1JCBC 2831000645.1 0000003100ROGERS LATONYA 1961
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1JCBC 2831000645.1 0000003100ROGERS LATONYA 1961 KAREN CRICLE PO BOX 30031 DECATUR GA 30031 404906405507218229256418471F3061912786.50 3854 VIJAY K MAHATHRE MD 0000000000 0100 00000000000000000000 00000000000000000000 0000000000000000US ARMY 0000000000US ARMY UNK MILLEDGEVILLE GA 31061 00000000007101026 06191202 JOHN H PENUEL,MD BA 1918 22831000645.1 C99 06191202 JOHN H PENUEL,MD C OCONEE REGIONAL MED CNT 7101026 CHEST,SINGLE VIEW000100000031003 1JCBC 2831002319.1 0000014600HAWKINS TAMEKIA M 169 MOORE ST MILLEDGEVILLE GA 31061 478234536408187437252255997F3062312346.90 3817 TAYYAB B BHUTTA MD 0000000000 0100 00000000000000000000 00000000000000000000 0000000000000000MCDONALDS 106 OAK ST EATONTON GA 31024 7064853533MCDONALDS 106 OAK ST EATONTON GA 31024 70648535337045026 06221202 JOHN H PENUEL,MD BA 1918 22831002319.1 C99 06221202 JOHN H PENUEL,MD C OCONEE REGIONAL MED CNT 7045026 CT HEAD W/O CONTR000100000146003 1JCBC 2831003016.1 0000039600BAILEY DEBBIE K 125 SPORTSMAN CIRCLE 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BOX 1056 520 KAOLIN SANDERSVILLE GA 31082 47855239517214826 03061203 LAURENCE STEINFELD,MD CO 191818 BLUE CROSS 101 - PPO P.O. BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283175321.1 E109 03061203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7214826 MRI LUM SPINE SCR000100000254003 2283175321.1 E209 03061203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7102026 CHEST,TWO VIEWS,F000100000038003 2283175321.1 P98 03211203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 0001-0000097484 2283175321.1 P98 03211203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000170156 1JCBC 283175343.1 0000010397HARPER DAVID L 223 CYPRESS ST SANDERSVILLE GA 31082 478553025007057239255532052M0030712553.20 3000 ROBERT D GATLIFF MD 0000000000 0303YXKC167A1558601 10215360 00000000000000000100 00000000000000000000 0000000000000000 0000000000B T H TRANSFER CO 1396 N HWY 15 SANDERSVILLE GA 31082 47855251197417726 03071202 JOHN H PENUEL,MD CO 191818 BLUE CROSS 101 P.O. 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BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283175355.1 F109 03071202 JOHN H PENUEL,MD F WASHINGTON CO REGIONAL 7356226 KNEE AP&LAT W/OBL000100000032003 2283175355.1 P98 03281202 JOHN H PENUEL,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283175355.1 P98 03281202 JOHN H PENUEL,MD P PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000018486 2283175355.1 P98 03281202 JOHN H PENUEL,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283175408.1 0000002400TURNER WILLIAM ARLIS 829 GWENDOLYN STREET SANDERSVILLE GA 31082 478552061001034963254800541M0030712562.10786.2 104 MARK R HARVEY MD 0000000000 0303YXKC938A5088301 10215360TURNER WILLIAM A 00000096010000000100 00000000000000000000 0000000000000000 0000000000RETIRED SANDERSVILLE RR 00000000007417726 03071204 WILLIAM A WILLOUGHBY,MCO 191818 BLUE CROSS 101 - PPO P.O. 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BOX 716 210 N HARRISSANDERSVILLE GA 31082 47855239817670526 03091203 LAURENCE STEINFELD,MD CO 191818 UNITED HEALTHCARE P O BOX 740806 ATLANTA GA 30374-0806 2283175443.1 E112 03091203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7670526 ECHO,ABD,B-SCAN/R000100000101003 2283175443.1 P95 03271203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 2283175443.1 P95 03271203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4299 COMMERCIAL LOA 0001-0000063486 2283175443.1 P95 03271203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 1JCBC 283175453.1 0000001252CUMMINGS MALIYHA T 290 MIDDLE HIGH DR P O BOX 737 SPARTA GA 31087 706998856001120606000000000F0030712729.89 139 CHARNETTA COLTON MD LAMAR TABATHA D P 0 BOX 737 SPARTA GA 31087 70699885602594929020303YRYV838179332593 CUMMINGS RODRICO 00000000000000000100 00000000000000000000 0000000000000000 0000000000UNEMPLOYED 00000000007363026 03071202 JOHN H PENUEL,MD CO 201918 BLUE CROSS 101 - PPO P.O. 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BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283176846.1 E328 03191204 WILLIAM A WILLOUGHBY,ME WASHINGTON CO REGIONAL 7313026 HAND PAT/LAT/OBL 000100000030003 2283176846.1 P98 04061204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283176846.1 P98 04061204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000017486 2283176846.1 P98 04061204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283176858.1 0000001252ALLEN CHARLES ETHAN 1569 OLD MITCHELL RD GIBSON GA 30810 706598284005247041260193759M4031312959.4 106 WENTZELLE KIM KITCHE 0000000000 0347YXKC085A54492 10474330 00000000000000000100 00000000000000000000 0000000000000000 0000000000 00000000007313026 03131203 LAURENCE STEINFELD,MD CO 191818 2283176858.1 L28 03131203 LAURENCE STEINFELD,MD L WASHINGTON CO INTERNAL 7313026 HAND PAT/LAT/OBL 000100000030003 2283176858.1 P98 04041203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283176858.1 P98 04041203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000017486 2283176858.1 P98 04041203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283176866.1 0000003293BUCK VALENCIA O 307 HILLCREST ST SANDERSVILLE GA 31082 478552146401176745256266300F0032212611.71611.79 113 E CHANDLER MCDAVID M 0000000000 4207Y811684640 702030 00000024110000000100 00000000000000000000 0000000000000000 0000000000OCONEE CENTER 153 E CHURCH ST SANDERSVILLE GA 31082 47855252157705626 03221203 LAURENCE STEINFELD,MD CO 191818 UNITED HEALTHCARE P O BOX 740806 ATLANTA GA 30374-0806 2283176866.1 E329 03221203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7705626 MAMMO DIAG BILATE000100000118003 2283176866.1 P112 04121203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 0001-0000024114 2283176866.1 P95 04101203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 2283176866.1 P95 04101203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4299 COMMERCIAL LOA 00010000060966 2283176866.1 P95 04101203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 1JCBC 283176890.1 0000004212ANDREWS REBERTHA 211 FARGO ST P O BOX 128 TENNILLE GA 31089 478552043807134764000000000F0032612794.8 120 BRIDGETT C BAILEY DO ANDREWS SAMUEL 211 FARGO STREET TENNILLE GA 31089 47855204382548036830303YXKC981A6853501 IPV03K10 00000000000000000100 00000000000000000000 0000000000000000 0000000000SELF EMPLOYED ANDREWS CONTRACTORS SANDERSVILLE GA 31082 00000000007670526 03261204 WILLIAM A WILLOUGHBY,MCO 191818 BLUE CROSS 101 - PPO P.O. BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283176890.1 E329 03261204 WILLIAM A WILLOUGHBY,ME WASHINGTON CO REGIONAL 7670526 ECHO,ABD,B-SCAN/R000100000101003 2283176890.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283176890.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000058886 2283176890.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283176902.1 0000013200CARSWELL GLADYS 206 E ALLEY STREET TENNILLE GA 31089 478456294504165457253080771F3032412723.1 789.06 179 EARLE M TAYLOR MD 0000000000 0100 00000000000000000000 00000000000000000000 0000000000000000 0000000000UNEMPLOYED 00000000007670526 03241201 FREDERICK S FALCHOOK,MCO 1918 2283176902.1 F128 03241201 FREDERICK S FALCHOOK,MF WASHINGTON CO REGIONAL 7670526 ECHO,ABD,B-SCAN/R000100000101003 2283176902.1 F128 03231201 FREDERICK S FALCHOOK,MF WASHINGTON CO REGIONAL 7101026 CHEST,SINGLE VIEW000100000031003 1JCBC 283176908.1 0000006123CROSBY MARJORIE L 109 W MCCARTY ST SANDERSVILLE GA 31082 478240003107206051250295731F0032212714.9 719.47 113 E CHANDLER MCDAVID M 0000000000 4207Y840682753 702030 00000000000000000100 00000000000000000000 0000000000000000 0000000000WASH CO BOARD OF EDU ELDER MIDDLE SANDERSVILLE GA 31082 47855220077371826 03221201 FREDERICK S FALCHOOK,MCO 191818 UNITED HEALTHCARE P O BOX 740806 ATLANTA GA 30374-0806 2283176908.1 E228 03221201 FREDERICK S FALCHOOK,ME WASHINGTON CO REGIONAL 7371826 MRI LOWER EXT OTH000100000186003 2283176908.1 P95 04101201 FREDERICK S FALCHOOK,MP PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 2283176908.1 P95 04101201 FREDERICK S FALCHOOK,MP PAYMENTS & ADJUSTMENT 4299 COMMERCIAL LOA 0001-0000124776 2283176908.1 P95 04101201 FREDERICK S FALCHOOK,MP PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 000100000000004 1JCBC 283176927.1 0000006200JOHNSON SANDRA E 119 JACKSON ST SE MILLEDGEVILLE GA 31061 478553929303275062260086180F1032912729.81V58.81786.50 133 LINUS O EJIM MD 0000000000 0100 00000000000000000000 00000000000000000000 0000000000000000 0000000000UNEMPLOYED 00000000007101026 03251201 FREDERICK S FALCHOOK,MCO 1918 2283176927.1 D228 03231203 LAURENCE STEINFELD,MD D WASHINGTON CO REGIONAL 7101026 CHEST,SINGLE VIEW000100000031003 2283176927.1 D128 03251201 FREDERICK S FALCHOOK,MD WASHINGTON CO REGIONAL 7101026 CHEST,SINGLE VIEW000100000031003 1JCBC 283176936.1 0000015696NORRIS BRENDA F 305 NORTH RAILROAD AVE P O BOX 71 HARRISON GA 31035 478553116205166348000000000F0032312789.07625.9 117 NORA MARIE HALL NP NORRIS BRENDA F P O BOX 71 HARRISON GA 31035 47855311622573310220303YXKC760A7647901 10530430NORRIS BRENDA 00000000000000000100 00000000000000000000 0000000000000000 0000000000WASHINGTON COUNTY RE P.O. BOX 636 610 SPARTA RSANDERSVILLE GA 31082 47824025507670026 03231203 LAURENCE STEINFELD,MD CO 191818 BLUE CROSS 101 - PPO P.O. BOX 9907 COLUMBUS GA 31908 2283176936.1 E228 03231203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7670026 ECHO,ADB,B-SCAN/R000100000139003 2283176936.1 E228 03231203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7685626 ECHO, PELVIC, COM000100000120003 2283176936.1 E228 03231203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7683026 ECHO, TRANSVAGINA000100000120003 2283176936.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283176936.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000222046 2283176936.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283176960.1 0000002206WADLEY BRENDA 997 NEW RD SANDERSVILLE GA 31082 478357841202015953000000000F0032312840.9 724.2 111 RICHARD NELSON EATON 0000000000 0303YXKC272A7610001 10474330WADLEY BRENDA 00000000000000000100 00000000000000000000 0000000000000000 0000000000WCRMC P.O. BOX 636 610 SPARTA RSANDERSVILLE GA 31082 47824020007211026 03231203 LAURENCE STEINFELD,MD CO 190118 BLUE CROSS 101 P.O. BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283176960.1 E128 03231203 LAURENCE STEINFELD,MD E WASHINGTON CO REGIONAL 7211026 LUMBORSACRAL SPIN000100000053003 2283176960.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283176960.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000030946 2283176960.1 P98 04111203 LAURENCE STEINFELD,MD P PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283176980.1 0000001300ATKINS MARY 46 PHILLIPS ROAD P O BOX 329 TENNILLE GA 31089 478552044506105358106447752F0032612729.81719.41 111 RICHARD NELSON EATONATKINS MARY P O BOX 329 TENNILLE GA 31089 47855204451064477521100Y106447752A 00000052000000000100 00000000000000000000 0000000000000000 0000000000DISABLED 00000000007322126 03261204 WILLIAM A WILLOUGHBY,MCO 191818 MEDICARE P.O. 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BOX 636 610 SPARTA RSANDERSVILLE GA 31082 47824020257210026 03261204 WILLIAM A WILLOUGHBY,MCO 191818 BLUE CROSS 101 - PPO P.O. 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BOX 9907 ATTN: BLUE CROSS CLAIMS DEPT COLUMBUS GA 31908 2283177048.1 E229 03261204 WILLIAM A WILLOUGHBY,ME WASHINGTON CO REGIONAL 7670526 ECHO,ABD,B-SCAN/R000100000101003 2283177048.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 2283177048.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0399 BCBS LOA 0001-0000058886 2283177048.1 P98 04111204 WILLIAM A WILLOUGHBY,MP PAYMENTS & ADJUSTMENT 0347 BLUE SHIELD PYMT 000100000000004 1JCBC 283177060.1 0000001304SPIKES GARY 182 MILLER STREET P O BOX 688 HARRISON GA 31035 478232538706296942000000000M3032612401.9 2884 CHARLIE FANG MD SPIKES GARY P O BOX 688 HARRISON GA 31035 47823253872553151530303YXKC467A7655601 10401900 00000000000000000100 00000000000000000000 0000000000000000 0000000000LOGIN DRILLING 4245 TENNILLE HARRISON ROHARRISON GA 31035 47824003707101026 03261201 FREDERICK S FALCHOOK,MCO 191818 BLUE CROSS 101 - PPO P.O. 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BOX 636 610 SPARTA RSANDERSVILLE GA 31082 47824020007830626 03281202 JOHN H PENUEL,MD CO 190118 UNITED HEALTHCARE P O BOX 740806 ATLANTA GA 30374-0806 2283177176.1 E202 03281202 JOHN H PENUEL,MD E WASHINGTON CO REGIONAL 7830626 BONE &/OR JOINT I000100000148003 2283177176.1 P95 04171202 JOHN H PENUEL,MD P PAYMENTS & ADJUSTMENT 4207 UHC PAYMENT 0001-0000114044 2283177176.1 P95 04171202 JOHN H PENUEL,MD P PAYMENTS & ADJUSTMENT 4299 COMMERCIAL LOA 0001-0000013846 1JCBC 283177178.1 0000001252HALL VIRGINIA 14143 HWY 242 BARTOW GA 30413 478377914512258130000000000F3032812729.5 182 ROBERT B LITTLE MD 0000000000 0303YXKC080A1632601 10250050 00000000000000000100 00000000000000000000 0000000000000000 0000000000JET FOOD STORE INC BARTOW GA 30413 47836484007363026 03281202 JOHN H PENUEL,MD CO 191818 BLUE CROSS 101 - PPO P.O. 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