| LCA CASE NUMBER | I-200-20056-350839 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-25 |
| DECISION DATE | 2020-03-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PRIMARY CARE PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-01 |
| END DATE | 2023-05-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | SCREVEN COUNTY HOSPITAL, LLC |
| TRADE NAME DBA | OPTIM MEDICAL CENTER-SCREVEN |
| EMPLOYER ADDRESS1 | 215 MIMS ROAD |
| EMPLOYER CITY | SYLVANIA |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30467 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19125645290 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Doscher |
| EMPLOYER POC FIRST NAME | Suzanne |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 215 Mims Road |
| EMPLOYER POC CITY | SYLVANIA |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30467 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19125645290 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Weinstock |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY ADDRESS1 | 1827 INDEPENDENCE Square |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30338 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17709130800.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Weinstock Immigration Lawyers PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | GA |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 961 E WINTHROPE AVE. |
| LCA CASE WORKLOC1 CITY | MILLEN |
| WORKSITE COUNTY | JENKINS |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30720 |
| LCA CASE WAGE RATE FROM | 200000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 167336.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Doscher |
| PREPARER FIRST NAME | Suzanne |
| PREPARER BUSINESS NAME | SCREVEN COUNTY HOSPITAL, LLC |
| PREPARER EMAIL | [email protected] |
