| LCA CASE NUMBER | I-200-23095-906080 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-05 |
| DECISION DATE | 2023-04-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-06 |
| END DATE | 2026-08-05 |
| 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 | Southside Medical Center, Inc. |
| EMPLOYER ADDRESS1 | 1046 Ridge Ave. SW |
| EMPLOYER CITY | Atlanta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30315 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14046881350 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Williams, MD |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 1046 Ridge Ave. SW |
| EMPLOYER POC CITY | Atlanta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30315 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14046881350 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sikal |
| AGENT ATTORNEY FIRST NAME | Sowmiya |
| AGENT ATTORNEY ADDRESS1 | 5755 North Point Pkwy |
| AGENT ATTORNEY ADDRESS2 | Ste 24 |
| AGENT ATTORNEY CITY | Alpharetta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30022 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | GA |
| AGENT ATTORNEY PHONE | 17706192884 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sikal, Adhipathi & Rowles, LLC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court of Tennessee |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1030 Old Peachtree Rd. NW |
| LCA CASE WORKLOC1 CITY | Lawrenceville |
| WORKSITE COUNTY | GWINNETT |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30043 |
| LCA CASE WAGE RATE FROM | 148845 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 141648 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
