| LCA CASE NUMBER | I-200-17152-418030 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/2/2017 |
| DECISION DATE | 6/8/2017 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 10/1/2017 |
| EMPLOYMENT END DATE | 6/30/2019 |
| LCA CASE EMPLOYER NAME | PIEDMONT ATHENS REGIONAL MEDICAL CENTER |
| EMPLOYER ADDRESS | 1199 PRINCE AVENUE |
| EMPLOYER CITY | ATHENS |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7064757000 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | HOPWOOD, LAUREN |
| AGENT ATTORNEY CITY | NEW HAVEN |
| AGENT ATTORNEY STATE | CT |
| LCA CASE JOB TITLE | RESIDENT PHYSICIAN |
| SOC CODE | 29-1069 |
| SOC NAME | PHYSICIANS AND SURGEONS, ALL OTHER |
| NAICS CODE | 622110 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 52,846.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | N/A |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | AAMC SURVEY OF RESIDENT/FELLOW STIPEND AND BENEFITS REPORT |
| LCA CASE WAGE RATE FROM | 53,025.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | ATHENS |
| WORKSITE COUNTY | CLARKE COUNTY |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30606 |
