| LCA CASE NUMBER | I-200-20071-396384 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-11 |
| DECISION DATE | 2020-03-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Gastroenterologist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-20 |
| END DATE | 2023-07-19 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GEORGETOWN PHYSICIAN SERVICES LLC |
| TRADE NAME DBA | TIDELANDS HEALTH |
| EMPLOYER ADDRESS1 | 4033 HIGHWAY 17 BYPASS |
| EMPLOYER ADDRESS2 | SUITE 104 |
| EMPLOYER CITY | MURRELLS INLET |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29576 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18436528225 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | KAYLOR |
| EMPLOYER POC FIRST NAME | RICK |
| EMPLOYER POC MIDDLE NAME | D |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 4033 HIGHWAY 17 BYPASS |
| EMPLOYER POC ADDRESS2 | SUITE 104 |
| EMPLOYER POC CITY | MURRELLS INLET |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29576 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18436528225 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BURWELL |
| AGENT ATTORNEY FIRST NAME | HENRY |
| AGENT ATTORNEY MIDDLE NAME | MCADEN |
| AGENT ATTORNEY ADDRESS1 | 2 WEST WASHINGTON STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642502212.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | NELSON MULLINS RILEY & SCARBOROUGH LLP |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 606 Black River Rd |
| LCA CASE WORKLOC1 CITY | GEORGETOWN |
| WORKSITE COUNTY | GEORGETOWN |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29440 |
| LCA CASE WAGE RATE FROM | 345796.0 |
| LCA CASE WAGE RATE TO | 400000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 345796.0 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019.0 |
| PW SURVEY PUBLISHER | MGMA PROVIDER COMPENSATION REPORT |
| PW SURVEY NAME | MGMA PROVIDER COMPENSATION REPORT |
| TOTAL WORKSITE LOCATIONS | 4.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | BURWELL |
| PREPARER FIRST NAME | HENRY |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | NELSON MULLINS RILEY & SCARBOROUGH LLP |
| PREPARER EMAIL | [email protected] |
