THIAGARAJAN, KENNEDY RAMASWAMY 038384 3454-E N DRUID HILLS
DECATUR
GA
THIBODEAUX, DAVID C
012377 588 HEYWARD CIRCLE
MARIETTA
GA
THIEL, DIANE LOUISE
023411 820 LOVE AVE
TIFTON
GA
THIESSEN, ABRAM ROBERT
037917 1000 10TH AVE, SUITE 150
COLUMBUS
GA
THIGPEN, CORBETT H
005208 4389 DEERWOOD LANE
EVANS
GA
THIGPEN, CORBETT MARK
021058 PO BOX 14039
AUGUSTA
GA
THIGPEN, JAMES CARY JR
030228 420 CHARTER BLVD, SUITE 103
MACON
GA
THIO, RICHARD TJOAN-THAY
014431 960 JOHNSON FERRY RD NE, STE 310
ATLANTA
GA
THITARAM, SOMPHONG
015046 2550 WINDY HILL ROAD, SUITE 308
ATLANTA
GA
THO, SANDRA P. T.
017939 OB/GYN DEPT. ROOM CK 157, MEDICAL COLLEGE OF GEORGI AUGUSTA
GA
THOENE, JAMES JOHN
035154 2103 NORTH DECATUR ROAD, SUITE 205
DECATUR
GA
THOMAE, CRISTIAN MAURICIO
032825 4148 KNOLLCREST CIRCLE, NORTH
MARTINEZ
GA
THOMAS, BEN DAVID, JR
023118 4375 COBB PKWY, SUITE A
ATLANTA
GA
THOMAS, BEVERLY SANDRA BOYKIN 037400 1401 WEST PACES FERRY ROAD NW, #3408
ATLANTA
GA
THOMAS, BOBBY MATHEW
017563 1230 BAXTER ST
ATHENS
GA
THOMAS, BRENDA H
017115 4904 VERMACK ROAD
DUNWOODY
GA
THOMAS, BRIAN LACY
035155 1183 ZIMMER DRIVE
ATLANTA
GA
THOMAS, CHARLES B THOMAS, CLAUDE RAY
007293 1010 PRINCE AVE
025301 * 11050 CRABAPPLE ROAD, SUITE 114-D
ATHENS
GA
ROSWELL
GA
THOMAS, DAVID MOORE
020836 5354 REYNOLDS STREET, SUITE 315
SAVANNAH
GA
THOMAS, DAVID ROMULUS III
012580 818 ST. SEBASTIAN WAY, SUITE 307
AUGUSTA
GA
THOMAS, DENNIS RUSSELL
022898 PO BOX 711
ADEL
GA
THOMAS, DONALD RAY
008907 1714 CLEVELAND RD
DALTON
GA
THOMAS, EDD DEAN
035156 2822 FANTASY LANE
DECATUR
GA
THOMAS, FRED BURGESS JR.
019194 1296 SIMS STREET, N.E., SUITE B
GAINESVILLE GA
THOMAS, HAROLD D JR
033256 173 MERION
ST SIMON ISLE GA
THOMAS, JAMES ALLEN
027459 119 W HILL STREET
THOMASVILLE GA
THOMAS, JAMES BENJAMIN, JR 036887 7337 SESAME STREET
COLUMBUS
GA
THOMAS, JAMES BOYCE
015990 189 JEFFERSON PKY
NEWNAN
GA
THOMAS, JOHN MARION, JR
034258 993-D JOHNSON FERRY ROAD, SUITE 110
ATLANTA
GA
THOMAS, JOHN WILLIAM
030389 1131 DUNBARTON TRACE
ATLANTA
GA
THOMAS, JOYCE
021353 1961 CRYSTAL HILLS DRIVE
ATHENS
GA
THOMAS, KENNETH E
014670 5669 PEACHTREE DUNWOODY DR NE, SUITE 390
ATLANTA
GA
THOMAS, LUTHER MINTER JR
008576 2706 BELLEVUE AVENUE
AUGUSTA
GA
THOMAS, LUTHER MINTER, Ill
030909 1514 ANTHONY ROAD
AUGUSTA
GA
THOMAS, LYNN ANETTE
032064 730 WILSON MILL RD SW
ATLANTA
GA
THOMAS, MARYKUTTY DANIEL
021111 3710 PEBBLE BEACH DRIVE
MARTINEZ
GA
THOMAS, MELVIN HERRICK
038114 2 PROFESSIONAL CT
ROME
GA
THOMAS, PAMELLA D JOHNSTON 019277 86 SOUTH COBB DRIVE
MARIETTA
GA
THOMAS, SHEELA K. MASCARENE 028658 1908 HEARTHSIDE LANE
SNELLVILLE GA
THOMAS, STEVEN SAVASTAN
021834 968 MILLARD ROAD
STONE MTN
GA
THOMAS, WILLIAM GREGORY
032065 1408 WINTERCREEK DRIVE
ATLANTA
GA
THOMAS, WILLIAM KEVIN
014579 CENTER FOR SPECIALITY MEDICINE, 5671 P'TREEDUNWOODY ATLANTA
GA
THOMAS, WINSTON STEPHENS
038987 720 CARLYLE LAKE
DECATUR
GA
THOMASSON, JAMES JEFFERSON JR 009279 C/0 PAPP CLINIC PA, PO BOX 609
NEWNA!,i
GA
THOMPSON, ALBERT MARION JR 022338 2797 CAMPBELLTON ROAD, SUITE B1
ATLANTA
GA
THOMPSON, BARRY LANE
013094 1520 LANEY WALKER BLVD, SUITE A
AUGUSTA
GA
THOMPSON, BOBBY DON
028472 RT 28 BOX 95A
MACON
GA
THOMPSON, CAROL GREEN
019141 80 WEST WIEUCA ROAD, SUITE 110
ATLANTA
GA
THOMPSON, CLEVELAND Ill
010297 303 PINEVIEW DR
WAYCROSS
GA
THOMPSON, DAVID MCKINNEY
037401 304 SHORTER AVE
ROME
GA
THOMPSON, DONALD CHARLES
037092 2964 WINDFIELD CIRCLE
TUCKER
GA
THOMPSON, EMORY F
006719 PO BOX 3193, 2912 NORTH OAK STREET
VALDOSTA
GA
THOMPSON, FRANCIS CONYERS JR 010298 80 WEST W!EUCA ROAD NW, SUITE 110
ATLANTA
GA
THOMPSON, GEORGIA ANN
032485 1984 PEACHTREE RD NW, SUITE 505
ATLANTA
GA
THOMPSON, GRADY AUSBORNE
032315 2100 CHATHAM DRIVE
ALBANY
GA
THOMPSON, HUGHS JR
006720 1203 CLEVELAND AVE
EAST POINT GA
THOMPSON, JAMES WILLARD
015896 740 PRINCE AVE, BLDG TWO
ATHENS
GA
30033
17
30064
36
31794
01
319012617 53
30809
33
30919-0039 28
31210
00
30342
48
30067
41
30912
09
30033
03
30907
15
30339
02
30327
17
30606
36
30338
32
30306
03
30601
41
30075
10
31405
15
30901
34
316200711 10
30721
10
30033
08
30501
11
31522
10
31792
17
31909
10
30263-5823 32
30342
32
30319
17
30606
31
30342
40
30909
17
30904
17
30331
17
30907
10
301652823 10
30063
26
30278
01
30088
06
30360
31
30342
27
30033
41
30263
41
30311
10
30904
06
31210
03
30342
33
31501
41
30165
46
30084
17
31601
27
30342
33
30309
36
31707
10
30344
46
30601
17
Page No. 214
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
THOMPSON, JOHN DANIEL
006489
THOMPSON, JOSIAH
005797
THOMPSON, KEITH PRITCHETT
031339
THOMPSON, LOUIS MICHAEL
031340
THOMPSON, MARY LUELLA MARTIN 035777
THOMPSON, MASON PAUL
016293
THOMPSON, MELANIE A
028225
THOMPSON, MICHAEL WESLEY
033214
THOMPSON, MYRNA RUBY WILLIAMS 029115
THOMPSON, RAMON CONVERSE
006722
THOMPSON, ROBERT EUGENE
008689
THOMPSON, ROBERT FRANKLIN
007914
THOMPSON, ROBERT HICKS
005648
THOMPSON, SONYA DENAYEL BYRD 037402
THOMPSON, SUMNER EDWARD;!!! 018080
THOMPSON, WILLIAM ARTHUR
013933
THOMPSON, WILLIAM MARK
035778
THOMPSON, WILLIAM ROBERT
007598
THOMPSON-CRAGWELL, CHERYL ANN 034966
THOMS, WILLIAM WALTER
035343
THOMSEN, JAMES RICHARD
034485
THOMSEN, WIEBKE KLARITA HELENE 013693
THOMSON, JAMES PATRICK
036304
THOMSON, MARION KIMBERLY NOBLI 036466
THOMSON, NORMAN BRYANT, III 029805
THONG, HIEM
038631
THORNBURG, CATHERINE MARIE 037403
THORNELOE, WILLIAM FRANK
023119
THORNSBERRY, ROBERT MARTIN 038385
THORNTON, JOHN WILLIAM, III 029542
THORNTON, VERNA ALBERTA
034512
THOTA, SINDHU H
017651
THRASHER, BARRIE HOLT JR
009280
THREET, RICHARD WILLIAM
035531
THRELKELD, ANISA SYED BADARUDD 038988
THRELKELD, WILLIAM A JR
008577
THROCKMORTON, DOUGLAS CARL 037710
THRONE, MARTIN LEWIS
015615
THULE', PETER MARTIN
033727
THURMAN, LAVON JR
019791
THURMOND, CARL WAYNE
037711
THURMOND, DEBRA DELOIS
027931
THURMOND, EARL HAROLD
033471
THURMOND, GEORGE WILSON
013197
THURMOND, JOHN WILLIAM III
021286
TICE, ANDREW WILLIAM JR
020838
TIDMAN, RAYMOND EUGENE
032826
TIDMORE, THOMAS LEE, JR.
007599
TIDWELL, REX WALLACE
010300
TIDWELL, THOMAS JACKSON
018964
TIERNAN, STEVEN M.
031341
TIERNEY, BRUCE COLLIER
030230
TIERNEY, JOHN GREGORY
037093
TIERNEY, MARY PATRICIA
038989
TIFT, JEROME POUND
028660
TIFT, WILLIAM LEE
015329
TIGGES, STEFAN
036305
TIKARE, SATYANARAYANA K.
024359
EMORY UNIV SCHOOL OF MEDICINE, DEPT OF GYN/OB 69 BUTL ATLANTA
GA
604B EAST LONG ST
CLAXTON
GA
4584 E BROOKHAVEN DR NE
ATLANTA
GA
ATHENS WOMEN'S CLINIC, 1270 PRINCE AVENUE
ATHENS
GA
3623 J. DEWEY GRAY CIRCLE, SUITE 100
AUGUSTA
GA
DEPT OF FAMILY PRACTICE, MEDICAL COLLEGE OF GA
AUGUSTA
GA
1512 PIEDMONT AVE, SE, SUITE 200
ATLANTA
GA
1748 WEDGEWOOD OVERLOOK
STONE MOUNTAIN GA
1236 AUGUSTA WEST PARKWAY
AUGUSTA
GA
100 HAWTHORNE PARK DRIVE, SUITE A
ATHENS
GA
800 E DOYLE ST
TOCCOA
GA
PO BOX 1155
NEWNAN
GA
PO BOX 2228
BRUNSWICK
GA
1700 HOSPITAL SOUTH DRIVE, SUITE 502
AUSTELL
GA
1996 MASON MILL RD
DECATUR
GA
918 SOUTH BROAD STREET
THOMASVILLE GA
3123 VASSAR DRIVE
AUGUSTA
GA
MEDICAL ART CENTER, 203 EDMOND ST
CALHOUN
GA
105 MELODY LN
FAYETTEVILLE GA
2871 MABRY RD.
ATLANTA
GA
5455 MERIDIAN MARK ROAD, SUITE 130
ATLANTA
GA
5523 VAUGHN RD
WOODSTOCK
GA
208 WOODLAWN AVE
DECATUR
GA
208 WOODLAWN AVE
DECATUR
GA
5223 PAULSEN STREET
SAVANNAH
GA
16 CLARK TERRACE
SAVANNAH
GA
725 DRUID OAKS, NE
ATLANTA
GA
490 PEACHTREE STREET NE, SUITE 462-C
ATLANTA
GA
HUGHSTON SPORTS MEDICINE, 6262 HAMILTON STA., PO BOX COLUMBUS
GA
818 ST. SEBASTIAN WAY, SUITE 104
AUGUSTA
GA
2405 ASHFORD PARK
PEACHTREE CITY GA
540 OCEAN BLVD
ST SIMONS ISLA GA
3200 DOWNWOOD CIRCLE, SUITE 200
ATLANTA
GA
PO BOX 564
JESUP
GA
3406 KERRY PLACE
AUGUSTA
GA
707 NORTH PATTERSON ST
VALDOSTA
GA
503 STEVENS CREEK RD
MARTINEZ
GA
4536 CHAMBLEE DUNWOODY RD, SUITE 231
ATLANTA
GA
3981 BONNINGTON COURT
ATLANTA
GA
6501 HAMILTON ROAD 2A
COLUMBUS
GA
2106 GRAND BLVD
AUGUSTA
GA
6685 JUDY LANE
RIVERDALE
GA
3177 CHRISTIAN SPRINGS DRIVE
LITHONIA
GA
2283 WRIGHTSBORO RD
AUGUSTA
GA
213-A MIMS RD
SYLVANIA
GA
330 HOSPITAL DR, SUITE 212
MACON
GA
BURNES PROFESSIONAL BLD., SUITE 101
BLUE RIDGE GA
RT. 1, BOX 1930
CLARKESVILLE GA
380 HOSPITAL DRIVE, SUITE 410
MACON
GA
633-B - 19TH STREET
COLUMBUS
GA
530 BLUE RIDGE DR
EVANS
GA
10220 RIVERTOWN ROAD, PO BOX 91
FAIRBURN
GA
#705 WILLOW CREEK
ATLANTA
GA
1201 GLENRIDGE - STATFORD DRIVE
ATLANTA
GA
464 BASS ROAD
MACON
GA
550 PROFESSIONAL DRIVE
MACON
GA
1772 RIDGEWOOD DRIVE
ATLANTA
GA
2418 WOODBLUFF COURT
AUGUSTA
GA
30303-0000 16
30417
01
30319-2679 27
30606
25
30909-6553 09
30912
10
30324
17
30088
17
30309
33
30606
52
30577
10
30264
30
31521
13
30001
15
30033
17
31792
15
30909
53
30701-5332 41
30214-5404 15
30319
36
30342
30
30188
33
30030-2311 03
30030
36
31405
36
31404
17
30329
15
30308
33
31908-9517 28
30901
08
30269
15
31522
27
30327
27
31545
15
30909
27
31601
33
30907
17
30338
17
30341-1420 17
31909
10
30901-4134 17
30296
10
30038
17
30904
30
30467
01
31201-3816 30
30513
10
30523
03
31201
36
31901
36
30809
08
30213
10
30328
33
30342
09
31201
31
31201-1411 32
30307
36
30909
Page No. 215
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TIKARE, SNEHALATA S TILFORD, RON HAYMOND TILIAKOS, NICHOLAS A TILLERY, WILLIAM VIRGIL III TILLINGER, ARNOLD JULES TILLMAN, BILLUPS PHINIZY TILLMAN, RALPH ALLEN TILLMAN, SAMUEL PHILLIP TILLMAN, WILLIAM FAISON TILSON, PAUL JUNIOR TIM, MICHAEL WALTER TIMBERT, DAVIS SCOTT TIMBY, JEFFREY WILLIAM TIMMS, DICKY W TIMMS, MONTGOMERY RICKS TIMNA, AMOS TINDALL, GEORGE TAYLOR TINDALL, HARRY C TINDALL, SUZIE CUNNINGHAM TINDOL, GEORGE ALLEN, JR TINKELMAN, DAVID G TINKHAM, PHILLIP BRADFORD TINLEY, SANDRA EISELE TIONGSON, RODORA BOLANOS TIPPENS, JACK KELVIN TIPPETT, JAMES THOMAS TIPPINS, WILLIAM CLYDE JR TIPPITT, DANIEL DALE TIPPLE, MARGARET ANN TIPTON, WILLIAM RONALD TISON, JAMES HARMON TKALYCH, GEORGE PAUL TODARO, PHILIP TODD, DAULTON ERNEST, JR. TODD, JAMES RENNE TODD, JANE LYNCH TODD, JOHN LEE TODD, KNOX HOLLAND TODD, NORMAN WENDELL JR TODINO, JOEL DENNIS TODMANN, DEXTER TERRANCE TOKARS, JEROME IRVING, JR. TOLAND, ALAIN DANIEL TOLEDO, ANDREW ANTHONY TOLER, EARLE QUILLIAN TOLKAN, JUDITH RAE TOLL!, THOMAS C TOLLISON, JOSEPH WADE TOLOYAN, SORAHI TOLSON, MICHAEL ALAN TOM, KAREN ANN TOME, BASSAM TOMEH, MOHAMMAD 0 TOMENY, PATRICK EUGENE, JR. TOMEO, JAY ANTHONY TOMER, AARON TOMLINSON, RONALD LLOYD TONG, KUN YUAN
022339 2418 WOODBLUFF COURT 026399 2045 PEACHTREE ROAD NW, TERRACE LEVEL 022340 8065 MEADOWSWEET TRCE 016441 1306 TROUPE STREET, SUITE A 010303 515 EAST 63RD ST 009951 125 KING AVE 008226 248 LESTER RD., S.W. 008346 302 DONEHOO ST 018191 12010 OLD MOUNTAIN PARK ROAD 020839 412 NORTHSIDE DRIVE, EAST, SUITE 300 030391 980 HIGHWAY 29 SOUTH 037404 601 STILLWATERS DRIVE 034259 310 EISENHOWER DRIVE, BLDG 16, PO BOX 15238 009749 310 EISENHOWER DRIVE, BUILDING 3 022899 310 EISENHOWER DRIVE, BLDG 3 027932 4750 WATERS AVE, SUITE 210 015560 DEPT OF NEUROSURGERY, 1365 CLIFTON ROAD NE 008227 105 COLLIER RD, SUITE 4020 015834 1074 HOUSTON MILL ROAD NE 035344 PO BOX 552 017496 6667 VERNON WOODS DRIVE, SUITE A-30 032852 * 262 COTTON INDIAN CREEK RD. 021603 510 WASHINGTON AVE 035345 11050 CRABAPPLE ROAD, SUITE 120 011080 205 CHATHAM ROAD 019792 SUMMERVILLE MED. VILLAGE, 2100 CENTRAL AVENUE 007916 5040 SNAPFINGER WOODS DRIVE, SUITE 204 034486 329 GLENDALE AVE, NE 028329 C.D.C. - (MAIL STOP E-03), 1600 CLIFTON ROAD 009281 ONE LAKESIDE COMMONS, 990 HAMMOND DR - SUITE 1020 015516 107 PROFESSIONAL CTR DR 022480 700 CENTER STREET, SUITE 201 015330 1516 E EVANS ST 029116 100 - 10TH STREET NW 022066 704 WOODSTONE RD 013312 DEPT OF PEDIATRICS, 1365 CLIFTON ROAD NE 036623 3912 WILLIS ROAD, APT 2 037712 1125 OXFORD RD 013313 EMORY UNIV. CLINIC, 1365 CLIFTON ROAD NE 014671 10 HOSPITAL CIRCLE 022067 20 LINDEN AVE NE, SUITE 500 028909 2919 GALAHAD DRIVE 022901 1719 RUSSELL PKY # 300, SUITE 301 027933 5505 PEACHTREE DUNWOODY, SUITE 400 007918 3449 PRINCE GEORGE ST 031846 115 LANDSEER WAY 036624 3 ORCHARD SPRING DR SW 014109 MED COLLEGE OF GA, DEPT OF FAMILY MEDICINE 037918 203 BARTRAM ROAD 024360 PO BOX 5285 034260 159 LINDBERGH DRIVEN E 030911 1096-B WEST AVE 015331 2736-A FELTON DRIVE 034968 1938 JOHNSON FERRY RD, NE, APT X 037406 2459 WRIGHTSBORO RD 034066 6735 RIVER SPRINGS CT 013095 1306 ALICE ST, PO BOX 2007 018755 421 4TH AVENUE
AUGUSTA
GA
ATLANTA
GA
ROSWELL
GA
AUGUSTA
GA
SAVANNAH
GA
ATHENS
GA
LAWRENCEVILLE GA
STATESBORO GA
ROSEWELL
GA
STATESBORO GA
LAWRENCEVILLE GA
MARIETTA
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
SAVANNAH
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DUBLIN
GA
ATLANTA
GA
MCDONOUGH
GA
SANDERSVILLE GA
ROSWELL
GA
AUGUSTA
GA
AUGUSTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
EASTMAN
GA
COLUMBUS
GA
BAINBRIDGE GA
ATLANTA
GA
LITHONIA
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
WARNER ROBINS GA
ATLANTA
GA
EAST POINT GA
ATLANTA
GA
ROME
GA
AUGUSTA
GA
SAVANNAH
GA
VALDOSTA
GA
ATLANTA
GA
CONYERS
GA
EAST POINT GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
WAYCROSS
GA
ALBANY
GA
30909
33
30309
27
30076-3362 17
30904
27
31405
33
30610
02
30244
15
30458
17
30076
36
30458
49
30245
32
30064
41
31416
34
31406
41
31406
41
31404
15
30322
44
30309
27
30329
44
13104-0 17
30328
04
30253
03
31082
32
30075
32
30907
46
30904
17
30035
15
30307
03
30333
32
30328
04
31023
17
31901
30
31717-4357 01
30309
17
30058-8296 17
30322
32
31904
28
30306
08
30322
30
30165
17
30365-2301 17
30345-3632 01
31088-5707 30
30342
30344
17
30350
32
30165-8528 46
30912
10
31411
10
31603
30305
17
30207
17
30344
32
30319
03
30904
10
30328
16
31501
52
31701
15
Page No. 216
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TONGOL, JOSE MANALOTO TONNU, THAIVI TOOKES, DARRYL JAMES TOOLE, JAMES CECIL TOOLE, WILLIAM NISBET TOOMEY, KATHLEEN ELIZABETH TOOTLE, GEORGES TOOTLE, JERRY CURTIS TOPOROFF, STUART JAY TORAYA, JULES TORCH, EVAN M TOROK, THOMAS JAMES TORRANCE, CLARENCE B TORRES, SAMUEL A TORRES, WILLIAM ENRIQUE TORSIGLIERI, ARTHUR JOSEPH TOSONE, STEVEN ROBERT TOTTEN, DARLA RICHARDSON TOUBBEH, HALA ANNE-MARJE TOVAR, DEHOYOS MANUEL TOWE, BENJAMIN FRANKLIN TOWLES-MOORE, STACY MARIA TOWNES, JOHN MANCHESTER TOWNS, MICHAEL LLOYD TOWNSEND, BEVERLEY ANN TOWNSEND, DONALD CROSS, JR. TOWNSEND, LEWIS FRANKLIN III TOWNSEND, ROBERT MARWOOD TRACHT, ARTHUR LOWELL TRAER, JON WAYNE TRAKHTENGERTS, VALENTINA TRAMMELL, DEBORAH JONES TRAN, CHUONG DINH TRANKINA, JON VINCENT TRAPP, JOHN DOUGLAS TRASK, SHAWN DANIEL TRAVIS, MARK STEPHEN TRAWICK, SUSAN PIRKLE TRAYLOR, JAMES BOTHWELL TRAYNOR, ANNE MARIE TREACY, STEPHEN HUGH TREADWELL, TANDY WALTER JR TREASURE, CHARLES BLAND, II TRENGA, MARIE JEAN TRENT, RICHARD WILLIAM TRENTACOSTI, ANN MARIE TREON, STEPHEN MARSHALL TREST, FREDERICK ALAN TREVATHAN, NORMAN EDWIN, III TREVEJO, WILLIAM A TREXLER, DUKE CLAYTON TRI, TERRY BRUCE TRICE, ANN M TRICE, JOHNNIE CLARENCE TRIGG, FRANK STANSON TRIMBLE, JOHN JOSEPH III TRIMBLE, LUCIEN LEWIS TRIMBLE, WILLIAM BREWSTER
038386 032068 031847 006997 007919 030555 005209 012584 015136 022482 019462 031677 010304 015048 015518 032998 029254 036026 036306 013694 019794 032486 037094 036890 028091 026400 019795 011497 013096 010683 024362 034729 019248 030681 036468 033472 032488 024732 004921 038990 038116 022903 032069 031524 036891 028330 036307 012586 029959 011727 029300 038991 016152 010835 030556 030231 013347 013486
3816-A MAYFAIR LANE
ALBANY
GA
771 WOODMONT DRIVE
MARIETTA
GA
777 CLEVELAND AVENUES W, SUITE 305
ATLANTA
GA
592 HEYWARD CIRCLE
MARIETTA
GA
755 MOUNT VERNON HIGHWAY, SUITE 330
ATLANTA
GA
825 CRESTR!DGE DRIVE
ATLANTA
GA
PO BOX 35
DULUTH
GA
3540 DULUTH PARK LANE, SUITE 290
DULUTH
GA
PO BOX 421369
ATLANTA
GA
5354 REYNOLDS STREET SUITE 328
SAVANNAH
GA
2151 PEACHFORD RD., SUITE 1
ATLANTA
GA
PO BOX 900037
ATLANTA
GA
GEORGETOWN PEDICATRICS, 11 DUNWOODY PARK - SUITE 190 DUNWOODY
GA
PO BOX 14459, 901 EAST 66TH STREET
SAVANNAH
GA
3378 KNOLLWOOD DR, NW
ATLANTA
GA
1378 WELLBROCK CIR NE
CONYERS
GA
1365 CLIFTON ROAD, N.E.
ATLANTA
GA
440 CHARTER BLVD, SUITE 3306
MACON
GA
831 BRIARHILL LANE
ATLANTA
GA
301 WOODROW WILSON DR
VALDOSTA
GA
124 REED CREEK ROAD
MARTINEZ
GA
4039 BROOKSIDE PARKWAY
DECATUR
GA
521 PAGE AVE
ATLANTA
GA
165 VININGS DRIVE
ROME
GA
7322 HEDGESTONE DRIVE
UPATOI
GA
C/0 DEBRA HATCHER, 37 PLANTATION HILLS DRIVE
EVANS
GA
315 BOULEVARD NE, SUITE 444
ATLANTA
GA
5-B NORTH MAIN STREET
WOODSTOCK
GA
505 IRVIN CT, SUITE 200
DECATUR
GA
302 JULIENTON DRIVE
TOWNSEND
GA
485 SANTE FE TRAIL
ELLENWOOD
GA
3611 WILLOW MILL DRIVE
LAWRENCEVILLE GA
1557 GORDON HWY, PO BOX 6110
AUGUSTA
GA
790 CHURCH STREET EXTENSION, SUITE 570
MARIETTA
GA
P.O. BOX 1478
AUGUSTA
GA
1145 BATTLEFIELD PARKWAY
FT OGLETHORPE GA
696 PIKE STREET, SUITE 500
LAWRENCEVILLE GA
5008 SNAPF!NGER WOODS DRIVE
DECATUR
GA
175 ROCK GLENN RD
ATHENS
GA
1400 CHURCH ST, APT G
DECATUR
GA
100 FIRST CT
COLUMBUS
GA
FAMILY HEALTH CENTER, 3780 EISENHOWER PARKWAY
MACON
GA
2957 GREENOAKS CIRCLE
ATLANTA
GA
4614 LABRADOR DRIVE
C!JLUMBUS
GA
2081 SPRING CREEK ROAD
DECATUR
GA
35 CARRIAGE OAKS DRIVE
MARIETTA
GA
ROUTE 2 BOX 138C
SUCHES
GA
2322 WRIGHTSBORO ROAD, PO BOX 2747
AUGUSTA
GA
CHILD NEUROLOGY ASSOC. STE 530, 5455 MERIDIAN MARK RO ATLANTA
GA
1616 E. WASHINGTON STREET
THOMASVILLE GA
MILLARDEN ROAD
WOODBURY
GA
SOUTH GA CARDIOLOGY, 201 PENDLETON ST# 203
VALDOSTA
GA
110 BROOKVIEW TERRACE
VALDOSTA
GA
DOUBLE TREE PLACE, SUITE 199
ATHENS
GA
103 PROF BLDG.# 3, HWY 5 NORTH
BLUE RIDGE GA
15 JOHN MADDOX DRIVE
ROME
GA
4588 CALMET CIRCLE
DULUTH
GA
3091 MAPLE DRIVEN E, SUITE 101
ATLANTA
GA
31707
16
30062
03
30315
41
30064
15
30328
52
30306
10
30136
41
30136
41
30342
05
31405
15
30338
01
30329
17
30338
32
31416
49
30305
36
30207-3872 30
30327
03
31210
23
30324-5406 17
31602
10
30907
10
30034
17
30307
17
30165
53
31829
10
30809
19
30312
17
30188
10
30030
46
31331
41
30045
30244
31
30916-6110 01
30060
17
30903-1478 52
30742
32
30245
17
30035
30606
15
30030
17
31908-7188 28
31206
10
30345
05
31909
10
30033
03
30064
17
30572
17
30904-747 33
30342
32
31792
01
30293
10
31602
05
31602
17
30606
33
30513
17
30165-1413 30
30136
01
30305
01
Page No. 217
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TRINCHER, ROSE CORINTH
019024 WALTON REHABILITATION HOSPITAL, 1355 INDEPENDENCE DR! AUGUSTA
GA 30901-1037 17
TRIPP, BRUCE GENTRY
028910 RADIATION ONCOLOGY CENTER, 2600 WILDWOOD DRIVE
BRUNSWICK
GA 31520
36
TRIPP, JOHN NATHAN
015519 MERCER UNIV SCH OF MEDICINE, 1550 CSOLLEGE STREET MACON
GA 31207
10
TRIPPE, JUDSON RAIFORD JR
009283 760 KENNESAW AVE
MARIETTA
GA 30060
32
TRIPPE, TERESA J
023120 330 HOSPITAL DRIVE, SUITE 304
MACON
GA 31201
32
TRITT, RAMIE ABRAHAM
020005 5555 PEACHTREE DUNWOODY RD NE, SUITE 201
ATLANTA
GA 30342-1710 30
TROPAUER, ALAN
012649 5555 PEACHTREE DUNWOODY RD, SUITE 330
ATLANTA
GA 30342
33
TROTTER, JOHN FOUDHEE
007347 484 IRVIN COURT, STE 110
DECATUR
GA 30033
10
TROUM, STEPHEN
036308 777 HEMLOCK ST, HOSPITAL BOX 140
MACON
GA 31208
41
TROUTMAN, WILBUR
038118 ROUTE 1, BOX 1385
ROCHELLE
GA 31079
15
TROWBRIDGE, FREDERICK LINDSLEY 028331 2254 FAIROAKS ROAD
DECATUR
GA 30033
00
TROYER, TIMOTHY C
033898 1274 REDFIELD RDG
DUNWOODY
GA 30338-3732 32
TROYER, WENDY ALYSON
033786 5555 PEACHTREE DUNWOODY RD, SUITE 349
ATLANTA
GA 30342
21
TRUEMPER, EDWARD JOSEPH
031342 2424 KINGS WAY
AUGUSTA
GA 30912
32
TRULOCK, TIMOTHY SUTTON
021061 1950 PALMYRA ROAD
ALBANY
GA 31701
49
TRUMAN, BENEDICT I
035159 2437 KINGS ARMS DR
ATLANTA
GA 30345
10
TRUS, THADEUS LEO
038992 1205 CUMBERLAND RD, NE
ATLANTA
GA 30306
41
TRUSLOW, WILLIAM WORTH
036027 1142 MCCONNELL DR
DECATUR
GA 30033
17
TRYON, WILLIAM ELMER
009048 * 1713 VICTORIA WAY
KENNESAW
GA 30144
10
TRZEPKOWSK!, KENNETH
036625 1107 FALL CREEK LANE
GROVETOWN
GA 30813
10
TSAI, STELLA IRRO
031849 389 MULBERRY ST, SUITE 200
MACON
GA 31201
23
TSAI, YUNG-CHUN
032670 421 - 4TH AVE
ALBANY
GA 31701
15
TSAKIRIS, LAURA ANN
031141 4555 N. SHALLOWFORD RD, SUITE 100
ATLANTA
GA 30338
25
TSALTAS, THEODORE THEODOSIOS 034263 GEORGIA BAPTIST SPECIALTY CENTER, 340 BLVD NE, SUITE ATLANTA
GA 30312
15
TSAO, SHU-YUN TSENG
009415 1077 BAXTER ST
ATHENS
GA 30606
32
TSOULOS, DEMETRIOS GEORGE
038157 4501 SHERATON DR APT 414
MACON
GA 31210-1336 41
TSUI, PATRICK L
030915 209 LAFAYETTE STREET
RINGGOLD
GA 30736
10
TUBOKU-METZGER, ALBERT JAMES 027254 3618 PEAKNESS DR
DECATUR
GA 30034
32
TUCK, GOODWIN G
006491 5117 INDIE CIRCLES E
COVINGTON
GA 30209-3945 26
TUCK, ROBERT STEVEN
033217 PO BOX 1347
CHATSWORTH GA 30705-1347 17
TUCKER, CHARLES HOWELL
027255 640 WILL ST
GRIFFIN
GA 30223-4237 27
TUCKER, CHARLES THOMAS
026402 3222 SHRINE RD, SUITE A
BRUNSWICK
GA 31520
17
TUCKER, DEBBIE ANNE TUCKER, GEORGE
030234 221 EAST 54TH STREET
022068 * 3719 OLD FAIRBURN ROAD
SAVANNAH
GA 31405
32
ATLANTA
GA 30331
15
TUCKER, JEFFERY GLENN
034068 337 WEST WINN DRIVE
LILBURN
GA 30247
41
TUCKER, JOHN DAVID
020492 790 CHURCH ST. EXT., SUITE 500
MARIETTA
GA 30090
41
TUCKER, ROBERT P
005506 1603 WARE AVE
EAST POINT GA 30344
01
TUCKER, ROBERT PINCKNEY, III 024111 9650 VENTANA WAY, SUITE 101
ALPHARETTA GA 30202
27
TUCKER, THOMAS SLADE
013801 755 MT VERNON HWY, SUITE 500
ATLANTA
GA 30328
17
TUCKER, WILSON LARRY
031142 304 SHORTER AVE
ROME
GA 30165-4268 10
TUCKETT, SHARON CECILLE
036309 6043 PRESTLEY MILL RD, SUITE F
DOUGLASVILLE GA 30134-2278 17
TUGGLE, MILDRED VIRGINIA
006752 1336 COLUMBIA DR
DECATUR
GA 30032
17
TULEY, CATHLEEN H
017893 215 SANDY LAKE CIRCLE
FAYETTEV! LLE GA 30214
08
TULEY, R DAVID
019618 SUITE 112, 33 SW UPPER RIVERDALE RD
RIVERDALE
GA 30274
41
TULL, RONALD BERTRAM
036028 PO BOX 9144
SAVANNAH
GA 31412-9144 32
TUMLIN, JAMES ALAN
029960 THE EMORY CLINIC, 1365 CLIFTON ROAD NE
ATLANTA
GA 30322
00
TUMLIN, WILLIAM DARRELL
012014 HIGHWAY 78
LEXINGTON
GA 30648
10
TUNE, LARRY EVANS
037409 1841 CLIFTON RD, NE, WESLEY WOODS CENTER
ATLANTA
GA 30329-5102 33
TURCOTTE, JOSEPH SAMUEL
032671 RT 1, BOX 2154, BRYANT ROAD
RANGER
GA 30734
10
TURCOTTE, MAURICE R
011788 V.A. MEDICAL CENTER, 1670 CLAIRMONT RD, #112-A
DECATUR
GA 30033
03
TURFLER, DAVID LEE
029255 * 111 CROSS ST
HAZLEHURST GA 31539-3217 10
TURK, ALFRED JERRY, II
010308 3111 ELEANOR TERRACE, N.W.
ATLANTA
GA 30318
10
TURK, ALTHEA LORRAINE
023121 970 M.L.J. JR DR. - SUITE 206, PO BOX 92070
ATLANTA
GA 30314
27
TURK, PAUL GORDON
027934 380 HOSPITAL DR SUITE 465
MACON
GA 31201
17
TURKEL, RANDY SCOTT
031343 4859 SPRINGFIELD DRIVE
DUNWOODY
GA 30338
05
TURLEY, JEFFREY MARTIN TURNER, AUGUST BALDWIN
038388 647 W PONCE DE LEON AVE
005482 * 11211 FLATLAND ROAD
DECATUR SUCHES
GA 30030-2921 33
GA 03572
41
TURNER, CECIL RANDOLPH
027256 5535 CROSS GATE CT NW
ATLANTA
GA 30327-4810 08
Page No. 218
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
TURNER, CORBETT H TURNER, DAVID ALLEN TURNER, DENNIS JR TURNER, DON WARREN TURNER, EDWIN W TURNER, HARVEY LEONARD, JR. TURNER, HENRY HAYWOOD, II TURNER, JOHN RENDER TURNER, JOHN SIDNEY JR TURNER, JOSEPH MURRAY TURNER, KAREN ELAINE TURNER, MARCIA RAE WEINTRAUB TURNER, PATRICIA ANN TURNER, STANLEY JOHN TURNER, WENDELL ALLEN TURRY, PAUL KEITH TURTON, WILLIAM WESLEY, JR TUTEN, CARROLL S TUTSCH, WILBERT R TUTTLE, ELBERT P JR TUTTLE, JESSICA TWEDT, GORDON H TWIDDY, KENNETH MICHAEL TYAGI, SWAYAMPRABHA S TYGRETT, PATRICIA JO YVONNE TYLER, CARL WALTER, JR TYLER, RICHARD MATTHEWS TYRREL, ROBERT TY TYSON, MARY LYNN
010366 006725 015520 011910 004556 011911 004794 005066 009285 009286 025681 027935 029899 023122 025303 036471 033729 011082 009751 008348 034970 032830 022905 032318 032319 033730 014221 031344 030683
1598 WEST SUSSEX RD NE 3200 WESTGATE DRIVE 490 PEACHTREE ST NE, SUITE 356-B 2801 BUFORD HIGHWAY NE, SUITE 160 319 RIVER CHASE DRIVE 1275 MCCONNELL DR ST FRANCIS MEDICAL PARK, UNIT F PO BOX 1487, 310 SOUTH LEWIS STREET 1365 CLIFTON RD NE 712 E 18TH ST 11133 ABERCORN #10 1644 ANITA PLACE NE 2431 EASY STREET 11133 ABERCORN #10 1285 SIMS STREET 2157-T LAKE PARK DRIVE PO BOX 1016 77 CLUB DRIVE, COUNTRY CLUB PARK P. 0. BOX 90517 120 PIEDMONT AVENUE, NORTH EAST 4631 CIRCLE DRIVE 425 THIRD AVE, SUITE 550 2550 WINDY HILL ROAD, SUITE 103 425 WATERSTONE COURT PO BOX 1988 MAILSTOP E-42, CENTERS FOR DISEASE CONTROL 338 WEST PEACHTREE ST 3910 WEST NANCY CREEK COURT 618 SAWGRASS DRIVE
ATLANTA ALBANY ATLANTA ATLANTA VALDOSTA DECATUR COLUMBUS LAGRANGE ATLANTA Tl FTON SAVANNAH ATLANTA SAVANNAH SAVANNAH GAINESVILLE SYMRNA CORDELE BRUNSWICK ATLANTA ATLANTA OAKWOOD ALBANY MARIETTA ATLANTA CALHOUN ATLANTA ATLANTA ATLANTA MARTINEZ
GA 30306
33
GA 31707
33
GA 30308
41
GA 30329
33
GA 31602
43
GA 30033
17
GA 31904
17
GA 30241
17
GA 30322
53
GA 31794
17
GA 31419
GA 30306
17
GA 31406
21
GA 31419
17
GA 30501
25
GA 30080
03
GA 31015
41
GA 31520
27
GA 30364
28
GA 30303
17
GA 30566
32
GA 31701
06
GA 30067
15
GA 30202
32
GA 30703-1988 10
GA 30333
15
GA 30308
46
GA 30319
36
GA 30907
33
UCHE, EZEAMAGHIOHA DAVID UDOFF, ERIC JOEL UJJIN, ROAJ UJJIN, RUJ ULBRICH, PETER JOHN ULLMAN, KARL HENRY ULLOA, ABELARDO N ULRICH, RICHARD ANDREW ULRICH, WESLEY DAVID UMBERHANDT, JAMES EDDIE UMPIERREZ, GUILLERMO E. UMPIERREZ, MONICA B. UNDERSET, CRAIG UNDERWOOD, CHARLES R. UNDERWOOD, FRANK OWEN UNGER, ELIZABETH ROBINSON UNTERMAN, MARC I UNWIN, BRIAN KEITH UPADHYA, KARKADA JAYARAMA UPADHYA, NIRAMALA J UPSHAW, CHARLES BELL JR URAIZEE, ASHFAQ URIBE, JOAQUIN M URKEN, STEVEN IRA URRUTIA, RAFAEL V JR
-u-
036626 1017 STEVENS CREEK RD, APT 128-B 034732 5605 ASHEFORDE LANE 032831 4001 HALISPORT VIEW 037410 3681 BAY POINT 028696 1970 WOODSDALE RD NE 010031 1136 CLEVELAND AVE, SUITE 421
011259 * 1136 CLEVELAND AVE,# 208
029810 104 BEVERLY DRIVE 031345 104 BEVERLY DR 014964 1006 RIVERBEND ROAD 025914 1486 VERNON NORTH DR 036663 1436 VERNON VILLAGE CT 029961 300 ROYAL RIDGE WAY 006726 641 CHURCH ST 012379 1984 PEACHTREE RD, NW, SUITE 505 028332 3537 EVANS RIDGE TRAIL 019800 4086 HIGHWAY 20 038995 4121 SADDLE HORN DR 031346 211 WILLINGTON DRIVE 021064 211 WELLINGTON DR 007300 35 COLLIER RD NW 037095 1333 CHATTACHOOCHEE CIR 019801 895 SANFORD COURT 036030 1245 S PONCE DE LEON AVE, #3 016993 3910 AUSTELL ROAD, SUITE 101
Page No. 219
AUGUSTA
GA 30907
17
MARIETTA
GA 30068-1851 36
KENNESAW
GA 30144
10
MARTINEZ
GA 30907-9135 17
ATLANTA
GA 30324-2751 15
EAST POINT GA 30344
17
EAST POINT GA 30344
17
BONAIRE
GA 31005
27
BONAIRE
GA 31005-9660 17
MILLEGEVILLE GA 31061
10
DUNWOODY
GA 30338
17
DUNWOObY
GA 30338
36
FAYETTEVILLE GA 30214
00
MARIETTA
GA 30060
41
ATLANTA
GA 30309
36
ATLANTA
GA 30340
31
LOGANVILLE GA 30249
05
EVANS
GA 30809
10
DUBLIN
GA 31021
17
DUBLIN
GA 31021-2967 01
ATLANTA
GA 30309
05
ROSWELL
GA 30075
03
MARIETTA
GA 30068
33
ATLANTA
GA 30306
27
AUSTELL
GA 30001
46
NAME
URRUTIA, ROSA C URSAL, CONCORDIO FRASCO USHER, CHARLES HENDRY USIFO, OSABUOHIEN SUNDAY UTKE, RODNEY REDMAN UTLEY, HENRY GRIFFITH UZEE, EDWARD PAUL
Composite State Board of Medical Examiners" Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
018967 582 CONCORD ROAD, SUITE B 019352 1001-A N. 3RD ST 035779 540 SUNCREST BLVD 036472 1106 TREEMOUNTAIN PARKWAY 021436 BOX 914 015993 500 N MILLEDGE AVE 010837 * 11-A LENOX POINTE, NE
SMYRNA
GA
FOLKSTON
GA
SAVANNAH
GA
STONE MOUNTAIN GA
CLAYTON
GA
ATHENS
GA
ATLANTA
GA
30082
10
31537
41
31410
41
30083
10
30525
10
30601
27
30324-3171 33
-v-
VACHON, CLAUDE JEAN
022655 P.O. BOX 570
VAINER, ALON JEROME
036627 1021 WESTBROOKE WAY
VAINER, SORIN
036892 1007 PROFESSIONAL BLVD, PO BOX 1572
VAJRAKARUR, SUSEELA DEVI"
028662 8507 KENT DRIVE
VALADIE, ARTHUR LEON, Ill
036893 836-B ST. CHARLES AVENUE
VALBUENA, DOM!NICIANO APOSTOL 014319 8 STEPHENSON AVE
VALDECANAS, ERLINDA L
018342 PO BOX 267
VALDECANAS, VIRGILIO.Q
016155 POB 1151
VALDES, EMILIO EUSEBIO
026756 PO BOX 61448
VALDES, TOMAS BENITO
025058 2127 AMISH COURT
VALENTINE, HERBERT E JR
005536 980 WESSEL ROAD
VALIANI, SHIRIN ABDULLAH
038996 6400 HAMPTON ST, APT G11
VALLES-DUPRAT, MIRIAM
038636 611 N. AVE
VALLS, GUILLERMO FELIPE
033475 919 PEACHTREE BATTLE CIRCLE NW
VANALSTINE, DAVID ALAN
035162 2876 WINDFIELD CIRCLE
VAN BUREN, JAMES KNOX
008913 490 PEACHTREE ST NE, SUITE 575-C
VAN DE WATER, JOSEPH MARTIN 022658 416 LAMAR DRIVE
VAN DER MEER, ROBERT G
026670 1301 HARVARD ROAD
VANDERMARK, JEFFREY TODD
035780 275 13TH ST, SUITE 602
VAN DYCK, PETER FRANDSEN
027679 111 RIVER BOTTOM CIR
VAN DYCK, PHILIP GILES
016193 105 MOSS SIDE DRIVE
VAN GALLERA, ROBERT
037717 22 SAINT IVES LANE
VAN GIESEN, GEORGE EDWARD
008581 1109 MEDICAL CENTER DR, SUITE 4C
VANHOOZIER, CHARLOTTE COX 012013 3009 CLAIRMONT AVE
VANLAAR, WILLIAM HARRELL
033733 396 KEYS FERRY ST
VAN METER, QUENTIN LEE
034734 201 PRIME PT# A
VAN METER, TRAVIS ALLEN
037718 1247 VILLAGE RUN
VAN NOY, IMAN! DAVIS
024225 2155 POST OAK TRITT ROAD, SUITE 300
VANORDEN, INGRID SOFIA VOLJAV 036894 5501 CHAMBLEE-DUNWOODY ROAD
VANTUYL, RONALD ALLEN
030684 2550 WINDY HILL ROAD, STE 303
VANVICKLE, JENNIFER SUE
037096 PO BOX 1007
VAN, DAVID ARTHUR
029545 1635 CARRIAGE HILLS DR
VAN, VICKI LYNDALL CONKLIN 029811 747 S. HILL STREET
VANAPALLI, RAJU MAGA
022656 6643 LAKE DR
VANAPALLI, TULASI RAMA
024504 6643 LAKE DRIVE
VANCE, LUTHER JR
019354 * 1057 MORNINGSIDE DRIVE
VANDER SLUIS, STEPHEN HARVIE 033732 3388 GLENROSE POINT
VANDERHOOF, BRIAN STEPHEN
038391 921 BEAVER LN NW
VANDERPOOL, GERALD EUGENE
013695 ONE LAKESIDE COMMONS, 990 HAMMOND_DRIVE, S-1020
VANDERYT, WILLIAM JOHN
017331 2680 LAWRENCEVILLE HWY, SUITE 100
VANDIVER, ROY WESLEY
008914 2675 N DECATUR RD, SUITE 408
VANHUSE, CHERIE ANN
037098 5581 FOX GLEN CIR
VANN, DAVID EDGAR
037919 584 CLIARMONT CIRCLE, APT 6
VANN, SCOTT WARE
019802 4750 WATERS AVE, SUITE 500
VANSANT, JOHNATHAN P
016295 1419 WATERFORD GREEN DRIVE
VARALAKSHMI, NIUTHULAGANT! RAO 020007 514 MAPLE DRIVE
VARELA, NOEMI C
036069 1952 WELLBOURNE DR, NE
Page No. 220
MCRAE
GA
ATLANTA
GA
DALTON
GA
SAVANNAH
GA
ATLANTA
GA
SAVANNAH
GA
HARDWICK
GA
MILLEDGEVILLE GA
SAVANNAH
GA
MORROW
GA
GAINESVILLE GA
COLUMBUS
GA
VILLA RICA GA
ATLANTA
GA
TUCKER
GA
ATLANTA
GA
MACON
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
ATHENS
GA
WINDER
GA
AUGUSTA
GA
MACON
GA
MCDONOUGH GA
PEACHTREE CTY GA
ATLANTA
GA
MARIETTA
GA
DUNWOODY
GA
MARIETTA
GA
DECATUR
GA
GRIFFIN
GA
GR! FFIN
GA
MORROW
GA
MORROW
GA
PERRY
GA
ATLANTA
GA
LILBURN
GA
ATLANTA
GA
DECATUR
GA
DECATUR
GA
LITHONIA
GA
DECATUR
GA
SAVANNAH
GA
MARIETTA
GA
VIDALIA
GA
ATLANTA
GA
31055
20
30319
22
30722-1572 22
31406
32
30306
28
31405
03
31034
15
31061
41
31420
17
30260
01
30501
17
31907
10
30180
17
30327
15
30084
03
30308
17
31208
40
30306
15
30309
08
30606-1993 17
30606
36
30680
10
30909
17
31204
13
30253-3346 10
30269-3306 32
30319
36
30062
17
30338
32
30067
30
30031-1007 36
30223
10
30223
10
30260-2354 46
30260
32
31069
10
30341
03
30247-2605 38
30328
04
30033
46
30033
44
30038-2834 17
30033
17
31404
41
30068
24
30474
15
30324
17
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
VARGAS, DAVID JOHN
038997 2901 NORGATE DR
AUGUSTA
GA
VARGAS, FIAMETA RICAFORT
022070 2150 PEACHFORD RD, SUITE C
ATLANTA
GA
VARGAS-LOPEZ, JOSE RAFAEL
022483 3652 CHAMBLEE DUNWOODY RD, SUITE 102
CHAMBLEE
GA
VARGHESE, ANNIE V
020614 2231 SPENCERS'S WAY
STONE MOUNTAIN GA
VARGO, JAMES DENNIS
012088 4015 SOUTH COBB DRIVE, SUITE 220
SMYRNA
GA
VARMA, JAYDEV RANCHOOJI
019356 406 SCOTTS WAY
AUGUSTA
GA
VARMA, VIJAY ALLURI
029547 2482 KIRKLAND DRIVE
ATLANTA
GA
VARNADORE, JOSEPH GREG
022659 PO BOX 1268
TOCCOA
GA
VARNER, ROBERT IRVIN
009343 * 3 TALAHI CIRCLE
SAVANNAH
GA
VARNER, TERRY MILES
025059 4691 JE~FERSON TOWNSHIP LANE
MARIETTA
GA
VARNER, WILLIAM D
004557 333 CASCADE RD
COLUMBUS
GA
VARNER, WILLIAM DAVID JR
022909 203 MEDICAL ARTS BLDG., 1310-13TH AVENUE
COLUMBUS
GA
VASKO, TRUMAN LOUIS
015333 AZALEA CIRCLE
VIENNA
GA
VASUDEVAN, MADABHUSHI
030916 212 FRASER DRIVE
HINESVILLE GA
VAUGHAN, EDGAR ALLEN, JR
006728 75 TOWER ROAD
MARIETTA
GA
VAUGHAN, ROBERT HOWARD
007064 2812 LYNDA LANE
COLUMBUS
GA
VAUGHAN, WILLIAM L.
009344 429 WEST HILL STREET, DRAWER 1076
THOMSON
GA
VAUGHN, AUGUSTUS GUINN, JR 033735 5375 THORNAPPLE LANE
ACWORTH
GA
VAUGHN, JOHN RICHARD, JR
019118 P.O. BOX 2708
WARNER ROBINS GA
VAUGHN, LARRY ALAN
029812 425 EAST GRADY STREET
STATESBORO GA
VAUGHN, MICHAEL ROY
022660 712 CUMBERLAND CIRCLE, NE
ATLANTA
GA
VAUGHN, REBECCA YOUNGBLOOD 033899 5375 THORNAPPLE LN
ACWORTH
GA
VAUGHNS, CHRISTOPHER FRANKLIN 022072 490 PEACHTREE ST NE SUITE 372C
ATLANTA
GA
VAYMAN, LYUDMILA
027318 THE WORLD OF PEDIATRICS, 1040 CAMBRIDGE SQUARE, SUITE ALPHARETTA GA
VAZQUEZ, ANGEL M.
026671 719 THE MASTERS COVE
MACON
GA
VAZQUEZ, ASHMED
032833 PRVIDENT MEDICAL OFFICE BLDG, 4750 WATERS AVE SUITE SAVANNAH
GA
VAZQUEZ, JOSEPH GILBERTO
023696 PO BOX 429, 310 COLLEGE STREET
BLAKELY
GA
VEAL, CURTIS F
006729 PO BOX 489
MILLEDGEVILLE GA
VEAZEY, CHARLES RHODRIE
013097 UNIV MED CENTER SUITE 408, 818 ST SEBASTIAN WAY
AUGUSTA
GA
VEAZEY, PHILIP RONALD
013098 818 ST SEBASTIAN WAY, SUITE 408
AUGUSTA
GA
VECCHIO, JOHN JOSEPH
024873 212 HOSPITAL DRIVE, P.O. BOX 3485
WARNER ROBINS GA
VEGA, MANUEL ARNALDO
028227 , 1136 CLEVELAND AVE.# 410
EAST POINT GA
VEGA, ROGER ANTHONY VEIT, FREDERICK WILLIAM
026403 1517 SUMMERSET DRIVE
031145 * P.O. BOX 1750
DUNWOODY
GA
FAYETTEVILLE GA
VELA, ANGELA
024115 2045 PEACHTREE ROAD NW, TERRACE LEVEL
ATLANTA
GA
VELAZCO, ANTENOR
021931 ORTHOPAEDIC SOUTH, P.C., 1136 CLEVELAND AVE., SUITE 3 EAST POINT GA
VELEZ, LUCILA
025682 111 HIGHLAND DR, SUITE A
RIVERDALE
GA
VELEZ, ULPIANO
022661 P.O. BOX 960127
RIVERDALE
GA
VELEZ-BORRAS, JOSE ANTONIO 038119 408 FIRST DIVISION RD
FT BENNING GA
VELEZ-REBOYRAS, FRANCISCO
027936 C/0 LABOR & DELIVERY, 11 UPPER RIVERDALE ROAD SW
RIVERDALE
GA
VELIMIROVICH, BORIS
037453 92 PRESTWICK LANE
PEACHTREE CITY GA
VELIYATH, JAYASHREE CHENGALATH 038638 3191 HOWELL MILL RD.,# 314
ATLANTA
GA
VELKOFF, ABRAHAMS
004327 2568 DELLWOOD DRIVEN W
ATLANTA
GA
VELKY, JOHN ROBERT
038639 UNIV FAMILY MEDICINE, 447 N BELAIR RD
EVANS
GA
VELLANIKARAN, GEORGE JOSEPH 033219 41 JEFFERSON STREET, PO BOX 1198
NEWNAN
GA
VELLIOS, FRANK
022282 2281 CHRYLER COURT
ATLANTA
GA
VELLOZZI, CLAUDIA JEAN
036474 5141 AMSTERDAM CT
LILBURN
GA
VENABLE, JAMES HEISKELL
008284 500 - 18TH STREET, SUITE B-40
COLUMBUS
GA
VENABLE, JOSEF GABOR
035533 3300 BUCKEYE ROAD, SUITE 178
ATLANTA
GA
VENABLE, ROBERT NATHANIEL
008915 403 15TH AVE WEST
CORDELE
GA
VENABLE, ROGER J
021437 3405 WOODSTONE PLACE
AUGUSTA
GA
VENDEL, ZOLTAN ROBERT
020394 5638 CADWELL COURT
NORCROSS
GA
VENNER-ISENSTEIN, DEBRA
033900 1579 NANTAHALL CT
ATLANTA
GA
VENTURA, PETER GIBBS
032072 108 FEATHERSTONE DRIVE
WARNER ROBINS GA
VEREEN, HENRY STACY
018343 * 5921 NEW PEACHTREE ROAD
DORAVILLE
GA
VERGOT, SUSY LESLIE LIPSCOMB 034971 224 MOUNT VERNON DR
CALHOUN
GA
VERLEY, KARL W
015616 MEDICAL ARTS BUILDING SUITE 205, 384 PEACHTREE STREET ATLANTA
GA
VERLY, GERARD
015051 104 SHANE WAY
MABLETON
GA
30909
36
30338
33
30341-2184 01
30087
01
30080
33
30909
10
30345
31
30577
10
31410
33
30066
31904-2811 13
31901
41
31092
41
31313
41
30060
32
31906
41
30824
41
30101
36
31099
08
30458
17
30306
15
30101-7886 06
30308
17
30201
32
31211
10
31404
15
31723
31061
15
30902
50
30902
41
31099
52
30344
17
30338
30214
53
30309
27
30344
28
30296-1115 32
30296
38
31905
32
30274-2600 32
30269
52
30327
17
30305
15
30809
10
30264
30345
31
30247
10
31901
15
30341
31
31015
01
30909
10
30092
10
30329
03
31088
30
30340
41
30701-1711 08
30308
11
30059
31
Page No. 221
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
VERMA, DIVYA VERNON, ANDREW ANTHONY VERNON, MINOR CHARLES VERRAS, ATHANASIOS VERVERIS, JOHN JAMES VIAMONTE, LUIS MIGUEL VICENS, JUAN MANUEL VICK, CLYDE WHITLEY III VICKERS, OT! S R VICKERY, CHRISTOPHER LAMAR VICKERY, LISA LYNNE VICKERY, SAMUEL A VICKS, SHERELL DENISE VICTOR, IRVING VICTOR, JULES JR VICTOR, JULES, III VICTORIA, DOLORES VILLAMOR VICTORIA, RODOLFO SANTOS VIDAL, FRED LOUIS VIDAL, LUCY VON SPRECKEN VIDANAGAMA, ANNE C VIDANAGAMA, BANDUPRIYA P VIDEAU, BRENT DUVIC VIGIL, JOSE VINCENT VIGNALE, STEVEN JOSEPH VIGRASS, HOWARD GEORGE VIJAY, SANDEEP VILA-BALZAC, GILBERTO VILLAFUERTE, BETTY CHENG VILLANUEVA, LUDOVICO SOLEDAD VILLASANA, DAVID RAY VINCENT, ROBERT NEWELL VINCI, JOSEPH LEONARD VINES, RICHARD VAN, II VINICOR, FRANK M VINOKUR, LISA ANN VINSON, JAMES DONALD, JR. VINUEZA, CESAR ALFREDO VIROSLAV, ALICE BARNES VIROSLAV, SERGIO VISCAL, MARITZA VISINTINE, AAROLYN MARIE VITEK, JERROLD LEE VITEZ, TERRY STEPHEN VITKI N, BELLA VITKIN, ELVINA VITNER, SAUL VIVAS, JAIME LUIS VIVAS, WIGBERTO VOCCIO, GARY EDWARD VOGEL, GERALD W VOGLER, LARRY BENARD VOGLER, WILLIAM R VOLCAN, ILDEMARO JOSE VOLLRATH, RICHARD CHARLES VOLPITTO, GEORGE DAVID VON DER LAGE, FREDERICK C JR VON HAAM, EMMERICH, JR
038999 52525 WARD ST, APT A7
SMYRNA
GA
022073 5778 TROTTERS COURT
STONE MOUNTAIN GA
020359 310 HOSPITAL DRIVE, SUITE 330
MACON
GA
022908 2181 NORTHLAKE PKWY, #6
TUCKER
GA
031146 5245 POPLAR SPRINGS ROAD
STONE MOUNTAIN GA
015521 PEDIATRIC CLINIC OF DALTON, 1109 BURLEYSON ROAD
DALTON
GA
034972 PO BOX 13851
SAVANNAH
GA
028094 24 RIVER PINE DR SW
ROME
GA
016296 305 SHIRLEY AVE, PO BOX 979
DOUGLAS
GA
034487 2336 1/2 MCDOWELL STREET
AUGUSTA
GA
025683 P.O. BOX 551, 266 ALCOVY PLACE SUITE 82
MONROE
GA
011498 533 DELIA DRIVE
COMMERCE
GA
034265 5695 HUNTERS CHASE COURT
LITHONIA
GA
005211 3204 ABERCORN STREET
SAVANNAH
GA
004166 PO BOX 14359
SAVANNAH
GA
018122 PO BOX 14359
SAVANNAH
GA
024639 P. 0. BOX 1063
ST. MARYS
GA
018432 197 SHIELDS ROAD
008010 * 1285 WEST WASHINGTON STREET
STOCKBRIDGE GA GAINESVILLE GA
035534 2951 GLENROCK DRIVE
MACON
GA
019433 4210 CONWAY VALLEY ROAD, NW
ATLANTA
GA
018758 4210 CONWAY VALLEY ROAD NW
ATLANTA
GA
031850 140 COVENTRY ROAD
DECATUR
GA
027463 3685 LAWRENCEVILLE HWY, SUITE 100
LAWRENCEVILLE GA
039000 403 CARRIAGE PLACE CT
DECATUR
GA
017566 THE MEDICAL CENTER, P. 0. BOX 951
COLUMBUS
GA
036895 5078 RIVERVIEW RD
009698 * 4612 VERMACK PLACE
ATLANTA
GA
DUNWOODY
GA
031851 420 GLENCOURTNEY DRIVE
ATLANTA
GA
015052 5667 PEACHTREE DUNWOODY RD, SUITE 375
ATLANTA
GA
034973 NORTH ATLANTA NEURO ASSOC, 4500 N SHALLOWFORD RD S-20 ATLANTA
GA
029813 2040 RIDGEWOOD DRIVEN E
ATLANTA
GA
013348 GA SOUTHERN UN HEALTH CENTER
STATESBORO GA
035781 101 YORKTOWN DRIVE
FAYETTEVILLE GA
035163 CENTER FOR DIS CONTROL, 1600 CLIFTON RD, NE (K10) ATLANTA
GA
038394 4313 CHASTAIN DRIVE
ATLANTA
GA
035348 2405 AVEBERRY COURT
CONYERS
GA
028476 8 GREY GHOST LANE
SAVANNAH
GA
034488 2712 HUNTING HILL LANE
DECATUR
GA
033737 2712 HUNTING HILL LANE
DECATUR
GA
038121 3405 HEATHER DRIVE
AUGUSTA
GA
011571 1185 LAUREL HILL DR
DECATUR
GA
033738 3537 PRINCETON CORNERS LANE
MARIETTA
GA
034071 1100 ASHWOOD PARKWAY, SUITE 200
021932 * 8210 SULLIVAN HILL ROAD
ATLANTA
GA
ATLANTA
GA
020292 1080 CAMBRIDGE SQ, SUITE B
ALPHARETTA GA
007302 980 JOHNSON FERRY ROAD, SUITE 410
ATLANTA
GA
027680 #6 GLASTON COURT
COLUMBUS
GA
022662 122 NORTHWOOD DRIVE, N.W.
MILLEDGEVILLE GA
029550 HARBIN CLINIC, 1825 MARTHA BERRY BLVD
ROME
GA
012860 812 SPRINGDALE ROAD NE
ATLANTA
GA
030557 773 E MORNINGSIDE DR
ATLANTA
GA
008011 1365 CLIFTON RD NE
ATLANTA
GA
017959 2100 CENTRAL AVE, SUITE D-1
AUGUSTA
GA
027938 RT 3 BOX 3325-112
BLUE RIDGE GA
018123 407 WAVERLY DRIVE
AUGUSTA
GA
017746 11 CAMDEN ROAD
ATLANTA
GA
015839 ORTHOPAEDIC SOUTH, P.C., 1136 CLEVELAND AVE., SUITE 3 EAST POINT GA
30080
53
30087
17
31201
32
30084
32
30083
08
30720
32
31416
08
30165-8563 36
31533
11
30904
30
30655
01
30529
01
30038
17
31405
52
31416
17
31416
17
31558
10
30281
17
30501
27
31204
10
30327
03
30327
33
30030
17
30244-4107 32
30033
05
31902
10
30327
17
30338
41
30328
17
30342
33
30338
23
30322
05
30460
41
30214
17
30333
10
30342
15
30208
03
31411
17
30033
36
30033
28
30909
32
30033-3709 32
30062
23
30338
03
30350
53
30201-1830 11
30342
13
31907
17
31061
01
30165-1698 34
30306
33
30324
32
30322
16
30904
23
30513
30909
03
30309
03
30344
46
Page No. 222
NAME
VONCK, THEODORE FRANCIS JR VOSGER, AZAD J VOYLES, WALTER R. VRANA, MARK VU, DUC-THANH VYDARENY, KAY HERZOG
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
026041 035164 006596 022663 036032 034735
1659 VALOR RIDGE DR 1025 FINNSBURY DRIVE 506 BURKELAND RD 195 KING AVE. 815 BRIARCLIFF RD, APT 7 EMORY HOSPITAL, 1364 CLIFTON RD
KENNESAW ROSWELL WAYNESBORO ATHENS ATLANTA ATLANTA
STATE ZIP SPECIALTY CODE CODE
GA 30144
08
GA 30075
10
GA 30830
41
GA 30606
16
GA 30306
17
GA 30322
36
WADE, CLARA DIONE WADE, DONALD CARL WADE, GERALDIN,E WADE, JIM ROUSE WADE, MARK VICTOR WADE, ROBERT CALVIN WADE, THOMAS ANDREW, JR. WADE, THOMAS ROGERS WADHWANI, RITA PRAKASH WADLEY, DAVID LEE WADSWORTH, MARGARET DANA WAGES, HARVEYS JR WAGES, THOMAS LEE WAGGONER, STEPHEN MICHAEL WAGNER, MICHELE BETTS WAGNER, RICHARD GEORGE, JR WAGSTAFF, JAMES L WAITS, EDWARD JONES WAKSMAN, RON WALDEN, CHARLES WILLIAM WALDREP, JACK MARION WALDROP, JOHN IVEY WALIA, SUNIL KUMAR WALICKE, PATRICIA ANN WALKER, ANNA NIELSEN WALKER, BEVERLY DIANNE WALKER, BRUCE FRANKLIN WALKER, CAROL ANN WALKER,. CHARLES ANDREW WALKER, CHARLES OSBORNE JR WALKER, CHRISTOPHER J JR WALKER, DAVID MORRIS WALKER, DON CANNON WALKER, EVERETT DARRYL WALKER, EXUM BECKWITH WALKER, GAIL HALL WALKER, GARY KENNETH WALKER, GARY LEONARD WALKER, GEORGE EDWARD WALKER, GEORGES Ill WALKER, HENRY KENNETH WALKER, JAMES ALFRED WALKER, JAMES THOMAS WALKER, JEROME MASSEE JR WALKER, KENNETH JAMES WALKER, KNOX JR WALKER, LILLIE WALKER, LINDA LOUISE
-w-
034974 6480 REBECCA WAY 027465 124 WILMINGTON IS ROAD 027466 3641 SUMMERFORD DRIVE 022664 800 E DOYLE STREET 037099 210 SOUTHLAND STATION DRIVE, APT 247 006998 3195 BROWNLEE LANE 016194 THE COLUMBUS CLINIC, 610 19TH STREET 021839 2656 NORTHBROOK DRIVE 019907 2560 SANDY PLAINS RD 034266 102 HOSPITAL DRIVE 037100 706 VIRGINIA AVE NE 012017 1105 BURLEYSON RD.
009954 * 65 MORNINGSIDE DRIVE
034267 2306 COLONIAL DRIVE 029814 3103 TRAFALGAR DR 022665 6130 RIVERSHORE PARKWAY NW 017336 3330 ROWAN ROAD 006999 960 JOHNSON FERRY ROAD, SUITE 228 039023 603 CALIBRE WOODS 011085 1462 MONTREAL ROAD, SUITE 216 004796 101 JOHN MADDOX 01 020493 HUGHSTON ORTHOPEDIC CLINIC, PO BOX 9517 039001 6111 SLOAN PLACE 032073 2660 PEACHTREE RD NW, #31C 024117 632 BYARS DRIVE 020395 PO BOX 70369 029553 PIEDMONT HOSPITAL, 1968 PEACHTREE ROAD NW 028912 501 CROWNPOINTE WAY, SUITE 120 029816 PO BOX 66 009288 805 W WI LEY AVE 007000 4045 LAZY FALLS ROAD
029964 * 1331 HELEN HIGHWAY
024876 58 HOSPITAL ROAD, SUITE 102 031682 852 GARDENWALK BLVD, #T4 003323 490 PEACHTREE ST NE, 236-B DOCTORS BLDG 031351 3300 BUCKEYE ROAD, STE 178 023698 632 BYARS DRIVE 026198 2200 FOUNTAIN DRIVE 012789 2797 CAMPBELLTON ROAD, #C-4 014434 107 PROFESSIONAL CENTER DR 010313 3542 CLOUDLAND DRIVE 011728 428 WINN COURT 032834 249 KAY ROAD 011086 2675 N DECATUR RD,# 401 031853 212 HOSPITAL DRIVE 007303 1405 CHURCH ST 024767 PO BOX 450815, N LAKE STATION 030686 511 DOUBLE CHURCHES ROAD
Page No. 223
LITHONIA
GA
SAVANNAH
GA
MARIETTA
GA
TOCCOA
GA
WARNER ROBINS GA
LILBURN
GA
COLUMBUS
GA
ATLANTA
GA
MARIETTA
GA
WARNER ROBINS GA
ATLANTA
GA
DALTON
GA
BUFORD
GA
ATLANTA
GA
AUGUSTA
GA
ATLANTA
GA
CONYERS
GA
ATLANTA
GA
ATLANTA
GA
TUCKER
GA
ROME
GA
COLUMBUS
GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
ALBANY
GA
ATLANTA
GA
LAWRENCEVILLE GA
BAINBRIDGE GA
DONALSONVILLE GA
GAINESVILLE GA
CLEVELAND
GA
NEWNAN
GA
COLLEGE PARK GA
ATLANTA
GA
ATLANTA
GA
MACON
GA
SNELLVILLE GA
ATLANTA
GA
EASTMAN
GA
STONE MOUNTAIN GA
DECATUR
GA
BYRON
GA
DECATUR
GA
WARNER ROBINS GA
DECATUR
GA
ATLANTA
GA
COLUMBUS
GA
30058
22
31410
08
30062
17
30577
17
31088
08
30247
01
31901-1528 17
30340
06
30066-7206 10
31088
36
30306
10
30720
15
30518
10
30319
46
30909-3329 08
30328
32
30208
36
30342
41
30329
05
30084
33
30165
52
31908
46
30329
41
30305-3673 23
31210
317080369 32
30309
31
30245
46
31717
41
31745
41
30543
10
30533
00
30263
30349
17
30308
44
30341
31
31210
30278
30311
17
31023
12
30083
17
30030
52
31008
10
30033
23
31088
30
30030-1517 46
30345
17
31904-2364 10
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WALKER, MARIA LATANYA WALKER, MARK LAMONT WALKER, MARY ELIZABETH WALKER, MOFFETT ROBSON JR WALKER, NADINE VICTORIA WALKER, PRICE, JR WALKER, ROBERT JEFFREYS III WALL, ALBERT M Ill WALL, DONNA MARIE WALL, HILTON FRAZIER WALL, MARC OWEN WALL, SCOT ALLEN WALLACE, BILLY LEE WALLACE, CANDICE EILEEN WALLACE, DOUGLAS WADE WALLACE, EDWIN RUTHVEN IV WALLACE, JAMES JEFFERSON, III WALLACE, ROBERT GEORGE WALLACE, RUSSELL WILLIS, JR WALLACE, STANLEY WILLIAM WALLACE, TIMOTHY BRIAN WALLER, ALAN STEPHEN WALLER, JAMES DAVID WALLER, JAMES T WALLER, JOHN LOUIS WALLER, WILLIAM I III WALLNER, HERMAN W WALLS, CHRISTOPHER EDWARD WALSH, BRIDGET ANA WALSH, JOHN JOSEPH WALSH, MICHAEL FRANCIS WALSH, STEVEN MICHAEL WALSH, TERRENCE P WALSH, THOMAS RAYMOND WALSTAD, JOE GARRETT WALTER, JONNE B WALTER, KEITH ANDREW WALTER, PAUL FREDERICK WALTERS, ALAN SHIPMAN WALTERS, GORDON ERVIN WALTERS, GORDON LESLIE WALTERS, GRIFFITH GUERRY WALTERS, STEVEN LYNN WALTON, GARY RICHARD WALTON, KENNETH GLEN WALTON, KENNETH NELSON WALTUCK, JONATHAN WALZ, PETER DONGAN WANDERMAN, STEVEN MERRITT WANG, ADA PEI-HSING WANG, CHING FUON WANZO, CASSANDRA LEE WARD, ANN PETERSON WARD, ARTHUR NELSON WARD, BRADLEY LEE WARD, CHARLES JOSEPH WARD, CHARLES MCCUIN WARD, DANIEL FRANKLIN
025306 5118 NORTH IVY ROAD, N.E.
ATLANTA
GA
026953 4267 PALM SPRINGS DRIVE
EAST POINT GA
006160 6215 HOLLAND DR
CUMMING
GA
008350 517 HAMMETT DRIVE
DECATUR
GA
020617 4924 HAMLET COURT
LITHONIA
GA
021065 P. 0. BOX 9516
COLUMBUS
GA
012116 993 JOHNSON FERRY ROAD, NE, SUITE 130
ATLANTA
GA
013099 OB/GYN - MEMORIAL MEDICAL CENTER, PO BOX 23089
SAVANNAH
GA
023241 2107 KELLY ST
AUGUSTA
GA
014582 820 ST SEBASTIAN WAY, SUITE 7-B
AUGUSTA
GA
027939 408 EAST THIRD ST
ROME
GA
014675 2308 B PALMYRA RD.
012756 * 2480 WINDY HILL RD, SUITE 200
ALBANY
GA
MARIETTA
GA
030918 1260 WILDCLIFF CIRCLE NE
ATLANTA
GA
014966 6363 WATERFORD ROAD
COLUMBUS
GA
024370 DEPT. OF PSYCHIATRY & HEATLH BEH, MEDICAL COLLEGE OF AUGUSTA
GA
024369 1205 TROUPE STREET
AUGUSTA
GA
013317 1130 GOAT ROCK ROAD
FORTSON
GA
009289 2675 NORTH DECATUR ROAD, SUITE 406
DECATUR
GA
014008 3997 LAWRENCEVILLE HIGHWAY, SUITE 235 B
LILBURN
GA
027684 8 STEPHENSON AVE
SAVANNAH
GA
018761 PO BOX 520
THOMASVILLE GA
037415 201 PENDLETON ST, SUITE 203
VALDOSTA
GA
013318 BOX 23089
SAVANNAH
GA
018968 EMORY HOSPITAL, 1364 CLIFTON ROAD
ATLANTA
GA
017899 OCONEE MEDICAL CONSULTANTS, 641 WEST THOMAS STREET MILLEDGEVILLE GA
015138 ST ELMO CLINIC, 1519 - 20TH STREET
COLUMBUS
GA
031854 24 WASHINGTON AVE
SAVANNAH
GA
034977 1120 FOXFIRE
ELBERTON
GA
036897 4133 ALLISON ROAD
MARTINEZ
GA
035536 710 CENTER STREET, BOX 100
COLUMBUS
GA
027685 500 SADDLE CREEK CIRCLE
ROSWELL
GA
021114 1712 FERNLEAF CIRCLE
ATLANTA
GA
035537 1920 WARM SPRINGS ROAD
COLUMBUS
GA
021369 P. 0. BOX 5146
ROME
GA
013698 315 BOULEVARD NE, SUITE 555
ATLANTA
GA
036475 3448-R NORTH DRUID HILLS RD
DECATUR
GA
022075 935 STOVALL BLVD NE
ATLANTA
GA
033787 747 JONES CREEK
EVANS
GA
007304 818 ST SABASTIAN WAY, SUITE 311
AUGUSTA
GA
030919 818 ST SABASTIAN WAY, SUITE 311
AUGUSTA
GA
027467 303 SMITH STREET
LAGRANGE
GA
021607 MARIETTA MEDICAL CENTER, 790 CHURCH ST EXT SUITE 500 MARIETTA
GA
036630 120 TRINITY PLACE
ATHENS
GA
034490 867 CASTLE FALLS DRIVE
ATLANTA
GA
012381 1938 PEACHTREE RD, NW, SUITE 306
ATLANTA
GA
037103 175 15TH ST, NE, # 301
ATLANTA
GA
008584 2536 LAWRENCEVILLE HWY
DECATUR
GA
036312 211 PRIME POINT, BLDG 2 SUITE H
PEACHTREE CITY GA
038641 9 MEDICAL ARTS CENTER
SAVANNAH
GA
022974 P. 0. BOX 205
CEDARTOWN
GA
035165 2922 RIDGE BROOK TRAIL
DULUTH
GA
023242 PO BOX 139, CHURCH STREET
012808 * 150 MOUNTAIN VIEW ROAD
TAYLORSVILLE GA
MARIETTA
GA
021115 PO BOX 139
TAYLORSVILLE GA
011789 7 DOWNING LANE
DECATUR
GA
006731 420 JOHNSON ST SE
DAWSON
GA
009628 SECT. OF EMERGENCY MEDICINE BOX, 8158 MEDICAL COLLEGE AUGUSTA
GA
30342
17
30344
17
30131-4637 32
30032
26
30038-2205 17
31908
16
30342
36
31403
15
30904-5421 10
30901
17
30161
31701
27
30067-8644 10
30329
08
31904
36
30912-3800 33
30904
31808
36
30033
23
30247
05
31405
03
31799
41
31603
05
31403
17
30322
03
31061
17
31906
33
31405
41
30635
10
30907
28
31994-2299 10
30076
03
30327
17
31995
28
30162
12
30312-1200 34
30033
27
30319
05
30809
03
30901
05
30901
05
30240
10
30090
12
30607
52
30329
41
30309
02
30309
37
30033
17
30269
28
31405
36
30125
10
30136
33
30178
09
30064-2178 08
30178-0139 10
30033
15
31742
10
30912
08
Page No. 224
Composite State Board of Medical Examiners' Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WARD, FRANK JOHN
031683 3 HARDEE DR
WARD, GARRETT GRAHAM
037722 505 MALL BLVD, THE HUNTINGTON APTS #601
WARD, JACOB TUCKER
032075 2000 PROFESSIONAL WAY, SUITE 200A
WARD, JAMES WSR
006499 PROFESSIONAL TOWER STE 101, 700 CENTER STREET
WARD, JOHN ROBERT
022910 PO BOX 347
WARD, JOHN WEBB
026673 1537 EMORY ROAD
WARD, MARTHA SUSAN
020360 115 JUNIUS STREET, EMERG. DEPT.
WARD, MARTIN TERRY
014967 RADIOLOGY ASSOC OF MARIETTA, 70 TOWER RD
WARD, MARY CAROLYN
009291 1596 LANCASTER DR.
WARD, MARY CURRY
010741 1197 ARDEN DRIVE
WARD, PEGGY RAY
035192 486 FALCON DR ROAD
WARD, RICHARD ALPHEUS
031684 ROUTE 1 BOX H605
WARD, RICHARD STORER
009346 27 LENOX POINTE
WARD, ROY THURMAN, JR
005653 BOX 165
WARD, TIMOTHY H WARDLAW, JOE ROY WARE, DEBRA JEININE
023125 210 GREENLEAF TERRACE
027941 * 410 BROAD STREET, SUITE 6 036476 * 2514 COMMON TRACE
WARE, JAMES MICHAEL
029967 98 TWIN LAKES RD SW
WARE, JAMES PATRICK
015695 1 DUNWOODY PARK, SUITE 112
WARE, OLIVER BEOTRICE
032321 6520 MINK DRIVE
WARGA, PHILLIP WILLIAM
006849 163 STRATFORD DR
WARING, GEORGE ORAL III
020619 EMORY EYE CENTER BLDG., 1327 CLIFTON RD NE
WARING, JOHN PATRICK
027686 225 RUTLAND COURT
WARNER, AMYS
030559 410 PEACHTREE PARKWAY NORTH
WARNER, BRET JAMES
038395 320 LAMPLIGHTER LN
WARNER, CLINTON E
007731 505 FAIRBURN RD. S.W., SUITE 205
WARNER, DERYL HART
034491 2302 STARLING STREET
WARNER, JANICE MURPHY
028477 1700 HOSPITAL SOUTH DRIVE, SUITE 101
WARNER, JOHN C JR WARNER, MELISSA LEE
012382 1676-C MULKEY ROAD
033480 * 19 MEADOW DRIVE
WARNER, ROBERT GEORGE
028099 COBB HEART CLINIC, 1700 HOSPITAL ROAD, STE 302
WARNOCK, ELI WARREN, III
034737 1716 KINGS DOWN CIRCLE
WARNOCK, RALPH PARKS
017337 500 WEST MAIN STREET
WARNOCK, ROBERT HOLCOMB JR. 027942 2500 HOSPITAL BLVD, SUITE 390
WARONKER, STEVEN WILLIAM
026674 125 GILFORD WAY
WARREN, DAVID BENJAMIN
032492 493 WATERFORD DRIVE
WARREN, FELICITY MERCEDES
034978 ATHENS AREA DERMATOLOGY, 1010 PRINCE AVE
WARREN, HOWELL RUDOLPH JR
012588 2151 PEACHFORD RD
WARREN, JAMES E
019805 3656 EBENEZER ROAD
WARREN, JAMES EDWARD, JR
029968 15 CAVENDER STREET
WARREN, JASMINHA SENKA MAJANOV 029555 38 COUNTRY CLUB RD
WARREN, JEFFREY BRYAN
037723 7 ST ANDREWS COURT
WARREN, KAREN LEE PIERCE
027943 875 JOHNSON FERRY ROAD
WARREN, MARJORIE JOHNSON
033745 260 DIX-LEE DRIVE
WARREN, ROBERT MICHAEL
019806 THE PORTER HOUSE, 2 PORTER LANE, BOX 609
WARREN, TONY EDWIN
028666 4 WREN PL
WARREN, WILLIAM CHESTER, IV 023126 993-D JOHNSON FERRY ROAD, SUITE 110
WARSHAW, BARRY L
015435 DEPARTMENT OF PEDIATRICS, 2040 RIDGEWOOD DRIVE
WARSHAW, ERIN MARY KEENER
038124 2112 HEERITAGE HEIGHTS
WARSHAW, JEFFREY SCOTT
030920 2112 HERITAGE HEIGHTS
WASDEN, HOWELL ANDERSON, III 017338 BOX 447, GREENVILLE HWY.
WASHBURN, MARILYN DIANE ROBERT 019435 5 LAKEVIEW PLACE
WASHINGTON, CARL VINCENT, JR 032322 DERMATOLOGY DEPT, 1365 CLIFTON ROAD NE
WASHINGTON, JACQUELINE MCFARLA 032493 2634 DANFORTH LANE
WASHINGTON, JAMES E, JR
012122 1835 LOCH LOMOND TRAIL SW
WASHINGTON, JOHN HENRY, JR. 025398 155 ARBOR CLIMB
WASHINGTON, SIDNEY RICHARD, II 028667 517 HIGHPOINT CIR
WASSERHEIT, JUDITH NINA
023127 47 THE PRADO NE
SAVANNAH
GA
SAVANNAH
GA
WOODSTOCK
GA
COLUMBUS
GA
SANDERSVILLE GA
ATLANTA
GA
THOMASVILLE GA
MARIETTA
GA
MARIETTA
GA
MARIETTA
GA
MARTINEZ
GA
JASPER
GA
ATLANTA
GA
WATKINSVILLE GA
THOMASVILLE GA
TOCCOA
GA
AUGUSTA
GA
ROME
GA
ATLANTA
GA
MIDLAND
GA
ATHENS
GA
ATLANTA
GA
DUNWOODY
GA
PEACHTREE CITY GA
MARTINEZ
GA
ATLANTA
GA
BRUNSWICK
GA
AUSTELL
GA
AUSTELL
GA
STATESBORO GA
AUSTELL
GA
DUNWOODY
GA
THOMASTON
GA
ROSWELL
GA
ATLANTA
GA
CARTERSVILLE GA
ATHENS
GA
ATLANTA
GA
MARIETTA
GA
NEWNAN
GA
NEWNAN
GA
BRUNSWICK
GA
ATLANTA
GA
FAIRBURN
GA
PORTERDALE GA
ROME
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
DECATUR
GA
WARM SPRINGS GA
AVONDALE ESTA GA
ATLANTA
GA
DECATUR
GA
ATLANTA
GA
MACON
GA
STATESBORO GA
ATLANTA
GA
31406-8903 08
31406
36
30188
10
31901-1545 15
31082
41
30306
17
31792
17
30060-6983 08
30066
15
30060
32
30907
17
30143
28
30324
33
30677
10
31792
03
30577
01
30909
15
30165-8533 05
30338
33
31820
03
30605
31
30307-1013 27
30350
11
30269
17
30907-3378 23
30331
41
31520
03
30001
17
30001
32
30458
53
30001
05
30338
08
30286
10
30076-4919 15
30360
30120
15
30606
10
30338
33
30066
03
30263
00
30263
32
31520
33
30342
30213
33
30270
08
30161-6842 34
30342
32
30322
32
30033
06
30033
15
31830
10
30002
10
30322
06
30033
23
30331
36
31210
17
30458
15
30309
17
Page No. 225
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WASSERMAN, ANATOLIO G
035538 1201 WWARD STREET EXT
DOUGLAS
WATERMAN, MARK BRIAN
021214 828 ADAIR AVENUE, ~-~-
ATLANTA
WATERS, BARBARA BRITT
023700 39 YANCEY ROAD
CAROLL TON
WATERS, DONALD B
013804 120 CARTER AVE.
BLACKSHEAR
WATERS, RAYMOND 0
006734 121 SADDLE MOUNTAIN ROAD
ROME
WATERS, RENEE LATREASE
035782 ROUTE 1 BOX 2076 PATE ROAD
JULIETTE
WATERS, WILLIAM C III
008588 35 COLLIER ROAD NW, SUITE 350
ATLANTA
WATERS, WILLIAM CARTER, IV 029969 35 COLLIER ROAD NW, SUITE 350
ATLANTA
WATKINS, CHARLES BROWN
006735 4674 MYSTIC DRIVEN E
ATLANTA
WATKINS, CLYDE JR
036033 3554-F CLUBHOUSE CIRCLE EAST
DECATUR
WATKINS, HARRY DANIEL, JR
025308 PO BOX 95846
ATLANTA
WATKINS, INGRID KRISTEN HAESLY 039004 KAISER PERMANENTE, BLD 9, 3495 PIEDMONT RD, NE
ATLANTA
WATKINS, MARIANNE
037416 510 COVENTRY ROAD, APT 17-A
DECATUR
WATKINS, PATRICIA NAOMI
022912 3640 BERMUDA CIR
AUGUSTA
WATKINS, WALTER FREDERICK
029260 1870 BRIDLE RIDGE TRACE
ROSWELL
WATKINS, WANDA LORRAINE
010088 2300 PEACHFORD RD, SUITE 1129
ATLANTA
WATKINS, WILLIAM ALFRED
032076 3236 WYNDHAM PARK COURT
DECATUR
WATNE, ALVIN LLOYD
036665 345 BOULEVARD NE
ATLANTA
WATSON, ALPHA JEANELL
026043 104 FAIRVIEW PARK DRIVE
DUBLIN
WATSON, BENJAMIN LUTHER
029118 P.O. BOX 14359
SAVANNAH
WATSON, BYRON MAURICE
032673 1001 SANTE FE TRAIL
MACON
WATSON, DAVID THOMAS
012206 500 PIEDMONT PROF BLDG, 35 COLLIER ROAD NW
ATLANTA
WATSON, DAVIS RONALD
008918 2300 MANCHESTER RD
COLUMBUS
WATSON, FRANCIS M JR
011729 1938 PEACHTREE RD NW STE 603
ATLANTA
WATSON, HENRY, JR.
025399 1760 CANDLER ROAD, SUITE C
DECATUR
WATSON, JOHN D JR
011913 BOX 5887
COLUMBUS
WATSON, LEONIE MARIE SULLIVAN 038396 4834 DOE RUN
EVANS
WATSON, MURRAH LENTON
030689 325 NOB NORTH DRIVE
COHUTTA
WATSON, RAQUEL MARIA
032674 1001 SANTE FE TRAIL
MACON
WATSON, RICHARD A
038397 4834 DOE RUN
EVANS
WATSON, URSULA ALICE
026675 3303 MONTGOMERY DR
GAINESVILLE
WATSON, WALTER G
004798 1430 HARPER ST
AUGUSTA
WATSON, WILLIAM WALKER
018763 P.O. BOX 2321
CARROLLTON
WATT, CHARLES HANSELL JR
006782 PO BOX 520
THOMASVILLE
WATT, EDWARD CLEMENTS JR
030560 3557 CARNOUSTIE COURT
AUGUSTA
WATT, WILLIAM VANCE
007646 900 GORDON AVE
THOMASVILLE
WATTANAWANAKUL, SOMSAK
022913 P.O. BOX 949
NASHVILLE
WATTERS, JULIAN Q
004679 LAKE ARROWHEAD STATION 2066
WALESKA
WATTERS, LESLIE CARROLL WATTS, BOBBY
020494 5355 TIMBER TRAIL
015523 * 1973 THOMASVILLE DRIVE
ATLANTA ATLANTA
WATTS, DAVID CHESTER
033221 140 VANN STREET, SUITE 410
MARIETTA
WATTS, FLORENCE RUTH LECRAW 033222 11 DEAN OVERLOOK NW
ATLANTA
WATTS, JUBAL ROBERT
016298 148 CLINIC AVE
CARROLLTON
WATTS, MICHAEL ALLEN
023415 820 ST. SEBASTIAN WAY
AUGUSTA
WATTS, MONICA OLENNA
036313 1515 WALTHAM PLACE
ATLANTA
WATTS, NELSON BARNETT
025309 ENDOCRINOLOGY DEPT, 1365 CLIFTON RD.
ATLANTA
WATTS, RAY LANNOM
029119 DEPT. OF NEUROLOGY, PO DRAWER V 6000 WMB
ATLANTA
WATTS, TIMOTHY DALE
031151 2055 EAST LAKE ROAD
ATLANTA
WAUGH, LYNDON D
017657 7000 PEACHTREE DUNWOODY ROAD, BLDG #16 SUITE 100
ATLANTA
WEAR, ROLAND FERDINAND JR
026955 229 YAM GANDY ROAD
SAVANNAH
WEATHERLY, WILLIAM KINGSLEY, J 008920 36 LENOX POINTE NE
ATLANTA
WEATHERRED, TED WAYLAND
034979 439 BRISTOL RD
MARTINEZ
WEATHERSPOON, BRYAN CHARLES 033482 1971 O'SHEA LANE
MARIETTA
WEATHERSTONE, ROBERT GRAHAM 026814 2300 MANCHESTER EXPRSWY BLDG B, ST FRANCIS MEDICAL PA COLUMBUS
WEAVER, ALEXANDER HAMILTON S, 008921 840 PINE STREET SUITE 500, P.O. BOX 6317
MACON
WEAVER, JERRY 0
011502 134 EAST FAIRMOUNT AVE
CEDARTOWN
WEAVER, ROSE ANN RIGBY
013701 172 NORTH MAIN STREET
MADISON
WEAVER, SHARON LEE ROBERTS 031189 5028 COVINGTON HIGHWAY, SUITE B
DECATUR
GA 31533
28
GA 30306
08
GA 30117
36
GA 31516
11
GA 30161-6835 30
GA 31046
32
GA 30309
17
GA 30309
17
GA 30342
10
GA 30032
17
GA 30347-0846 01
GA 3030-5
15
GA 30030
15
GA 30904
33
GA 30075
17
GA 30338-5816 33
GA 30034-5436 08
GA 30312
41
GA 31021
GA 31416-1359 17
GA 31210
10
GA 30309
17
GA 31904
30
GA 30309
46
GA 30032-3254 15
GA 31906
36
GA 30809-8914 10
GA 30710
08
GA 31210
GA 30809-8914 52
GA 30501
08
GA 30910-3699 15
GA 30117
08
GA 31792
41
GA 30307
33
GA 31792
41
GA 31639
36
GA 30183
32
GA 30342
34
GA 30315
36
GA 30060
03
GA 30318
03
GA 30117
46
GA 30901
48
GA 30316
10
GA 30322
09
GA 30322
23
GA 30307
17
GA 30328
33
GA 31411-2533 17
GA 30324
33
GA 30907
03
GA 30062
32
GA 31904
11
GA 31208
46
GA 30125
10
GA 30650
17
GA 30035
17
Page No. 226
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WEAVER, WILLIAM HM WEAVER, WILLIAM RHETT WEBB, GILBERT WARREN WEBB, HENRY MICHAEL WEBB, JOSEPH MANCI WEBB, KENT CLINTON WEBB, RANDALL MAYES WEBB, RAY DARWIN WEBB, ROBERT DONNELL WEBB, ROBERT HENRY, JR. WEBBER, JOEL BENJAMIN WEBER, COLLIN JAMES WEBER, FREDERICK HAROLD, JR WEBER, JONATHAN WEBER, JONATHAN TODD WEBER, WARREN MCCLURE WEBSTER, BRUCE STUART WEBSTER, MARY PATRICE WEBSTER, PAUL DANIEL III WEBSTER, ROBERT MCNAUGHT WEBSTER, SAMUEL EASELY WEBSTER, SHELTON LUKE WECHSLER, REUBEN PAUL WEED, RONALD L JR WEEKS, WALLACE RAY WEEMS, DAVID HALE WEEMS, DIANE ZABAK WEEMS, HORACE EUGENE, JR. WEEMS, MARION DUDLEY WEENS, JOAN HARRIET WEHUNT, GREGORY LAWRENCE WEI, JOHN PIN WEICHBRODT, GARY DEAN WEIDLER, DONALD JOHN WEIL, ARNOLD JAY WEIL, CRAIG EVAN WEIL, ETHEL JENNIFER WEIL, RICHARD LAWRENCE WEINBERG, ALAN MARC WEINBERG, ELLEN JOHANNA WEINBERG, PAUL BERNARD WEINBERG, WINKLER GABRIEL WEINER, MARK JAMES WEINER, NANCY CANTER WEINMAN, MICHAEL DAVID WEINSTEIN, JAMES BARRY WEINSTEIN, MICHAEL STEPHEN WEINSTOCK, HILLARD SAMUEL WEINTRAUB, ALAN GERALD WEINTRAUB, WILLIAM SETH WEINTRAUT, ROBERTA JEAN ALLEN WEISBERG, ANDREW LEE WEISER, EDWARD BRUCE WEISFELD, JAY STANLEY WEISMAN, EVAN B WEISMAN, HOWARD JAY WEISNER, LARRY F WEISS, GEORGE DEREK
006737 029819 038644 020620 037725 039005 025846 007607 032077 025686 036901 036034 037417 017902 036479 026677 007647 032078 012759 010368 020497 036902 032079 015139 025066 028100 029120 006082 033223 028101 025847 033224 031152 035784 036035 022079 034980 023701 035785 036480 023244 026201 033748 033749 031153 026407 033485 030399 030921 028914 037104 034268 033483 015998 010315 014113 035539 034074
700 SPRING ST, RM 201
MACON
GA
21 TROTTER'S GLEN
BALDWIN
GA
3321 W SHADOWLAWN AVE, NE
ATLANTA
GA
801 CLEMONT DRIVEN E
ATLANTA
GA
3078 CLAIRMONT RD, NE, APT 404
ATLANTA
GA
1351 N CROSSING DRIVE
ATLANTA
GA
165 VANN STREET
MARIETTA
GA
PO BOX 217
SPRINGFIELD GA
114 MIMOSA DRIVE, SUITE 4
THOMASVILLE GA
1310 COMFORT ROAD
AUGUSTA
GA
619 CARRIAGE PLACE COURT
DECATUR
GA
EMORY CLINIC, DEPT OF SURGERY, 1365 CLIFTON ROAD, N.E ATLANTA
GA
500 E 66TH ST
SAVANNAH
GA
5075 JETT FOREST TRAIL
ATLANTA
GA
1005 SUMMIT POINTE WAY
ATLANTA
GA
1605 MULKEY ROADS W, SUITE A
AUSTELL
GA
1028 WINDSOR WAY
GRIFFIN
GA
360 HOSPITAL DRIVE, BLDG D, SUITE 230
MACON
GA
517 SCOTTS WAY
AUGUSTA
GA
2004 HUMMINGBIRD LANE
JASPER
GA
980 JOHNSON FERRY RD, SUITE 250
ATLANTA
GA
659 PEACHTREE ST, APT 1409
ATLANTA
GA
P.O. BOX 675843
MARIETTA
GA
16 WILLOW GLEN NE
ATLANTA
GA
PO BOX 909
DALTON
GA
MEMORIAL MEDICAL CENTER, PO BOX 23089
SAVANNAH
GA
7 MODENA ISLAND DRIVE
SAVANNAH
GA
BOX G
PERRY
GA
180 DEER RIDGE
ATHENS
GA
1100 LAKE HEARN DRIVE, NE, SUITE 500
ATLANTA
GA
1 DUNCAN WAY
DALLS
GA
3673 CYPRESS POINT DR
MARTINEZ
GA
1938 PEACHTRE ROD NW, SUITE 708
ATLANTA
GA
3652 CHAMBLEE-DUNWOODY ROAD
CHAMBLEE
GA
114 CHERRY STREET, SUITE C
MARIETTA
GA
1121 JOHNSON FERRY ROAD, SUITE 200
MARIETTA
GA
1959 RIDGEWOOD DRIVE
ATLANTA
GA
105 COLLIER RD, #4060
ATLANTA
GA
5000 LAKELAND DRIVE
MARIETTA
GA
1122 WEATHERSTONE DR
ATLANTA
GA
600 PROFESSIONAL DRIVE, SUITE 160
LAWRENCEVILLE GA
3275 SOMMERSET TRACE SE
MARIETTA
GA
1320 OAKSIDE DRIVE, SUITE 202
CANTON
GA
1938 PEACHTREE ROAD NW, SUITE 205
ATLANTA
GA
500 E 66TH STREET
SAVANNAH
GA
1000 JOHNSON FERRY RD NE, RADIOLOGY DEPARTMENT
ATLANTA
GA
2368 ELON WAY
DECATUR
GA
1790 HOMESTEAD AVENUE
ATLANTA
GA
THE MARCUS CENTER, 1605 CHANTILLY DRIVE STE 150
ATLANTA
GA
105 BREAKWATER CIRCLE
ATLANTA
GA
4459 GLENWOOD DRIVE
MACON
GA
5490 HAMPSTEAD WAY
DULUTH
GA
5671 PEACHTREE DUNWOODY ROAD NE, SUITE 320
ATLANTA
GA
C.D.C., 1600 CLIFTON RD NE
ATLANTA
GA
833 CAMPBELL HILL STREET, SUITE 220
MARIETTA
GA
3188 ATLANTA ST
SMYRNA
GA
MED COL OF GA -SURGERY
AUGUSTA
GA
544 GREENWOOD AVE, APT 2
ATLANTA
GA
31201
17
30531
17
30305
15
30306
08
30329
03
30329
36
30060
15
31329-0217 10
31792
309093096 08
30033
36
30322
41
31405
11
30327
03
30329-4063 17
30001
30223
08
31201
33
30909
11
30143
04
30342
OT
30308
33
30067-0022 03
30342
08
30722
10
31403
36
31411
32
31069
01
30605
33
30342
30132
10
30907-9020 41
30309
17
30341
17
30060
38
30068
28
30307
10
30369
30068
33
30324
03
30245
30067
30114
27
30309
23
31406
17
303421611
30033-1700 03
30306
17
30324
32
30328
05
31210
10
30136
36
30342
15
30329-4046 PH
30090
OS
30080
33
30912
41
30308
41
Page No. 227
NAME
WEISS, HARVEY A WEISS, JONATHAN SAMUEL WEISS, KENNETH LEE WEISS, L. MICHAEL WEISS, PH I LIP STEWART WEISS, STEPHEN HARRY WEISS, VICTOR JOSEPH WEISS, WILLIAM DAVID WEISSMAN, BARBARA MOST WEISSMAN, JOSEPH DANIEL WEITZ, FREDRIC IRA WEKSLER, ALICIA INES WEKSLER, LUIZ WELCH, DENNIS JOHN WELCH, GUSTIN MACKAY WELCH, JANET WATSON WELCH, NORMAN SPENCER WELDON, THOMAS DARRELL WELJI, ALMASS NAZIR WELLBORN, ROGER GARY WELLMAN, JAMES JORDAN WELLS, CHARLES CHESLEY, JR WELLS, CHARLES DUANE WELLS, DAVID A WELLS, JAMES OPIE, JR WELLS, JENNIE LOUISE WELLS, JOHN ALFRED WELLS, JOHN GAY WELLS, LARRY JOE WELLS, PERRY B WELLS, PHILIP HUNT WELLS, ROBERT EDWIN WELLS, STEPHEN JOE WELLS, WAYNE DARRELL WELSH, WILLIAM JOSEPH WENER, FREDERICK PETER WENER, JEFFREY ALLAN WENER, ROBERT GORDON WENGER, JAY DAVID WENGER, JULIUS WENGER, NANETTE KASS WERBEL, GORDON BRADLEY WERMAN, BARRY SAMUEL WERNER, DAVID A WERNER, JACQUELINE H WERNER, LYNNE DAWSON WERTHEIM, STEVEN BLAKE WESLEY, ROBERT BENJAMIN, II WESSINGER, WILLIAM N WEST, DONALD KEITH WEST, DOUGLAS LEE WEST, JAMES HERBERT WEST, JAY HERBERT WEST, JOHN E. WEST, JOHN HEATH WEST, JOHN MICHAEL WEST, JOHN THOMAS WEST, LAURA PINNER
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
012981 029820 039007 034981 038398 026956 038399 021440 032082 032083 023129 037924 018085 033922 037105 037925 024508 027745 033000 021441 014677 019807 037454 006081 013702 036315 010689 007134 020164 020498 021358 006080 036036 036666 017993 027688 018563 018564 032675 008017 008924 031154 020010 022915 012273 028103 030922 039008 023130 032323 023416 031855 008285 028915 011141 020621 014114 028231
993-D JOHNSON FERRY RD., SUITE 470 2366 LENORA CHURCH ROAD 714 WESTMINISTER COURT 2394 DUNWOODY XING, APT H 1027 ASHBURY DR 1055 MCLYNN AVE 2608 DANFORTH LN 490 TOMMY AARON DRIVE 2796 PARKVIEW DRIVE 2796 PARKVIEW DRIVE 2980 BAKERS MEADOW LANE 746 LAKE HILLS LANE 2302 STARLING ST. 884 CARLTON RIDGE NE 2989 EDENBERRY LANE 908 KINGS RD 35 COLLIER ROAD NW, SUITE 625 ROUTE 1 BOX 98 1051 FOREST HILLS DR 624 DIXIE STREET 5505 PEACHTREE DUNWOODY RD, SUITE 370 389 MULBERRY ST, SUITE 200 425 N HIGHLAND AVE, NE, APT 5 900 W. WJLLOWPARK DRIVE 2249 GREENCREST DR NE 901 CARLYLE LAKE 700 SPRING ST 41 JEFFERSON STREET, PO BOX 1099 3718 SAPPHIRE DRIVE 540 CHARTER BLVD, SUITE 100 13525 WILLOWBANK LANE 238 15TH STREET NE, #9 2 ALSTON PLACE PO BOX J, MILLEDGEVILLE HIGHWAY 1433 STOVALL STREET 3969 S COBB DR, SUITE 1083 2520 WINDY HILL ROAD, SUITE 202 2520 WINDY HILL ROAD, SUITE 206 1675 HOLLYLAKE CIRCLE 1365 CLIFTON ROAD NE 69 BUTLER ST SE, EMORY UNIVERSITY 2490 BANGOR CT 285 BOULEVARD NE, SUITE 335 2247 SALIENT ROAD 238 15TH ST NE# 17 217 PEACHTREE CIRCLE, N.E. 70 OLD STRATTON CHASE 749 TWIN BROOKS COURT 800 E 70TH STREET 790 CHURCH ST EXTENSION, SUITE 330 1649 MITCHELL STREET 520 WEST MINSTER COURT 960 JOHNSON FERRY ROAD N E, SUITE 520 3691 ERDLY LANE 5400 SUTLIVE STREET, SUITE 3 130 TANNER BLUFF 301 MEDICAL DRIVE, SUITES 503-4 125 OLD STRATTON CHASE
ATLANTA SNELLVILLE AUGUSTA ATLANTA DECATUR ATLANTA DECATUR GAINESVILLE ATLANTA ATLANTA ATLANTA TRENTON BRUNSWICK ATLANTA KENNESAW HINESVILLE ATLANTA RINGGOLD CONYERS CARROLLTON ATLANTA MACON ATLANTA DALTON ATLANTA DECATUR MACON NEWNAN MARTINEZ MACON ALPHARETTA ATLANTA ATLANTA SPARTA AUGUSTA SMYRNA MARIETTA MARIETTA SNELLVILLE ATLANTA A1LANTA SNELLVILLE ATLANTA MARIETTA ATLANTA ATLANTA ATLANTA MARIETTA SAVANNAH MARIETTA BAINBRIDGE ALPHARETTA ATLANTA SNELLVILLE SAVANNAH ATHENS LAGRANGE ATLANTA
GA 30342
47
GA 30278
06
GA 30909
36
GA 30338-7300 10
GA 30030-4167 32
GA 30306
15
GA 30033-2213 41
GA 30506
46
GA 30345
23
GA 30345
23
GA 30339
03
GA 30752
10
GA 31520
03
GA 30342
08
GA 30144
17
GA 31313
17
GA 30309
09
GA 30736
GA 30208
36
GA 30117
10
GA 30342
34
GA 31201
23
GA 30307
17
GA 30720
10
GA 30345
11
GA 30030
17
GA 31201
50
GA 30264
17
GA 30907
10
GA 31201
15
GA 30201-3638 03
GA 30309
46
GA 30324
31
GA 31087
10
GA 30904
47
GA 30080-6313 28
GA 30067
46
GA 30067
01
GA 30278
09
GA 30322
11
GA 30303
05
GA 30278
41
GA 30312-4205 06
GA 30064
32
GA 30309-3594 31
GA 30309
GA 30328
28
GA 30067
17
GA 31405
42
GA 30060
47
GA 31717
GA 30201
17
GA 30342
17
GA 30278
10
GA 31405
16
GA 30606
11
GA 30240
41
GA 30328
10
Page No. 228
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WEST, SALLY AGNES WEST, THOMAS BLAIR WESTERMAN, DAVID ELLIOT WESTERMEYER, SCOTT ARTHUR WESTFALL, DAVID NOEL WESTMORELAND, ANON E JR WESTMORELAND, CHERYL LYNN WESTON, PAUL DURHAM WESTON, WILLIAM III WESTON-HILL, ZADA YVETTE WETHERBY, DAVID WETHERINGTON, GARY MARC WETSTONE, JORDAN MATTHEW WETTERHALL, SCOTT FREDERICK WEXLER, RAYMOND HERBERT WHALEN, THOMAS BRIAN WHALEY, ELIZABETH TANNER WHALEY, MORGAN NEWMAN WHALEY, WILLIAM HOWARD WHARTON, MELINDA WHATLEY, EDWARDS C WHATLEY, JAMES CLAYTON WHATLEY, LEWIS ROSS III WHEATLEY, CLAYTON ANDREW WHEATLEY, JOSEPH KEVIN WHEATLEY, WILLIAM BRADFORD WHEELER, GEORGE AUBREY WHEELER, GEORGE B Ill WHEELER, JAMES HENSON WHEELER, LEE BURGESS WHEELER, SPENCER MILAN WHELAN, EDWARD JAMES WHELAN, EDWARD JAMES, Ill WHELCHEL, JOHN DAVIS WHERRY, RICHARD ANDRE WHIDDON, CLAUDE M WHIPPLE, DERYLE TAYLOR WHIPPLE, ROBERT L III WHISNANT, CHARLES L JR WHITAKER, CECIL FRANCIS JR WHITAKER, GREGORY KNOX WHITAKER, JAMES Q WHITAKER, WILLIAM G III WHITAKER, WILLIAM G JR WHITCOMB, DAVID SCOTT WHITE, ALONZO TOLBERT WHITE, ANN KAYE WHITE, ANNE LOUISE WRIGHT WHITE, BENJAMIN LEMOYNE WHITE, CHARLES LEONARD JR. WHITE, CHARLES LEWIS R WHITE, CHRISTOPHER BRADFORD WHITE, DAVID WESLEY WHITE, DOUGLAS RAY WHITE, EDWARD RUSSELL, JR WHITE, EVELYN WOODWARD WHITE, HORACE ROGER, JR WHITE, JACQUELINE GAY
026409 1454 CORNELL ROAD, NE
ATLANTA
GA
028232 125 OLD STRATTON CHASE
ATLANTA
GA
026410 5667 PEACHTREE DUNWOODY ROAD, SUITE 350
ATLANTA
GA
034982 PO BOX 421369
ATLANTA
GA
015524 GAINESVILLE FAMILY MEDICINE, 200 SOUTH ENOTA DRIVE, S GAINESVILLE GA
013534 BOX 897
DAHLONEGA
GA
035193 1508 TUXWORTH CIRCLE
DECATUR
GA
006784 PO BOX 1568, 1713 CENTRAL AVE
AUGUSTA
GA
018971 DEPT OF PEDJATICS, MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
039009 5117 OAKTREE TRAIL
LITHONIA
GA
008286 BOX 128
FT GAINES
GA
030690 THE HARBIN CLINIC, 1825 MARTHA BERRY BLVD
ROME
GA
030239 353 PARKWAY DR NE# 101
ATLANTA
GA
038127 1313 LANIER BLVD
ATLANTA
GA
025687 * 2210 NORTHS!DE DR NW
ATLANTA
GA
035542 4509 PACES STATION CLOSE
ATLANTA
GA
038646 6174 PATRIOT COURT
COLUMBUS
GA
013521 2705 HUNTERS CROSSING
AUGUSTA
GA
011504 3250 HOWELL MILL RD NW STE 305
ATLANTA
GA
033002 1471 WESSYNGTON ROAD, NE
ATLANTA
GA
005417 157 TALBOT ST
REYNOLDS
GA
020622 1825 MARTHA BERRY BLVD
ROME
GA
022490 P.O. BOX 200096
CARTERSVILLE GA
030400 2751 BRIARLAKE WOODS WAY
ATLANTA
GA
017340 692 NORTH ST. MARYS LANE
MARIETTA
GA
035351 742-B LAKESIDE DRIVE
WARNER ROBINS GA
033751 BLACKSHEAR FAMILY PRACTICE, 120 CARTER AVENUE
BLACKSHEAR GA
008237 4025 RIVERSIDE DRIVE
BRUNSWICK
GA
017903 993-F JOHNSON FERRY RD, NE, SUITE 210
ATLANTA
GA
031529 1851 NOTTELY SHORES W
BLAIRSVILLE GA
033752 5354 REYNOLDS STREET, SDUITE 505
SAVANNAH
GA
008589 #5 SANDY PT RD
SAVANNAH
GA
024373 906 E. 68TH ST
SAVANNAH
GA
011505 1364 CLIFTON ROAD N.E., SUITE H 124
ATLANTA
GA
017341 DAHLONEGA FAMILY PRACTICE, 1025 TIPTON DRIVE
DAHLONEGA
GA
011091 PO BOX 298
METTER
GA
009633 PO BOX 1661
PERRY
GA
012020 95 COLLIER ROAD, #2075
ATLANTA
GA
007734 4760 TALL PINES DRIVE, NW
ATLANTA
GA
009960 2000 HAMILTON RD
COLUMBUS
GA
026044 5354 REYNOLDS ST, CANDLER PROF BLDG STE 225
SAVANNAH
GA
017342 1606 WATSON BLVD, P.O. BOX 2343
WARNER ROBINS GA
012591 755 COMMERCE DRIVE, SUITE 205
DECATUR
GA
004681 35 COLLIER RD NW STE 405, PIEDMONT HOSP PFOF BLDG ATLANTA
GA
018767 745 BUTLERS GATE
MARIETJA
GA
032837 6590 GORDON HILLS DR
MABLETON
GA
035352 ATLANTA EAR NOSE & THROAT ASSOC, 5555 PEACHTREE DUNWO ATLANTA
GA
030240 1105 N 5TH AVE
ROME
GA
029261 5455 MERIDIAN MARK RD, SUITE 130
ATLANTA
GA
026682 PO BOX 876, NORTH MAIN STREET
CLEVELAND
GA
007927 818 FORSYT STREET
MACON
GA
038647 490 FALCON COURT
MARTINEZ
GA
037727 833 CAMPBELL HILL STREET, SUITE 380
MARIETTA
GA
029557 3236 HWY 278, SUITE
COVINGTON
GA
014875 440 DOGLEG COURT
ROSWELL
GA
034492 3809 MEDINAH COURT
MARTINEZ
GA
016447 1660 CAVAN DRIVE
MARIETTA
GA
038648 615 PEACHTREE ST NE STE 1210
ATLANTA
GA
30306
17
30328
03
30342
17
30342
05
30501
10
30533
01
30033
03
30903
41
30912
32
30038
10
31751
10
30165-1698 47
30312-1098 03
30306
35
30305
17
30339
03
31909
03
30907
10
30327
12
30306
53
31076
01
30165-1698 17
30120
36
30345
08
30064
52
31098
08
31516
10
31520
25
30342
10
30512-3722 10
31405
46
31404
52
31405
46
30322
41
30533
10
30439
41
31069
32
30309
05
30327
17
31993
15
31405
25
31099
31
30030
36
30309
11
30068-4207 08
30059
10
30342
30
30165-2699 00
30342
30
30528
01
31201
41
30907
32
30060
27
30209
01
30076
10
30907
12
30064
08
30308
41
Page No. 229
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WHITE, JEFFEORY H
022667 1500 DUG GAP ROAD
DALTON
GA
WHITE, JOHN MAXWELL, JR
028233 285 BOULEVARD NE, SUITE 215
ATLANTA
GA
WHITE, KELVIN DARNEL
033753 701-A GRIFFIN ST., P.O. BOX 518
EASTMAN
GA
WHITE, MARGARET ANNE
036482 1750 ANGELIQUE DR
DECATUR
GA
WHITE, PAUL CLARK, JR
009295 2809 N DOUBLEGATE DRIVE
ALBANY
GA
WHITE, PERRY MERRILL JR
009347 1547 CAVE RD., NW
ATLANTA
GA
WHITE, PERRY MERRILL, III
035787 5671 PEACHTREE DUNWOODY ROAD, SUITE 900
ATLANTA
GA
WHITE, RANDALL FRANCIS
031358 1017 HIGHLAND VIEW, N.E.
ATLANTA
GA
WHITE, ROBERT BRIGHTMAN
025311 1493 LAVISTA RD NE
ATLANTA
GA
WHITE, RONALD LESTER
024739 3433 DANIEL BRIDGE RD SW
CONYERS
GA
WHITE, SANDRA LAFOREST
020362 1645 ESPRIT COURTS W
ATLANTA
GA
WHITE, STEPHEN ROBERT
012590 412 NORTHSIDE DRIVE E
STATESBORO GA
WHITE, WILLIAM HENRY JR
009752 715 JESSE JEWELL PARKWAY, SUITE 201
GAINESVILLE GA
WHITE, WILLIAM KIMBERLY
032326 105 4TH AVENUE EAST
CORDELE
GA
WHITE, WILLIAM PENN
006740 558 MEDLOCK RD
DECATUR
GA
WHITEHEAD, CLARENCE M JR
014876 303 SMITH ST
LAGRANGE
GA
WHITEHEAD, EDDIE LYNWOOD
032087 7355 TIDEWATER TRACE
STONE MOUNTAIN GA
WHITEHEAD, THOMAS ALEXANDER 018088 4 LULLWATER EST NE
ATLANTA
GA
WHITEHOUSE, ALAN BRYANT
031359 UNIV PROF CTR - ONE - SUITE 2-B, 820 ST SEBASTIAN WAY AUGUSTA
GA
WHITEHURST, JOHN 0
011824 3481 LAKESIDE DRIVE, #2203
ATLANTA
GA
WHITELAW, ROBERTS JR
015438 980 JOHNSON FERRY ROAD, SUITE 660
ATLANTA
GA
WHITEMAN, DAVID MARK
037728 2801 N. DECATUR RD, SUITE 260
DECATUR
GA
WHITENECK, THOMAS MICHAEL
034077 4589 LAWRENCEVILLE ROAD, P.O. BOX 700
LOGANVILLE GA
WHITESIDES, THOMAS EDWARD JR 007610 * THE EMORY CLINIC SPINE CENTER, 2165 N. DECATUR ROAD DECATUR
GA
WHITLEY, JOHN CALVIN JR
020012 2919 B PROFESSIONAL PKWY
MARTINEZ
GA
WHITLOCK, PAUL AUSTIN JR
012592 412 NORTHSIDE DRIVE, E, SUITE 400
STATESBORO GA
WHITLOCK, RICHARD RALSTON, JR. 020623 818 ST SEBASTIAN WAY, SUITE 312
AUGUSTA
GA
WHITLOCK, WARREN LEE
038128 3715 PEBBLE BEACH DRIVE
MARTINEZ
GA
WHITLOW, MICHAEL LYNN
018345 1109 MEDICAL CENTER, SUITE 5A
AUGUSTA
GA
WHITMAN, GAIL FELICIA
030564 607 SPYGLASS ROAD
MARTINEZ
GA
WHITMIRE, RONALD NORMAN
016300 584 LANIER PARK DRIVE
GAINESVILLE GA
WHITNACK, JOHN DOYLE
009052 * 40 PEACHTREE VALLEY ROAD NE, BLDG L-12
ATLANTA
GA
WHITNEY, BROOKS ALAN
036903 5671 PEACHTREE DUNWOODY RD, SUITE 250
ATLANTA
GA
WHITNEY, DOUGLASS GLENN
010742 5671 PEACHTREE DUNWOODY RD, SUITE 250
ATLANTA
GA
WHITNEY, HEATHER ELIZABETH HUN 037107 9020 HUNTCLIFF TRACE
ATLANTA
GA
WHITSETT, CAROLYN FAY
018770 2123 EAST LAKE RD. N. E.
ATLANTA
GA
WHITSON, CHRISTOPHER DAVID 032838 4637 LANIER BLVD
OAKWOOD
GA
WHITTAKER, WINSOME DONNA-MARIE 039012 3558C MEADOWGLEN VILLAGE LANE
DORAVILLE
GA
WHITTLE, MICHAEL H
008592 16 QUIET COVE
MOULTRIE
GA
WHITTLE, MICHAEL R
016164 342 LAKESHORE DRIVE
CORDELE
GA
WHITWORTH, CLYDE W
003841 3208 CLUB POINT WAY
GAINESVILLE GA
WHITWORTH, JACK W
007611 93 HIGHLAND DRIVE
WEST POINT GA
WHITWORTH, STEVEN RUSSELL
020848 4139 HOSPITAL DRIVE
COVINGTON
GA
WHYTE, DANA F
012307 NORTHSIDE HOSPITAL, 1000 JOHNSON FERRY RD NE
ATLANTA
GA
WHYTE, HENRY JORDAN
011688 1121 JOHNSON FERRY RD
MARIETTA
GA
WICHMAN, RONALD DOUGLAS
037730 7220 DUNHILL TER NE
ATLANTA
GA
WICHMANN, THOMAS
037455 3955 BACK TRAILS
CLARKSTON
GA
WICKLIFFE, CHARLES W
012090 95 COLLIER ROAD, SUITE 2075
ATLANTA
GA
WIDMER, BLAISE A
0326TT DUBLIN INTERNAL MEDICINE, 104 FAIRVIEW PARK DRIVE DUBLIN
GA
WIEDEMEYER, ROBERT JOHN
029559 2700B PARKWOOD DRIVE
BRUNSWICK
GA
WIEGAND, STEWART EARLE
012988 755 MT VERNON HWY, NE, SUITE 110
ATLANTA
GA
WIELAND, WILLIAM F
015844 * 2801 BUFORD HIGHWAY #540
ATLANTA
GA
WIER, MARION ALEXANDER
013805 1125 TROUPE STREET, PO BOX 3845
AUGUSTA
GA
WIESNER, PAUL JOSEPH
015617 1374 HARVARD ROAD NE
ATLANTA
GA
WIGGANS, ROY GLEN
027468 310 SKYLINE PKY
ATHENS
GA
WIGGERS, NANCY HARMER
037731 2316 LAUREL LANE
AUGUSTA
GA
WIGGINS, CAROL ANN
027134 1938 PEACHTREE ROAD, #507
ATLANTA
GA
WIGGINS, ROY ARTHUR JR
007310 105 COLLIER ROAD, SUITE 2070
ATLANTA
GA
30720
32
30312
49
31023
10
30033-1202 17
31707
00
30327
46
30342
46
30306
33
30324-3846 33
30207-6005
30331
17
30458
41
30505
15
31015
10
30030
32
30240
52
30087
17
30307-1280 36
30901
01
30326
41
30342
28
30033
47
30249
10
30033
28
30907
01
30458
41
30901
05
30907
34
30909
22
30907
15
30505
30
30309
41
30342
50
30342
40
30350
36
30307
53
30566
03
30340
10
31768
36
31015
31
30506
31833
10
30209
41
30342
03
30068
06
30328-1259 36
30021
23
30309
05
31021
17
31520
23
30328-4222 06
30329
33
30914-3845 36
30306
17
30606-3867 16
30904
30309-1296 17
30309
09
Page No. 230
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WIGH, RUSSELL WIGHT, ROBERT PRATT JR WIGHT, VIRGINIA JOY WIGLEY, JERRY MARK WIIST, LANCE JORDAN WILBANKS, ANN WINDSOR ROGERS WILBER, JOSEPH A WILBER, MARTHA MARY WILBORN, WESLEY SAMSON WILBUR, OSCAR M_ILTON, JR WILCOX, CHARLES MELBERN WILCOX, CLARENCE R JR WILCOX, LYNNE SHARON WILCOX, ROBERT BEAL WILCOX, WALLACE DEAN WILDE, STEPHEN WILLIAM WILDER, JUDSON VON JR WILDER-DYER, KIM WILDEY, ROY ALLEN WILDS, BENJAMIN JAMES WILDSTEIN, ALBERT WILDSTEIN, GILBERT WILDSTEIN, WALTER BERNARD WILENSKY, RAYMON JOEL WILES, MARY ELIZABETH MILLER WILEY, DARYL C WILFONG, WALTER WINSTON WILHELMI, LOUIS J WILHOITE, JAMES R WILKERSON, BERNIE J JR WILKERSON, LESLIE ANDREW WILKES, EMANUEL WILKES, JOSEPH SHEPPARD WILKES, LESLIE L JR WILKES, SHELBY RAY WILKIEMEYER, RALPH MARK WILKIN, JAMES HENRY WILKINS, MARTHA ANNE WILKINSON, JOHN DAVID WILKOV, JANE LOUISE WILKS, STEPHEN MICHAEL WILLARD, KIM MARIA WILLE, CARL RICHARD WILLERS, DONALD R WILLEY, LOYS WILLIAM JR. WILLIAMS, ALFRED A WILLIAMS, ANDRE DAMIAN WILLIAMS, ARTHUR MICHAEL WILLIAMS, BARBARA WILLIAMS, BARTON GEE WILLIAMS, BENJAMIN PAUL WILLIAMS, BERNARD MOORE WILLIAMS, BYRON ROBINSON JR WILLIAMS, CATHY WILLIAMS, CHARLES DIRK WILLIAMS, CYD CHARISSE GREEN WILLIAMS, DAVID ADAMS WILLIAMS, DAVID C., JR.
007736 009961 032839 034078 033754 034740 007418 029560 012761 012207 033230 008594 023245 012762 021215 033231 011507 026957 011689 025849 018771 011202 010394 018773 019625 032327 028479 019626 011508 010840 022491 028335 021442 011093 024884 011509 031155 029389 033487 027689 015439 029123 030401 017748 011151 032116 022081 028480 021847 036039 031686 027946 018974 033489 026685 037421 015440 004682
3601 BURNING TREE COURT
AUGUSTA
GA
712 EAST 18TH STREET
TIFTON
GA
1085 GEORGIA AVE
MACON
GA
225 COOK STREET
CARTERVILLE GA
DULUTH PROF. CTR - SUITE 230, 3540 DULUTH PARK LANE DULUTH
GA
7765 JEFFERSON RIVER ROAD
ATHENS
GA
2242 MT PARAN RD NW
ATLANTA
GA
KAISER PERMANENTE GWINNETT, 3700 SATELLITE BLVD SUIT DULUTH
GA
230 PEACHTREE STREET NW, SUITE 1750
ATLANTA
GA
ROUTE 1 BOX H-611, BENT TREE DRIVE
JASPER
GA
1150 N MOORE CT
ATLANTA
GA
201 PINE VALLEY RD
ROME
GA
3329 HENDERSON CREEK ROAD
ATLANTA
GA
478-A PEACHTREE STREET, SUITE 1105
ATLANTA
GA
2679 OVERLOOK DR NE
ATLANTA
GA
975 HAWTHORNE AVE, SUITE B
ATHENS
GA
213 ARROWHEAD BLVD
JONESBORO
GA
790 CHURCH ST. EXT. NE, SUITE 470
MARIETTA
GA
111 NORTH MILLWARD ROAD
SAVANNAH
GA
314 ACADEMY DRIVE
VALDOSTA
GA
2801 NORTH DECATUR ROAD, SUIT 160
DECATUR
GA
29 SW UPPER RIVERDALE ROAD, SUITE 120
RIVERDALE
GA
3800 CASCADE RD SW
ATLANTA
GA
2201 GLENRIDGE-STRATFORD DRIVE
ATLANTA
GA
PO BOX 1000
BLAIRSVILLE GA
PO DRAWER 540, 315 FLU~ER STREET
THOMSON
GA
PO BOX 6535
MACON
GA
1221 GEORGE C WILSON DRIVE
AUGUSTA
GA
PO BOX 628
HAHIRA
GA
3069 AMWILER RD SUITE 2
DORAVILLE
GA
CLARK-HOLDER CLINIC, 303 SMITH ST
LAGRANGE
GA
2039 - 10TH AVE
COLUMBUS
GA
105 COLLIER RD NW, SUITE 1030
ATLANTA
GA
44 MEDICAL ARTS CENTER
SAVANNAH
GA
615 PEACHTREE STREET NE, SUITE 815
ATLANTA
GA
3193 HOWELL MILL ROAD NW, SUITE 226
ATLANTA
GA
1433 WATERS EDGE
AUGUSTA
GA
1237 WOODS CIRCLE NE
ATLANTA
GA
360 HOSPITAL DRIVE, SUITE 110
MACON
GA
484 IRVIN COURT, SUITE 240
DECATUR
GA
1984 PEACHTREE RD NW SUITE 505
ATLANTA
GA
1939 HIGHWAY 138
RIVERDALE
GA
3250 HOWELL MILL ROAD NW, SUITE 100
ATLANTA
GA
650 BROAD ST SE
GAINESVILLE GA
1275 CLEVELAND AVE
EAST POINT GA
969 PIKE STREET, SUITE 480
LAWRENCEVILLE GA
4166 SNAPFINGER WOODS DR
DECATUR
GA
755 FOREST CROSSING DR, SW
ATLANTA
GA
1950 LUM CROWE ROAD EXT
ROSWELL
GA
1328 ELMWOOD DR
COLUMBUS
GA
202 CHEROKEE ROAD
THOMASTON
GA
179 PIERCE AVENUE
MACON
GA
CRAWFORD LONG HOSPITAL, 550 PEACHTREE ST., NE
ATLANTA
GA
5037 INDIA LAKE DRIVE
ACWORTH
GA
3825 CHEROKEE STREET
KENNESAW
GA
2020 SPALDING DRIVE
ATLANTA
GA
2799 DELK RD
MARIETTA
GA
1142 DRUID PARK AVE
AUGUSTA
GA
30907
36
31794
17
31201
33
30120
10
30136
15
30607
32
30327
PH
30136
17
30303
06
30143
31
30327
11
30165-4341 15
30341
30308
52
30345
32
30606
11
30236
06
30060
23
31410-4124 36
31602
32
30033
50
30274
48
30331
41
30342
17
30512
17
30824
10
31208-6535 46
30909
10
31632
01
30360
12
30240
15
31901
30309-1708 46
31499
46
30308
27
30327
49
30901
05
30324
03
31201
17
30030
32
30309
36
30296
PH
30327
27
30505
28
30344
27
30245
25
30035-3411 15
30331
17
30075
08
31906
10
30286
17
31204
30365-1701 05
30102
33
30144
10
30350
15
30067
03
30904
52
Page No. 231
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WILLIAMS, DAVID MICHAEL
029997 811 MOUNTAINVIEW RUN
STONE MOUNTAIN GA
WILLIAMS, DENNIS GERALD
033490 TIFT GENERAL HOSPITAL, 901 E. 18TH STREET
TIFTON
GA
WILLIAMS, DOUGLAS LLOYD
026411 11 DUNWOODY PARK, SUITE 190
DUNWOODY
GA
WILLIAMS, GEORGE PATTERSON 009962 2258 WRIGHTSBORO ROAD, SUITE 400
AUGUSTA
GA
WILLIAMS, GEORGE WILLIS
018592 1430 HARPER STREET, SUITE A
AUGUSTA
GA
WILLIAMS, HADYN TENNYSON
033232 115 RIVER LANDING
ATLANTA
GA
WILLIAMS, HENRY G JR
009300 BOX 398
NASHVILLE
GA
WILLIAMS, HOWARD J JR
006852 377 OLD CLUB ROAD
MACON
GA
WILLIAMS, HOWARD JONES, Ill 035354 377 OLD CLUB ROAD
MACON
GA
WILLIAMS, ISALENE ARLETTE
030241 2135 AMBER CREEK DRIVE
BUFORD
GA
WILLIAMS, JACK G
011516 402 DOGWOOD AVE
DOUGLAS
GA
WILLIAMS, JAMES DAVID
010318 GEORGETOWN PEDIATRICS, 11 DUNWOODY PARK - SUITE 190 DUNWOODY
GA
WILLIAMS, JAMES S
031856 PO BOX 23089, BEAULIEU
SAVANNAH
GA
WILLIAMS, JENNIFER LYNNE HOLDE 037108 3711 WEXFORD PLACE NORTH
MARTINEZ
GA
WILLIAMS, JIMMIE EUGENE
017008 478 PEACHTREE STREET, SUITE 914A
ATLANTA
GA
WILLIAMS, JOANNE ELIZABETH 021611 6904 RIVERTOWN ROAD
FAIRBURN
GA
WILLIAMS, JOHN EVERETT
029561 5820 HAMILTON ROAD, SUITE 105. LANDMARK II
COLUMBUS
GA
WILLIAMS, JOHN L
009635 820 SAINT SEBASTIAN WAY, SUITE 4-C
AUGUSTA
GA
WILLIAMS, JOSEPH KERWIN
037733 611 PELHEM ROAD, APT A
ATLANTA
GA
WILLIAMS, JOSEPH P JR
012989 100 BEACHAM DRIVE, P.O. BOX 6147 - 30604
ATHENS
GA
WILLIAMS, JOSEPH WATSON
013102 730 PEACHTREE ST NE, SUITE 1000
ATLANTA
GA
WILLIAMS, KIMBERLY THOMAS
032063 1050 MOUNTAIN DROVE, SUITE A
DAHLONEGA
GA
WILLIAMS, LARRY ROGER
011094 6726 WINTERS HILL COURT
ATLANTA
GA
WILLIAMS, LAWRENCE HOWARD
024375 INTERNAL MEDICINE GROUP, P.C., 909 CENTER STREET
COLUMBUS
GA
WILLIAMS, MALCOLM H
008597 3001 S COBB DR STE 207
SMYRNA
GA
WILLIAMS, MARK FEDERIC
039013 3695 BAY POINT
AUGUSTA
GA
WILLIAMS, MARK JOHNSTON
034741 3911 GLENHURST DRIVE
SMYRNA
GA
WILLIAMS, MARK RICHARD
034270 177 BROOKSTONE WAY
MACON
GA
WILLIAMS, MARK VINCENT
032678 2111 MINUTE COURT
STONE MOUNTAIN GA
WILLIAMS, MIRONDA DENISE
033755 PO BOX 2505
PEACHTREE CTY GA
WILLIAMS, OTIS JAMES JR
018346 111 PROFESSIONAL CENTER DR
EASTMAN
GA
WILLIAMS, PAUL PARKER
024123 1190 MOUNTAIN SPRINGS CT
KENNESAW
GA
WILLIAMS, REMBERT ANDREW
028105 1423 16TH AVENUE
COLUMBUS
GA
WILLIAMS, ROBERT ANDREWS
014970 8 OAKHILL LN
ROME
GA
WILLIAMS, ROBERT JACKSON
029263 * 116 MAIN STREET
LINCOLNTON GA
WILLIAMS, ROBERT LEE, JR
033233 1862 CHADWORTH COURT
STONE MOUNTAIN GA
WILLIAMS, ROBERT LYNN, JR
015441 10590 MORTON RIDGE DRIVE
ALPHARETTA GA
WILLIAMS, ROBERT STEPHEN
037109 5080 WELLINGTON DR
MACON
GA
WILLIAMS, ROGER STOCKTON
029392 * 3520 STEVENS WAY
MARTINEZ
GA
WILLIAMS, SHIRLEY ANN
033493 4150 ARKWRIGHT RD, APT 18
MACON
GA
WILLIAMS, STEWART ANDREW
030242 2412 NOAK STREET
VALDOSTA
GA
WILLIAMS, STUART FRANCIS
027260 PO BOX 3106
ROME
GA
WILLIAMS, SUSAN GAIL
038652 COBB PEDIATRICS, P.C., 3911 MULKEY WAY
AUSTELL
GA
WILLIAMS, THEODORE GLENN
011518 1105 PALMYRA RD
ALBANY
GA
WILLIAMS, THOMAS HUBERT
005421 781 SPRING ST, PO BOX 4965
MACON
GA
WILLIAMS, THOMAS MERRIMAN
016698 PO BOX 1217
JESUP
GA
WILLIAMS, TIMOTHY CHARLES
024124 406 - 1ST AVE, PO BOX 1227
ALBANY
GA
WILLIAMS, TINA VAL
036040 PEACHTREE CORNERS MEDICAL CENTER, 6920 JIMMY CARTER B NORCROSS
GA
WILLIAMS, WALTER WENDELL
021443 2243 SCARBROUGH DRIVE
STONE MOUNTAIN GA
WILLIAMS, WAYNE MARSHALL
025070 3416 KINGFISHER CT
DECATUR
GA
WILLIAMS, WILFRED HAMILTON, 11 036041 EMORY CLINIC - RADIATION ONCOLOG, 1365 CLIFTON RD, NE ATLANTA
GA
WILLIAMS, WILLIAM A JR
009753 5297 BRANDYWINE DR
MACON
GA
WILLIAMS, WILLIAM MORRIS
011095 1517 GOLF CLUB ROAD
DOUGLAS
GA
WILLIAMS, WILLIAM O JR
007648 818 FORSYTH STREET
MACON
GA
WILLIAMS, WILLIAM T
007008 696 CONCORD RD SE
SMYRNA
GA
WILLIAMS, WILLIS HOWARD
017905 EMORY CLINIC, CARDIO-THOR. SURG., 1365 CLIFTON ROAD N ATLANTA
GA
WILLIAMS-HARRIS, MARCIA YVONNE 034985 5556 MOUNTAIN VIEW PASS
STONE MOUNTAIN GA
WILLIAMSON, ANDY FOY
025402 214 RIDGE CIRCLE
GA
30087
00
31793
08
30338
32
30910
15
30910
15
30350-1617 24
31639
12
31210-4724 32
31210-4724 03
30518
00
31533
32
30338
32
31403
41
30907
32
30308
17
30213
10
31904
03
30901-2643 44
30324
41
30606
44
30308
17
30533
32
30360
17
31901
17
30080
11
30907
30
30080
03
31210
36
30087
10
30269-0505 15
31023
15
30144
31901
30165-4335 26
30817
10
30087
15
30202
32
31210
32
30909
03
31210
17
31602
00
30164
10
30001
32
31701-1933 46
31208
41
31545
52
31702-1227 03
30071-1205 10
30088
17
30034
08
30322
36
31210
08
31533
08
31201
41
30080
17
30322
40
30087
10
31021
17
Page No. 232
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WILLIAMSON, CHARLES H. DAVIS 025071 540-W THOMAS STREET
WILLIAMSON, CHARLES KENNETH 025688 3497 STALLINGS ISLAND ROAD
WILLIAMSON, DONE
034079 1218 D'ANTIGNAC STREET
WILLIAMSON, GARY BENTON
023314 2100 CENTRAL AVE, SUITE 3
WILLIAMSON, JACKIE LARAE
030925 8901 E ALABAMA ROAD, SUITE 105
WILLIAMSON, MITCHELL TODD
035789 305 CARRIAGE PLACE COURT
WILLIFORD, GORDON STOKELY
035544 1017 STEVENS CREEK ROAD, APT 106
WILLINGHAM, ROBERT T JR
006741 2001 PEACHTREE STREET, SUITE 645
WILLIS, HOWARD CLARENCE
030693 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS
WILLIS, ISAAC
011096 1141 REGENCY ROAD NW
WILLIS, LEONARD W JR
007614 2402 TWIN LAKE DRIVE
WILLIS, TOM VANN, JR
010695 3215 SHRINE RD STE 3, TOWER OFFICE PARK
WILLOUGHBY, DA~ HALL
007067 2 MIDTOWN MEDICAL CENTER, 101 E 33RD ST
WILLOUGHBY, MICHAEL LEE
021612 2326 WRIGHTSBORO ROAD
WILLOUGHBY, WILLIAM ANTHONY 038407 27 CLARK TER
WILLS, BENJAMIN C
005658 604 EAST 67TH STREET
WILLS, CHARLES E JR
005659 119 GORDON ST
WILLS, JOE TERRELL
033003 606 WARE ST
WILLS, NOAH EDGAR, III
039014 2696 ARCARO COURT
WILLS, SILAS ANGIER
007009 2657 NORTH DECATUR ROAD, SUITE 604
WILLS, WILLIAM RALPH JR
009965 101 BOWENS MILL ROAD, PO BOX 32
WILLSON, SHAWN LOUISE
035170 6812 GLENRIDGE DR NE APT D
WILMER, CHARLES INMAN
029394 2001 PEACHTREE RD, N.E, SUITE 600
WILSON, ALVIN T, III
033494 HARTWELL CLINIC, 107 WGIBSON ST
WILSON, ARLENE ANNETTE
030926 5345 ST MARTINS COURT
WILSON, BRYANT WHITLEY
029824 35 COLLIER RD. SUITE 405
WILSON, COLON HAYES JR
011250 100 TENTH STREET, N.W.
WILSON, ERIC
030694 PO BOX 7848
WILSON, FRANK A III
005070 PO BOX 247
WILSON, FRANK ADAMS IV
024125 RT 1 BOX 292
WILSON, FRANKL JR
006742 35 COLLIER RD NW
WILSON, HENRY H
011730 2385B LAWRENCEVILLE HWY
WILSON, JAMES ALAN
038130 206 BUFORD PLACE
WILSON, JAMES KIRK
032679 PO BOX 6511
WILSON, JOE ED
029825 1215-A GEORGE C WILSON DR, SUITE 3
WILSON, JOHN PAGE
005660 2789 LOG CABIN DRIVE
WILSON, JOSEPH SEALY, JR
020626 755 MT VERNON HWY, #530
WILSON, JOSEPH SEALY, SR
005661 25 PRESCOTT STREET, SUITE 2401
WILSON, .KIMBERLEY GAIL ELLIOTT 031363 2001 PEACHTREE ROAD NE, SUITE 205
WILSON, LEROY AUGUSTUS, JR 012594 6295 RED OAK RD
WILSON, LOUIS AINSLEY
011916 1365 CLIFTON RD NE
WILSON, LYNETTE ROCHELLE
038132 550 HAMBRICK SQ
WILSON, MARCUS GARVEY
033234 1023 MCGILL PARK VE
WILSON, MARGARETT ANN
022082 1071 VELTRE CIRCLE
WILSON, MARY ANN
020014 PO BOX 54196
WILSON, MATTHEW WALLS
034986 406 CARLYLE LAKE
WILSON, MICHAEL ERNEST
032496 102 GROSS CRESCENT, SUITE 306
WILSON, PHILIP OTTO
015845 5448 YORKETOWNE DRIVE
WILSON, RICHARD HARDING
025072 2200 NORTH AVENUE
WILSON, ROBERT CHARLES, JR 036042 1838 STARNES STREET
WILSON, ROBERT LEWIS, JR
037110 315 NORTH COBB STREET
WILSON, ROY GOODWYN
010319 *PO BOX 30035
WILSON, SHIRLEY DIANN KELLEY 034742 250 MANSFIELD DRIVE
WILSON, TERRI MCNORRILL
034494 101 HOUSTON ST
WILSON, WALTER STEVEN
027947 129-B CARL VINSON PARKWAY
WILSON, WILEY
036633 401-B EAST 4TH AVENUE
WILSON, WILLIAM HAYES
030695 2001 PEACHTREE ROAD NE, SUITE 205
WILSON, WILLIAM ROBERT
032840 4 TRAPPER COURT
MILLEDGEVILLE GA
MARTINEZ
GA
AUGUSTA
GA
AUGUSTA
GA
WOODSTOCK
GA
DECATUR
GA
AUGUSTA
GA
ATLANTA
GA
COLUMBUS
GA
ATLANTA
GA
BAINBRIDGE GA
BRUNSWICK
GA
SAVANNAH
GA
AUGUSTA
GA
SAVANNAH
GA
SAVANNAH
GA
WASHINGTON GA
THOMSON
GA
DECATUR
GA
DECATUR
GA
DOUGLAS
GA
ATLANTA
GA
ATLANTA
GA
HARTWELL
GA
MABLETON
GA
ATLANTA
GA
ATLANTA
GA
ATHENS
GA
LESLIE
GA
LESLIE
GA
ATLANTA
GA
DECATUR
GA
MACON
GA
ATHENS
GA
AUGUSTA
GA
SMYRNA
GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
COLLEGE PARK GA
ATLANTA
GA
STONE MOUNTAIN GA
ATLANTA
GA
ATLANTA
GA
ATLANTA
GA
DECATUR
GA
FT OGLETHORPE GA
ATLANTA
GA
COLUMBUS
GA
AUGUSTA
GA
MILLEDGEVILLE GA
SAVANNAH
GA
HAWKINSVILLE GA
BARNESVILLE GA
WARNER ROBINS GA
CORDELE
GA
ATLANTA
GA
MIDLAND
GA
31061
27
30907
30901
10
30904
30188
10
30033
23
30907
03
30309
46
31901
17
30327
06
31717
01
31520
41
31499-6101 17
30904
17
31404-5516 41
31405
33
30673
10
30824-2133 41
30034
15
30030
19
31533
41
30328-2671 15
30309
17
30643
10
30059
17
30309
41
30309
37
30604
10
31764
17
31704
30309
12
30033-3143 32
31204
41
30604
03
30909
15
30080
41
30328
05
30308
17
30309-1476 37
30349
17
30322
27
30083
32
30312
37
30311
01
30308
32
30033
27
30742
17
30349
17
31904
47
30904
03
31061
41
31410
47
31036
15
30204
10
31088
10
31015
32
30309-1476 37
31820
27
Page No. 233
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
C*) Public Board Order exists; contact Board for details.
CODE CODE
WILTZ, PHILIP G JR
012595
WIMBERLY, CLAYTON BOARDMAN 032089
WINBURN, VIRGINIA BREVARD
034271
WINDHAM, ADDIS DANIEL
013810
WINDSOR, ROBERT EARL
031857
WINECOFF, WILLIAM FRANKLIN III 018975
WINER, RICHARD STEVEN
026412
WING, MICHAEL KENNETH
039015
WINGARD, JOHN REID
034495
WINGATE, HARRY LYNWOOD, III 032498
WINHAM, ROBERT JAMES
026205
WINIARSKI, NILDA BEATRIZ
016998
WINKENWERDER, WILLIAM
031364
WINN, KEVIN JOHN
025073
WINN, STEPHANIE SMITH COLE 038134
WINNER, JONATHAN DAVID
013706
WINNIE, JOHN NORMAN
033757
WINOKUR, MARK DAVID
036317
WINOKUR, STANLEY HOWARD
014878
WINSHIP, FLORENCE WOOD
014981
WINSLOW, WILLIAM TOD
037928
WINSTON, JEFFREY LEE
028337
WINSTON, RICHARD K
004432
WINSTON, ROY STUART
034496
WINTER, JEFFREY NEIL
036044
WINTER, THORNE SHERWOOD III 008599
WINTHER-SCHORSCH, LYNN ALISON 033788
WINTON, ELLIOTT FAIRCHILD
015141
WINZER, KIMBERLY MONIQUE
033258
WINZER, WILLIE MATHIS
031365
WIRSING, CHARLES J JR
016843
WIRSING, JUNG S
016448
WIRT, ROBERT C.
026686
WIRTH, FREMONT PHILIP
016449
WIRTZ, EMERSON KEITH
016450
WISE, ROBERT HAROLD JR
026687
WISEBRAM, DIANE LEIGH
022195
WISEHART, STEVEN GEOFFRY
024740
WISKIND, ELIZABETH ANNE KESSLE 029013
WISKIND, ROBERT HAROLD
032680
WITHERINGTON, ROY
007010
WITHERS, JOHN SCOTT
031366
WITHERS, NANCY WALLIS
036319
WITHERSPOON, PAMELA GAY
037456
WITT, MICHAEL ALBERT
034743
WITT, MICHAEL ANTHONY
026045
WIZNER, CHRISTOPHER ROBERT 037734
WO, JOHN MAN-HO
036906
WODECKI, TADEUSZ K.
029264
WOELTZ, VAN MATTHEW
035355
WOFFORD, BENJAMIN HARLAND JR 009966
WOFFORD, MICHAEL WESLEY
012599
WOGAN, TERRENCE LEE
023247
WOHLGEMUTH, STEPHEN ALAN
015846
WOJCIECHOWSKI, FRANK ANDREW 037422
WOJNO, TED HENRY
026959
WOJNOWICH, LEONARD S
021852
WOLF, CHARLES REDMOND, III
024376
75 PIEDMONT AVENUE N.E.
ATLANTA
GA
1105 N 5TH AVE
ROME
GA
813 WALTON WOODS COURT
AUGUSTA
GA
RFD 1
SAUTEE
GA
535 TAHOMA DRIVE
DUNWOODY
GA
5 ABBEY COURT
COLUMBUS
GA
335 SADDLE CREEK DRIVE
ROSWELL
GA
1010 OGLETHORPE DR
ATLANTA
GA
EMORY UNIV-HEMOTOLOGY/ONCOLOGY, 1327 CLIFTON ROAD NE ATLANTA
GA
PO BOX 3760, 132 SPARTA HWY
EATONTON
GA
743 SPRING STREET NE, PO BOX 1865
GAINESVILLE GA
120 WILLOW WAY
ROSWELL
GA
2859 PACES FERRY ROAD, SUITE 770
ATLANTA
GA
LAB HENRIETTA EGL HOSP, 1405 CLIFTON RD
ATLANTA
GA
1875 JENNY LN
LITHIA SPRINGS GA
755 MT VERNON H'WAY, SUITE 150
ATLANTA
GA
109 NORTH 3RD STREET
FOLKSTON
GA
550 STRATON CHASE
MARIETTA
GA
993 JOHNSON FERRY ROAD, SUITE 430
ATLANTA
GA
ROUTE 2 BOX 851
HULL
GA
526 HIGH COURT DR
AUGUSTA
GA
1970 CLIFF VALLEY WAY, NE, #101
ATLANTA
GA
2883 FAWNWOOD CIRCLE
VALDOSTA
GA
290 SOUTHSHORE DR
NEWMAN
GA
315 BLVD., NE, SUITE 316
ATLANTA
GA
993 JOHNSON FERRY ROAD NE, SUITE 305
ATLANTA
GA
C/0 GREGG & ALAN HUNT ZUBAY, 670 TOMMY AARON DRIVE GAINESVILLE GA
1136 E CLUB LANE
ATLANTA
GA
PO BOX 370956
DECATUR
GA
PO BOX 370956
DECATUR
GA
3413 WHEELER RD
AUGUSTA
GA
3413 WHEELER RD
AUGUSTA
GA
2523 NORTH OAKS DRIVE
GAINESVILLE GA
4 JACKSON BLVD
SAVANNAH
GA
4542 FIRESTONE DR
MARIETTA
GA
2704 D NOAK STREET
VALDOSTA
GA
980 JOHNSON FERRY RPAD, SUITE 820
ATLANTA
GA
1134 S ENOTA NE
GAINESVILLE GA
1365 CLIFTON ROAD NE
ATLANTA
GA
47 PEACHTREE PK DR.
ATLANTA
GA
MEDICAL COLLEGE OF GEORGI, DEPT OF UROLOGY
AUGUSTA
GA
3999 AUSTELL ROAD, SUITE 303-G
AUSTELL
GA
203 MILLER LOOP
FT BENNING GA
410 CHAMPIONS PINES LANE
AUGUSTA
GA
EMORY CLINIC -UROLOGY, 1365 CLIFTON ROAD, NE
ATLAN1:A
GA
HOSPITAL DRIVE
CHATSWORTH GA
116-B BABY DOE DRIVE
ROME
GA
800 GREENWOOD AVE NE APT 13
ATLANTA
GA
2637 MOORINGS PKY
LITHONIA
GA
630 MERIDEN CT
MARTINEZ
GA
684 CANTON ROAD
MARIETTA
GA
3280 HOWWLL MILL RD, NW, SUITE 302
ATLANTA
GA
PO BOX 158
ROCHELLE
GA
109 NORTH COMMERCE STREET
SUMMERVILLE GA
15 CLARK-HOLDER CLINID, 303 SMITH STREET
LAGRANGE
GA
THE EMORY CLINIC, 1365 CLIFTON ROAD NE
ATLANTA
GA
361 COMMERICAL DRIVE
SAVANNAH
GA
3623 J. DEWEY GRAY CIRCLE, SUITE 309
AUGUSTA
GA
30303
46
30165-2699 15
30909
41
30571
36
30350
38
31909
31
30076
33
30319
36
30322
53
31204
10
30503
03
30076
31
30339
17
30322
31
30057
33
30328
32
31537
10
30067
08
30342
19
30646
10
30909
10
30329
33
31602
27
30263
03
30312
41
30342
17
30506
33
30319
16
30037
32
30037
17
30909
33
30909
03
30506
10
31499
44
30067
17
31602
36
30342
11
30501
17
30322
15
30309
32
30912-1001 52
30001
08
31905
33
30909
10
30322
52
30705
10
30165
10
30306-3771 11
30058-8525 17
30907
17
30060-7210 47
30327
03
31079
01
30747
17
30240
52
30322
27
31499
10
30909
Page No. 234
NAME
WOLF, DOUGLAS CHARLES WOLF, MAX WOLFBERG, BERNARD BEHR WOLFE, JAMES ALAN WOLFE, MICHAEL WAYNE WOLFE, WILLIAM W JR WOLFF, CRAIG EDWIN WOLFF, JOHN MCDOWELL WOLFF, LUTHER HORN, JR WOLFF, MICHAEL HARRIS WOLFF, WILLIAM ANDERSON WOLFMAN, RICHARD MICHAEL WOLFMAN, SHEILA MULHALL WOLFORD, FREDERICK COLEMAN WOLFSON, MICHAEL R WOLLAM, EDGAR LEE WOLOZIN, MARK WILLIAM WOMACK, MICHAEL SHAY WONDERLY, CHERYL ANN ~OYKIN WONG, JOHN SEAH-HONG WOOD, BRUCE ALAN WOOD, CHARLES OWEN WOOD, CLAYTON EDWARD WOOD, HOMER PATRICK WOOD, JAMES HAROLD WOOD, MARCELLA D WOOD, MARK S. 1.JOOD, MARK G WOOD, MORGAN CLIFTON WOOD, RICHARD ELGIN, JR WOOD, ROBERT JON WOOD, ROBERT WARNER JR WOOD, ROY ALVIN WOOD, TERRY WILLIAM WOOD, WILLIAM COSTIN WOODALL, LEE TALMADGE WOODARD, ERIC JOHN WOODARD, JOHN ROGER WOODARD, OTIS J JR WOODFIN, BLANE ANTHONY WOODHAMS, JOHN TREVOR WOODS, BENJAMIN EDWIN WOODS, CARL ALLEN WOODS, CLISSON MAURICE WOODS, JAMES D WOODS, JOHN TERRANCE III WOODS, JOSEPH MILLIKEN, IV WOOOSIDES, KENNETH T WOODSON, GRATTAN CROWE, Ill WOODWARD, BOLAN PRINCE WOODWARD, JEFFREY G WOODWARD, RANDOLPH CRAIG WOODY, EDITH KAY WOOLARD, DEBORAH JEAN WOOLERY, WILLIAM ALAN WOOLFOLK, GREGORY MILANO WOOLFSON, JONATHAN MICHAEL WOOTTEN, CHARLES DAVID
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
027135 5671 PEACHTREE DUNWOODY RD, SUITE 550
ATLANTA
GA
029972 PO BOX 2787, 717 20TH STREET
COLUMBUS
GA
034744 360 BALBOA COURT
ATLANTA
GA
036045 5669 PEACHTREE DUNWOODY RD, SUITE 390
ATLANTA
GA
039017 596 HAMILTON STATION
COLUMBUS
GA
010320 515 EAST 63RD ST, SUITE 2
SAVANNAH
GA
034272 202 YORKSHIRE CRESCENT
THOMASVILLE GA
011733 35 COLLIER RD STE 425
ATLANTA
GA
016302 1310 13TH AVE, SUITE 203
COLUMBUS
GA
026690 70 TOWER RD
MARIETTA
GA
011519 MEDICAL ARTS BLDG 13TH ST, STE 203
COLUMBUS
GA
016007 215 TRIMBLE CHASE COURT
ATLANTA
GA
022562 215 TRIMBLE CHASE COURT
ATLANTA
GA
028365 3280 HOWELL MILL ROAD, #326
ATLANTA
GA
019463 980 JOHNSON FERRY ROAD, SUITE 410
ATLANTA
GA
019436 1810 MULKEY ROAD, SUITE 103
AUSTELL
GA
037423 601A PROFESSIONAL DRIVE
LAWRENCEVILLE GA
033759 2219 HERITAGE TRACE DRIVE
MARIETTA
GA
037424 135 CLEARVIEW CIRCLE
MCDONOUGH GA
019199 5483 REDBARK WAY
DUNWOODY
GA
023516 183C KEYS FERRY ST
MCDONOUGH GA
027263 696 PIKE STREET, SDUITE 400
LAWRENCEVILLE GA
008020 426 SECOND AVE, ALBANY DERMATOLOGY CLINIC PA
ALBANY
GA
007011 * 305 S WASHINGTON
FORT GAINES GA
022916 1030 BYRNWYCK ROAD
ATLANTA
GA
007012 3764 BRIARCLIFF RD NE
ATLANTA
GA
031368 501 BARCLAY COURT
STONE MOUNTAIN GA
022668 SW GA NEPHROLOGY & HYPERTENSION, 114 MIMOSA DRIVE THOMASVILLE GA
032681 3469 POINT VIEW CIR
GAINESVILLE GA
019809 610 - 19TH STREET, DOCTORS HOSPITAL CAMPUS
COLUMBUS
GA
033495 1105 NORWICH CIRCLE
ATLANTA
GA
008357 5555 PEACHTREE DUNWOODY RD NE, SUITE 107
ATLANTA
GA
036635 5105 SLOAN SQUARE
ATLANTA
GA
036636 35 COLLIER RD NW, SUITE 270
ATLANTA
GA
034281 EMORY UNIV - SURGERY HOSP, 1364 CLIFTON RD., NE, RM.B ATLANTA
GA
022917 101 HOUSTON ST
BARNESVILLE GA
033904 659 PEACHTREE STREET, SUITE 1106
ATLANTA
GA
008242 1901 CENTURY BLVD NE, SUITE 14
ATLANTA
GA
008243 1304 WHISPERING PINES RD
ALBANY
GA
025496 5671 PEACHTREE-DUNWOODY RD, SUITE 900
ATLANTA
GA
020627 1140 HAMMOND DR NE, BLDG E
ATLANTA
GA
019437 730 PEACHTREE ST, SUITE 1000
ATLANTA
GA
026688 101 WEST NORTHSIDE DRIVE
VALDOSTA
GA
026689 3679 VICTORIA DR.
EAST POINT GA
013243 320 2ND AVENUE
ALBANY
GA
017357 ROME RADIOLOGY GROUP, 1104 MARTHA BERRY BLVD
ROME
GA
031531 500 IRVIN COURT, SUITE 250
DECATUR
GA
013707 PO BOX 888754
ATLANTA
GA
024889 2801 N DECATUR RD, SUITE 300
DECATUR
GA
020851 2841 N. PATTERSON STREET
VALDOSTA
GA
018197 3910 AUSTELL RD, SUITE 204
AUSTELL
GA
016700 35 COLLIER ROAD, SUITE 500
ATLANTA
GA
028673 1720 S GORDON STREET SW
ATLANTA
GA
036046 723 MAGRUDER CT
EVANS
GA
029974 644 TALLULAH TRAIL
WARNER ROBINS GA
036483 408 CALIBRE PLACE
DECATUR
GA
034529 1810 CALIBRE WOODS DRIVE
ATLANTA
GA
035790 636 PINETREE DRIVE
DECATUR
GA
30342
17
31994-3899 36
30342
33
30342
05
31909
46
31405
33
31792
34
30309
06
31901
41
30060-6983 36
31901
41
30342
36
30342
36
30327
17
30342
15
30001-1119 17
30245
17
30062
03
30253
15
30338
36
30253-3224 10
30245
44
31701
06
31751
01
30319
44
30345
11
30083
32
31792
17
30506-1468 41
31901
10
30324
47
30342
28
30329
08
30309-1602 17
30322
41
30204
10
30308
44
30345
52
31707
33
30342
17
30328-5338 27
30308
17
31602
17
30344
31701
15
30165-1694 36
30030
41
30356
26
30033-5924 17
31602
15
30001
23
30309
17
30310
08
30809
08
31088
00
30033
17
30329
17
30030
15
Page No. 235
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
STATE ZIP SPECIALTY
(*) Public Board Order exists; contact Board for details.
CODE CODE
WOOTTEN, JENNIFER CLAIRE PITRA 035791 636 PINETREE DRIVE
DECATUR
GA
WORK, BRUCE A
035173 MCG DEPT OF OB GYN
AUGUSTA
GA
WORKMAN, CLAUDE HENRY, JR. 028921 2377 BRITTANY LANE
MARIETTA
GA
WORKMAN, DENNIS C
030244 PSYCHIATRIC INST. OF ATLANTA, 811 JUNIPER STREET NE ATLANTA
GA
WORKMAN, SAMUEL NEIL
013708 137 MOBILE AVE NE
ATLANTA
GA
WORKOWSKI, KIMBERLY ANN
036047 EMORY UNIV- INFECTIOUS DISEASE, 20 NE LINDEN AVE - SU ATLANTA
GA
WORRELL, THEOPHOLIUS SAMUEL 017962 530 OLD RIDGE RD
MACON
GA
WORSLEY, NORMAN ERVIN II
022290 202 BECKY DR
BONAIRE
GA
WORTH, JACK J JR
005072 888 ARTWOOD ROAD NE
ATLANTA
GA
WORTHAM, DAVID TODD
038135 3885 VILLA LANE
MARTINEZ
GA
WORTHINGTON, JOAN MARIE WILLIN 036322 494 SOUTH MAIN STREET
JASPER
GA
WORTHY, DAVID ALAN
033497 3817 VILLA LANE
MARTINEZ
GA
WORTLEY, PASCALE MARIE
038409 204 FAIRVIEW AVE
DECATUR
GA
WRAY, BETTY B
009305 3115 RAMSGATE RD
AUGUSTA
GA
WRAY, CHARLES H
008932 MCG HOSPITALS AND CLINICS, GENERAL/VASCULAR SURGERY D AUGUSTA
GA
WRIGHT, ASBURY DUKES, JR.
007315 327 NORTHSIDE DR NW
GAINESVILLE GA
WRIGHT, CHAS K
007014 238 15TH ST NE, #18
ATLANTA
GA
WRIGHT, DAVID LAVERNE
032683 1859 LEIDEN COURT
DUNWOODY
GA
WRIGHT, EDMUND MATTHEW
037111 113 NORMAN DORMINY DRIVE, PO BOX 1476
FITZGERALD GA
WRIGHT, GEORGE EDWARD
014590 DEPT OF ORTHOPEDICS, 69 BUTLER ST SE - SUITE 402
ATLANTA
GA
WRIGHT, JAMES CARTER
005423 105 BRANDYWINE TRAIL, HERITAGE HILLS
CARROL~ TON GA
WRIGHT, JAMES ROBERT
009306 295 WISTERIA DR NE
GAINESVILLE GA
WRIGHT, JEAN ANN
022669 2871 CEDAR CANYON CT
ATLANTA
GA
WRIGHT, KIMBERLY YVONNE
033905 2207 COUNTRYSIDE PLACE
SMYRNA
GA
WRIGHT, MALCOLM GEORGE
026414 282-A REDFERN VILLAGE
ST SIMONS ISLA GA
WRIGHT, MYGLEETUS WILLIAMS 031196 126 BARECKY DR
WARNER ROBINS GA
WRIGHT, SAM MARTIN
022291 3926 ASHFORD LAKE COURT
ATLANTA
GA
WRIGHT, STEPHEN C
017752 9525 HUNTCLIFF TRACE
ATLANTA
GA
WRIGHT, THOMAS LYNN
018568 870 CRESTMARK DRIVE, SUITE 101
LITHIA SPRINGS GA
WROTNOWSKI, UTE
033761 1299 MILL GLEN DRIVE
DUNWOODY
GA
WU, CHEN NAN
017906 DOUGLAS HOSP MED COMPLEX, 100-D 8954 HOSPITAL DR
DOUGLASVILLE GA
WULF, MICHAEL READ
015059 NORTHLAKE REGIONAL MEDICAL CNTR., 1455 MONTREAL ROAD TUCKER
GA
WYANT, JOHN ROWLAND JR
022919 165 VANN STREET
MARIETTA
GA
WYATT, MARK STEVEN
032499 NORTHWEST ATL SURGICAL ASSOC, SUITE 9C 1790 MULKEY RO AUSTELL
GA
WYATT, THOMAS CLAYTON
029395 * 4722 CAMBRIDGE DRIVE
DUNWOODY
GA
WYATT, THOMAS EARL
011791 833 CAMPBELL HILL ST
MARIETTA
GA
WYCHE, LENNON DOUGLAS, JR
031160 608 CINDER HILL LANE
HINESVILLE GA
WYLIE, JAMES EDWIN
009643 1275-F MCCONNELL DRIVE
DECATUR
GA
WYLIE, WILLIAM JOSEPH
019200 837 CHAFEE AVENUE
AUGUSTA
GA
WYLY, JOHN BRADLEY
026415 RADIOLOGY - EGLESTON HOSPITAL, 1405 CLIFTON ROAD NE ATLANTA
GA
WYNN, JAMES JACKSON
024126 DEPT OF SURG MED COLL OF GA, 1120 15TH ST
AUGUSTA
GA
WYNN, ONEDIAH CHESTER
003383 617 JONES ST
WAYCROSS
GA
WYNN, ROBERT A
011098 5400 SUTLIVE STREET, SUITE 1
SAVANNAH
GA
WYNN, TONJA MICHELLE
036667 1616 PIEDMONT AVE, NE, APT A-9
ATLANTA
GA
WYNNE, MORGAN D
007616 116 S HOUSTON RD
WARNER ROBINS GA
WYSONG, EDWARD DALE
015443 113 ATHENS ST
HARTWELL
GA
30030
33
30912
15
30062
01
30308
33
30305
33
30308
17
31211
01
31005
03
30307
11
30907
17
30143
10
30907
10
30030-2418 53
30909
04
30902
so
30501
06
30309
15
30338
32
31750
10
30303
46
30117
41
30501
27
30345
32
30080
33
31522
17
31088-7721 32
30319
32
30350
33
30057
23
30338
31
30134
41
30084
31
30060
15
30001
41
30338
01
30060
32
31313
36
30033
10
30904
05
30322-1101 32
30912-1003
31501
01
31405
40
30324
32
31088
11
30643
10
-x-
XENAKIS, STEPHEN NICHOLAS
029563 914 MILLEDGE ROAD
AUGUSTA
GA 30904-4455 33
YAFFE, BARRY MICHAEL YAGER, HOWARD SANFORD YAGHMAI, FARIVAR
-Y-
036323 013440 014762
2525 CUMBERLAND PKY NW 3109 E SHADOWLAWN AVE NE 813 KAMEL CIRCLE
Page No. 236
ATLANTA ATLANTA AUGUSTA
GA 30339-3915 19
GA 30305-2470 10
GA 30309
31
NAME
YALAMANCHILI, GANDHIJI YAMA, GEORGE H. YAMAGUCHI, HISA YAMIN, ABOLHASSAN YANCEY, ARTHUR HENRY YANCEY, ASA G YANCEY, GERALD VINCENT YANCEY, MICHAEL VICTOR YANDA, RANDY JOSEPH YANG, LUCY LO-HWA YARBORO, THEODORE LEON, JR YARBROUGH, JOHN ALLEN YARBROUGH, SIDNEY H III YARN, BARBARA IVEY YARN, CHARLES P JR YATES, THOMAS DAVID YEAGER, ANDREW MICHAEL YEAGER, EARL STEPHEN YEARGIN, HATTIE MARSHALYN YECKLEY, JAMES ALBERT YEE, CHIHUANG EDWARD YEH, KAREN ANNE YEH, THOMAS JUI-TING YI, JONG-YOON YILLING, FREDERICK PAUL YOCHEM, AUGUSTS JR YODER, JOHN JAMES WILLARD YODER, TERRENCE ANDREW YOE, LIONEL M YONKOSKY, REENA ANN YOON, YOUNG SHICK YORK, RANDOLPH MARTIN YOST, GREGORY JEROME YOST, HENRY F YOU, WOO YOUNG YOULES, OWEN K JR YOUMANS, CHARLES A YOUNG, ALVIN FREDRICK YOUNG, DEBORAH WHITE YOUNG, DEVELL RAY YOUNG, EDWARD HOTCHKISS YOUNG, HENRY WILLIAM YOUNG, PRISCILLA LOVETTA YOUNG, RAYMOND ARTHUR YOUNG, RICHARD ROBERT YOUNG, ROBERT WARREN YOUNG, THOMAS WILLIAM YOUNG, TIMOTHY AMES YOUNG, TIMOTHY RICHARD YOUNG, VALARIE CHARMAINE YOUNG, ZELLNER CARROLL YOUNGDEVASTEY, ROBERTA M. YOUNGLESON, SHARON JUNE YOUNT, AVIS BROWN YOUNT, PETER SHUFORD YU, ALBERT YU, CHENG LING YU, FRANK
Composite State Board of Medical Examiners Roster -0f Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
.(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIALTY CODE CODE
025312 2510 FAIRFAX DR
ALBANY
GA 31707
11
032685 250 RIVERVIEW ROAD
ATHENS
GA 30604
36
037426 2801 NORTH DECATUR RD, SUITE 280
DECATUR
GA 30033
41
020501 8954 HOSPITAL DRIVE, SUITE 115A
DOUGLASVILLE GA 30134
32
036909 2526 FLAIR KNOLL COURT
ATLANTA
GA 30345
08
008358 2845 ENGLE RD NW
ATLANTA
GA 30318-7216 41
028674 305 FIVE ACRES RD
ALPHARETTA GA 30201
10
036484 315 BLVD STREET NE, SUITE 220
ATLANTA
GA 30312
44
036638 35 COLLIER RD, NW, SUITE 650
ATLANTA
GA 30309
11
032841 1638 RAINIER FALLS DR, NE
ATLANTA
GA 30329-4108 27
037929 3300 N INGLE PLACE, APT 5-F
MACON
GA 31210
11
028235 ALLERGY & ASTHMA CLINIC OF NE GA, 520 JESSE JEWELL PA GAINESVILLE GA 30501
17
010322 2300 MANCHESTER EXPRESSWAY, BLDG G, SUITE 101
COLUMBUS
GA 31904
46
023249 5505 PEACHTREE DUNWOODY ROAD, SUITE 150
ATLANTA
GA 30342
03
005215 881 WEST CONWAY DRIVE NW
ATLANTA
GA 30327
47
026417 800 EAST DOYLE STREET
TOCCOA
GA 30577
17
037930 EMORY UN - PED HEMA ONC, 2040 RIDGEWOOD DRIVE, NE ATLANTA
GA 30322
32
021614 7001 HODGSON MEMORIAL DR #1
SAVANNAH
GA 31406
41
016200 5590 LONG ISLAND DR
ATLANTA
GA 30327
32
017909 835 EAST 65TH STREET, SUIE 107
SAVANNAH
GA 31405
06
033762 4616 OXFORD DRIVE
EVANS
GA 30809
17
036910 3008 FOX SPRING
AUGUSTA
GA 30909
41
010460 2 WHEELER STREET
SAVANNAH
GA 31405
40
036049 199 14TH STREET NE, #2309
ATLANTA
GA 30309
17
025314 4140 RIVER CLIFF CHASE
MARIETTA
GA 30067
08
007650 614 LORIDANS DRIVE, N.E.
ATLANTA
GA 30342
33
030696 PO BOX 2185
BLUE RIDGE GA 30513
41
035792 10 KINGS WALK
ATLANTA
GA 30307
32
006504 1915 HILTON AVE
COLUMBUS
GA 31906
01
028928 6410 CONCORD ROAD
CUMMINGS
GA 30130
08
022920 MILAN CLINIC, P. 0. BOX 216
MILAN
GA 31060
01
013524 2001 PEACHTREE ROAD, SUITE 545
ATLANTA
GA 30309
53
037735 5890 DEWEY DRIVE
MURRAYVILLE GA 30564
10
012764 26103 PLANTATION DRIVE, N.E.
ATLANTA
GA 30324
12
028108 COLUMBUS PATHOLOGY, PO BOX 4176
COLUMBUS
GA 31995
31
006505 PO BOX 3078
VALDOSTA
GA 31604
15
018091 5153 BLUEGRASS TRAIL
GROVETOWN
GA 30813
17
032092 740 PRINCE AVE, BLDG TWO
ATHENS
GA 30601
17
025075 5558 FOX GLEN CIRCLE
LITHONIA
GA 30058
028675 310 W. GORDON AVE, SUITE B
ALBANY
GA 31701
17
036325 360 HOSPITAL DRIVE, SUITE 110
MACON
GA 31201
17
022921 253 FARMERS MARKET RD
CORDELE
GA 31015
10
027951 1280 WEST PEACHTREE ST NW, #1509
ATLANTA
GA 30309
32
015561 1825 MARTHA BERRY BLVD
ROME
GA 30165-1698 05
021218 PO BOX 247
CARTERSVILLE GA 30120
32
038655 120 SOUTH SMEAD CT
ROSWELL
GA 30076
53
030931 1682 PINEFORD CT
ST MOUNTAIN GA 30088
31
025076 3193 HOWELL MILL RD, SUITE 223
ATLANTA
GA 30329
17
023418 118 SPRINGLAKES DRIVE
MARTINEZ
GA 30907
46
030247 2607 PEYTON WOODS TRAIL SW
ATLANTA
GA 30311
00
008936 810 E 66TH STREET
SAVANNAH
GA 31405
17
027473 6026 LANDOVER CIRCLE
MORROW
GA 30260
01
019475 PO BOX 29304, 1970 CLIFF VALLEY WAY, N.E.
ATLANTA
GA 30359
33
018612 820 ST. SEBASTIN WAY, 6-C
AUGUSTA
GA 30901
06
018569 820 ST SEBASTIAN WAY, SUITE 6-C
AUGUSTA
GA 30901
06
012861 248 ARROWHEAD BLVD
JONESBORO
GA 30236-1106 41
016167 1462 MONTREAL ROAD, SUITE 412
TUCKER
GA 30084
13
011100 3203 OLD MILL TRACE
MARIETTA
GA 30067
03
Page No. 237
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
NAME
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
YU, ROBIN HOOD
035357 159 WOLF CREEK DR NORTH
YUH, BYOUNGJOO
032332 1160 SPARTAN LANE
YUN, IN WHAN
016165 * 204 BROAD ST
YUSCAVAGE, GEORGE VINCENT JOHN 024643 4733 EIDSON RD.
YUSUFJI, FEROZE AHSAN
014728 6525 PROFESSIONAL PL, SUITE A
MACON ATHENS WRENS ATLANTA RIVERDALE
STATE ZIP SPECIALTY CODE CODE
GA 31210
36
GA 30606
32
GA 30833
10
GA 30360
08
GA 30274-2519 46
-z-
ZABEL, JEFF SCOTT ZACCHEI, ANTHONY CHRISTOPHER ZACHARY, WARNER C JR ZACK, MATTHEW M JR ZADOFF, ANDREW DAVID ZAENGLEIN, JAMES MATTHEW ZAFAR!, ABARMARD MAZIAR ZAHN, PRISCILLA ELAINE ZAHNER, LYNN ELLEN ROSS ZAIDAN, JAMES RONALD ZAKARIA, MAJED SAID ZAKEM, JAMES FRANCIS ZAKI, AFAF A K ZAKI, SALEH ABBAS ZAKI, SHERIF RAMZY ZALAMEA, PETRONIO FERNANDEZ ZAMAN, TAYYABA YASMIN ZAMRINI, EDWARD Y. ZANE, RICHARD CHARLES ZANGHI, ERIC JOSEPH ZANVILLE, STEPHEN ALAN ZAPF, CHARLES ALGER ZARZUELA, RICARDO I JR ZAVALA, DONALD CHARLES ZAWATSKY, PAUL D ZAWORSKI, ROBERT EDMUND ZDONCZYK, DANIEL EMILIO ZEE, HUGO J ZEGARRA, ALEX A. ZEINO, MERHAF ZEITOUNI, ELIE T ZELLMER, RICHARD ALLEN ZELMAN, DAVID JULIUS ZENGO, GREGORY PANDY ZERDEN, SOLOMON GLENN ZETZER, MARLENE JUDITH ZEVALLOS, CARLOS ALEJANDRO ZIEGLER, THOMAS RALPH ZIEMER, DAVID CARLETON ZIFFRA, KEVIN LEE ZIMMER, JAMES F ZIMMER, JOHN LEO ZIMMERMAN, KEITH WAYNE ZIMMERMAN, RONALD ROY ZINS, SUSAN ALLEN ZISHOLTZ, BARRY MITCHEL ZIVALICH, DONNA MARIE ZOERCHER, PHILIP ZOLLER, LINWOOD WILLIAM, III
034277 PO BOX 8727, 2300 MANCHESTER EXPRESSWAY
COLUMBUS
GA
036326 8104 SLOAN PLACE
ATLANTA
GA
011143 BOX 972
BLUE RIDGE GA
017662 3064 WEMBLEY RIDGE
DORAVILLE
GA
023419 3250 HOWELL MILL RD., NW, SUITE 208
ATLANTA
GA
037736 DDEAMC BOX 535
FT GORDON
GA
039018 745 ROSALIA ST, SE, APT 214
ATLANTA
GA
029398 4885 FRANKLIN POND ROAD
ATLANTA
GA
030933 OB/GYN - SUITE 270, 600 PROFESSIONAL DRIVE
LAWRENCEVILLE GA
018774 4986 CHEDWORTH DRIVE
STONE MOUNTAIN GA
014729 PO BOX 1060
RIVERDALE
GA
024891 5005 RIVERVIEW RD, NW
ATLANTA
GA
015054 2660 PEACHTREE ROAD, NW, #8-A
ATLANTA
GA
015055 2660 PEACHTREE ROAD, NW,# SA
ATLANTA
GA
031187 MOLECULAR PATHOLOGY MSG 32, CDC/ 1600 CLIFTON ROAD ATLANTA
GA
025690 3540 WHEELER ROAD, SUITE 403
AUGUSTA
GA
023809 2311 HENRY CLOWER BLVD
SNELLVILLE GA
031688 1434 ANTHONY RD
AUGUSTA
GA
022196 4553 N SHALLOWFORD RD, SUITE 20B
ATLANTA
GA
030248 1719 RUSSELL PKWY, BLDG 700
WARNER ROBINS GA
018349 2150 PEACHFORD ROAD,# J
ATLANTA
GA
018198 1996 CLIFF VALLEY WAY NE, #105
ATLANTA
GA
022292 1030 WOODS ROAD
WAYCROSS
GA
038138 100 FLOYD ST PIER POINTE# 105
ST SIMONS ISL GA
038657 HUGHSTON CLINIC, 6262 HAMILTON ROAD
COLUMBUS
GA
017351 980 JOHNSON FERRY RD NE, SUITE 450
ATLANTA
GA
031162 870 CRESTMARK DRIVE, SUITE 101
LITHIA SPRINGS GA
018436 6065 LAKE FORREST PLACE, SUITE 190
ATLANTA
GA
023132 * PO BOX 1556
STOCKBRIDGE GA
039019 403 N DECATUR LANE
DECATUR
GA
016847 1908 CHEROKEE AVE
COLUMBUS
GA
024742 110 WOOD RIVER COURT
DULUTH
GA
037428 4260 GREENRIDGE DRIVE
MARIETTA
GA
037738 521 MCGILL PARK AVENUE
ATLANTA
GA
024743 2 MULBERRY BLUFF DRIVE
SAVANNAH
GA
033236 PO BOX 20143
ST SIMONS ISL GA
011252 6604 DOROTHY LANE
JONESBORO
GA
038411 818 GUINEVERE WAY SW
LILBURN
GA
023252 116 EVANS DR.
DECATUR
GA
034499 4555 NORTH SHALLOWORD ROAD, SUITE 105
ATLANTA
GA
024127 256 COMMERCE DRIVE, SUITE 481
PEACHTREE CTY GA
026693 MACON FAMILY HEALTH, 4356 MERCER UNIVERSITY DRIVE MACON
GA
027954 679 HOSPITAL ROAD
COMMERCE
GA
037112 DOCTORS LABORATORY, INC, PO BOX 2658, 2906 JULIA DR! VALDOSTA
GA
037739 403 PEACHTREE HILLS CIRCLE
ATLANTA
GA
030698 29 UPPER RIVERDALE RD SW, SUITE 140
RIVERDALE
GA
022380 C/0 KAISER PERMANENTE SUITE A, 3700 SATELLITE BLVD DULUTH
GA
018437 1075-C JESSE JEWELL PARKWAY NE
GAINESVILLE GA
028339 242 SOUTH ENOTA DR NE
GAINESVILLE GA
31908
11
30329
27
30513
01
30340
10
30327
30905
36
30312
05
30342
17
30245
15
30087
40
30274-1060 48
30327
30305
01
30305
31
30333
31
30309
01
30278
32
30904
23
30338
15
31088
00
30338
33
30329
08
31501
10
31522
34
31909
38
30342-1607 47
30057
44
30328
33
30281
01
30033
22
31906
33
30136
36
30062
37
30312
15
31406
31522
33
30236
31
30247-5449 17
30030-3612 09
30338
30
30269
31206-4118 10
30529
10
31604
31
30305
03
30274-2616 49
30136
32
30501-3814 30
30501
17
Page No. 238
NAME
ZOLLER, MICHAEL ZORA, JOHN ALFRED ZORET, GEORGE DAVID ZORN, WILLIAM AUSTIN ZORNES, SANDRA LEE ZOROWITZ, ROBERT ALAN ZOTTOLI, LAWRENCE FREDERICK ZUBER!, JALAL AKBER ZUBOWICZ, GEORGE ZUBOWICZ, VINCENT NICHOLAS ZUCKERMAN, ALAN MILES ZUG, KATHRYN ANNE ZUMBRO, GEORGE LIONEL, JR ZUMSTEIN, JAMES FREDERICK WNIGA, WILLY E ZURAWSKI, CHRISTINE ANN ZWEIG, ARNOLD ZWIREN, GERALD T ZWIREN, JEFFREY DAVID
Composite State Board of Medical Examiners Roster of Active Physician Licensees in Georgia as of October, 1994
LICENSE ADDRESS
CITY
(*) Public Board Order exists; contact Board for details.
STATE ZIP SPECIAL"I ( CODE COOE
018570 5201 FREDERICK STREET
SAVANNAH
GA 31405
30
026420 401 SOUTH MAIN ST, SUITE B-8
ALPHARETTA GA 30201
04
024744 * 3118 SHRINE ROAD
BRUNSWICK
GA 31521
027746 178 BUTLER LAKE DRIVE
ST SIMONS ISL GP 31522
17
028340 P.O. BOX 525
AMERICUS
Gi 31709
31
026694 WESLEY WOODS GERIATRIC HOSPITAL, 1821 CLIFTON ROAD NE ATLANTA
GA 30329
17
036639 105 OLDE TOWNE ROAD
SAVANNAH
GA 31410
10
031690 3350-5 LANSBURY VILLAGE DRIVE
ATLANTA
GA 30341
32
014449 THE BRADLEY CLINIC, INC, P.O. BOX 5308
COLUMBUS
GA 31993
33
018980 285 BOULEVARD, N.E., SUITE 340
ATLANTA
GA 30312
47
034501 320 QUIET WATER LANE
DUNWOODY
GA 30350
36
037429 1515 MORNINGSIDE DRIVE
ATLANTA
GA 30306
06
017352 820 ST SEBASTIAN WAY, SUITE 2-D
AUGUSTA
GA 30901
48
037931 6531 HAMPTON WAY, ASPT U-3
COLUMBUS
GA 31907
10
017568 PO BOX 335
DANIELSVILLE GA 30633
01
036328 746 COURTENAY CT
ATLANTA
GA 30306
17
014225 4110 GLEN DEVON DR NW
ATLANTA
GA 30327
30
009675 1901 CENTURY BLVD
ATLANTA
GA 30345
32
030569 600 PROFESSIONAL DRIVE,, SUITE 140
LAWRENCEVILLE GA 30245
47
Page No. 239