| LCA CASE NUMBER | I-200-21092-193429 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-02 |
| DECISION DATE | 2021-04-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Resident Physician-Internal Medicine |
| SOC CODE | 29-9099.00 |
| SOC TITLE | Healthcare Practitioners and Technical Workers, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 6 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 6 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Piedmont Athens Regional Medical Center, Inc. |
| TRADE NAME DBA | Piedmont Athens Regional |
| EMPLOYER ADDRESS1 | 1199 Prince Avenue |
| EMPLOYER CITY | Athens |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30606 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17064757611 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Barry |
| EMPLOYER POC FIRST NAME | Jacob |
| EMPLOYER POC JOB TITLE | Manager, GME |
| EMPLOYER POC ADDRESS 1 | 1199 Prince Avenue |
| EMPLOYER POC CITY | Athens |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17064757869 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hopwood |
| AGENT ATTORNEY FIRST NAME | Lauren |
| AGENT ATTORNEY MIDDLE NAME | Meris |
| AGENT ATTORNEY ADDRESS1 | 195 Church Street |
| AGENT ATTORNEY ADDRESS2 | 18th Floor |
| AGENT ATTORNEY CITY | New Haven |
| AGENT ATTORNEY STATE | CT |
| AGENT ATTORNEY POSTAL CODE | 6510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12037843104 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Carmody Torrance Sandak & Hennessey |
| STATE OF HIGHEST COURT | CT |
| NAME OF HIGHEST STATE COURT | Connecticut Supreme Court |
| WORKSITE WORKERS | 6 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Athens Regional Medical Center |
| LCA CASE WORKLOC1 CITY | Athens |
| WORKSITE COUNTY | CLARKE |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30606 |
| LCA CASE WAGE RATE FROM | 57640 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 51688 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Buydos |
| PREPARER FIRST NAME | Jill |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | Carmody Torrance Sandak & Hennessey LLP |
| PREPARER EMAIL | [email protected] |
