| LCA CASE NUMBER | I-200-20174-671773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-22 |
| DECISION DATE | 2020-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Emergency Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-06-22 |
| END DATE | 2023-06-21 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Independent Physicians Resource, Inc. |
| EMPLOYER ADDRESS1 | 5665 New Northside Drive |
| EMPLOYER ADDRESS2 | Suite 320 |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30328 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17708745482 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Le |
| EMPLOYER POC FIRST NAME | William |
| EMPLOYER POC MIDDLE NAME | N. |
| EMPLOYER POC JOB TITLE | Corporate Counsel |
| EMPLOYER POC ADDRESS1 | 5665 New Northside Drive |
| EMPLOYER POC ADDRESS2 | Suite 320 |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30328 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14049612731 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Cook |
| AGENT ATTORNEY FIRST NAME | Jessica |
| AGENT ATTORNEY MIDDLE NAME | T. |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree Street, NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042404151.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Wellstar West Georgia Medical Center |
| WORKSITE ADDRESS1 | 1514 Vernon Road |
| LCA CASE WORKLOC1 CITY | La Grange |
| WORKSITE COUNTY | TROUP |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30240 |
| LCA CASE WAGE RATE FROM | 210.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 43.42 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
