| LCA CASE NUMBER | I-200-21168-407959 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-17 |
| DECISION DATE | 2021-06-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-06-24 |
| END DATE | 2024-06-23 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Southland Medical Group LLC |
| EMPLOYER ADDRESS1 | 100 S Madison Street |
| EMPLOYER CITY | Thomasville |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31792 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12292360831 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Fletcher |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS 1 | 100 S Madison Street |
| EMPLOYER POC CITY | Thomasville |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31792 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12292360831 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sivaraman |
| AGENT ATTORNEY FIRST NAME | Heather |
| AGENT ATTORNEY ADDRESS1 | PO Box 1317 |
| AGENT ATTORNEY CITY | Carrboro |
| AGENT ATTORNEY STATE | NC |
| AGENT ATTORNEY POSTAL CODE | 27510 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19196192119 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sivaraman Immigration Law |
| STATE OF HIGHEST COURT | NC |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | Archbold Medical Center |
| WORKSITE ADDRESS2 | Gordon Ave. at Mimosa Dr. |
| LCA CASE WORKLOC1 CITY | Thomasville |
| WORKSITE COUNTY | THOMAS |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31792 |
| LCA CASE WAGE RATE FROM | 100 |
| LCA CASE WAGE RATE TO | 165 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
