| LCA CASE NUMBER | I-200-15209-998149 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 1/7/16 |
| DECISION DATE | 1/13/16 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 1/10/16 |
| EMPLOYMENT END DATE | 5/15/18 |
| LCA CASE EMPLOYER NAME | PROVIDENT HEALTH CARE LLC |
| EMPLOYER ADDRESS | 3063 PEACHTREE IND. BLVD. |
| EMPLOYER CITY | DULUTH |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30097 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6783900120 |
| AGENT ATTORNEY NAME | JEFFRIES, STEPHEN |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1199 |
| SOC NAME | HEALTH DIAGNOSING AND TREATING PRACTITIONERS, ALL |
| NAIC CODE | 621111 |
| TOTAL WORKERS | 1 |
| PREVAILING WAGE | 34.43 |
| PW UNIT OF PAY | Hour |
| PW WAGE SOURCE | OES |
| PW SOURCE YEAR | 2015 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 40.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Hour |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| LCA CASE WORKLOC1 CITY | MARIETTA |
| WORKSITE COUNTY | COBB |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30062 |
