| LCA CASE NUMBER | I-200-19268-161334 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2019-09-25 |
| DECISION DATE | 2019-10-09 |
| ORIGINAL CERT DATE | 2019-10-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | INTERNAL MEDICINE PHYSICIAN-NOCTURNIST |
| SOC CODE | 29-1063 |
| SOC TITLE | INTERNISTS, GENERAL |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-10-15 |
| END DATE | 2022-10-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | MISSISSIPPI BAPTIST MEDICAL CENTER |
| EMPLOYER ADDRESS1 | 1225 NORTH STATE STREET |
| EMPLOYER CITY | JACKSON |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39202 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 6012924644 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BROWN |
| EMPLOYER POC FIRST NAME | WILLIAM |
| EMPLOYER POC MIDDLE NAME | FERRISS |
| EMPLOYER POC JOB TITLE | PRACTICE MANAGER-HOSPITALIST PROGRAM |
| EMPLOYER POC ADDRESS1 | 1225 NORTH STATE STREET |
| EMPLOYER POC CITY | JACKSON |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39202 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 6012924644 |
| EMPLOYER POC EMAIL | FERRISS.BROWN@BMHCC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | BARRY |
| AGENT ATTORNEY FIRST NAME | BARRY |
| AGENT ATTORNEY MIDDLE NAME | JOE |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 1023 |
| AGENT ATTORNEY CITY | TUPELO |
| AGENT ATTORNEY STATE | MS |
| AGENT ATTORNEY POSTAL CODE | 38802 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 6628410629.0 |
| AGENT ATTORNEY EMAIL ADDRESS | DANANE@WALKERUNGO.COM |
| LAWFIRM NAME BUSINESS NAME | BARRY J. WALKER, ATTORNEY PA |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | MISSISSIPPI SUPREME COURT |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1225 NORTH STATE STREET |
| LCA CASE WORKLOC1 CITY | JACKSON |
| WORKSITE COUNTY | HINDS |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39202 |
| LCA CASE WAGE RATE FROM | 300000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 166920.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 2020 |
| PW OTHER SOURCE | OES |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | DANANE@WALKERUNGO.COM |
