| LCA CASE NUMBER | I-200-22062-947764 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-03-03 |
| DECISION DATE | 2022-03-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-09-02 |
| END DATE | 2025-09-01 |
| 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 | Bacon County Health Services Inc |
| TRADE NAME DBA | Bacon County Hospital and Health System |
| EMPLOYER ADDRESS1 | 302 S Wayne St |
| EMPLOYER CITY | Alma |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31510 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19126323849 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Lott |
| EMPLOYER POC FIRST NAME | Kyle |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS1 | 302 S Wayne Street |
| EMPLOYER POC CITY | Alma |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31510 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19126323849 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Nierman |
| AGENT ATTORNEY FIRST NAME | Matthew |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 441 Vine Street |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 Carew Tower |
| AGENT ATTORNEY CITY | Cincinnati |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 45202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15132876868 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Hammond Neal Moore LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | OHIO |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 302 S Wayne Street |
| LCA CASE WORKLOC1 CITY | Alma |
| WORKSITE COUNTY | BACON |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31510 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 166837 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Nierman |
| PREPARER FIRST NAME | Matthew |
| PREPARER MIDDLE INITIAL | M. |
| PREPARER BUSINESS NAME | Hammond Neal Moore LLC |
| PREPARER EMAIL | [email protected] |
