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Paul F. has worked in various positions since 1985. Paul began their career as an Assistant Professor of Pathology at Emory University, followed by a role as Pathologist at Gwinnett Medical Center in 1989. That same year, they became the CEO of Gwinnett Pathology Associates PC, a pathology practice group, and the Laboratory Director at Gwinnett Medical Center. In 1995, they became the CEO of MediaLab Inc., where they determined strategic direction and worked with staff to execute strategy. In 1996, they became the CEO of MediaLab, Inc. In 2000, they became the CEO of Sylvan Resources LLC. In 2001, they became a Consultant and Curriculum Committee Member at the College of American Pathologists (CAP). Finally, in 2014, they became an Assistant Professor at Augusta University, University of Georgia Medical Partnership.

Paul F. began their education by attending Youngstown State University from 1972 to 1976, where they earned a Bachelor of Arts (BA) in Chemistry. Paul then went on to The Ohio State University from 1976 to 1979, where they obtained their Doctor of Medicine (MD). Additionally, Paul F. holds a Six Sigma Green Belt certification from the University of Georgia - Terry College of Business.