| LCA CASE NUMBER | I-200-20126-543755 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-05 |
| DECISION DATE | 2020-05-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-03 |
| END DATE | 2023-08-03 |
| 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 | Tift Regional Health System, Inc. |
| EMPLOYER ADDRESS1 | 901 East 18th Street |
| EMPLOYER CITY | Tifton |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31794 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12293827120 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dorman |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | President and Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 901 East 18th Street |
| EMPLOYER POC CITY | Tifton |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31794 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12293536051 |
| EMPLOYER POC EMAIL | Monica.Morris@tiftregional.com |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Posel |
| AGENT ATTORNEY FIRST NAME | Laine |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 5500 Interstate North Parkway NW |
| AGENT ATTORNEY ADDRESS2 | Suite 450 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30328 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Georgia |
| AGENT ATTORNEY PHONE | 17709511100.0 |
| AGENT ATTORNEY PHONE EXT | 229.0 |
| AGENT ATTORNEY EMAIL ADDRESS | lca@immlawfirm.com |
| LAWFIRM NAME BUSINESS NAME | SCHWARTZ POSEL Immigration Law Group |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2225 US Hwy 41 N |
| LCA CASE WORKLOC1 CITY | Tifton |
| WORKSITE COUNTY | TIFT |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31794 |
| LCA CASE WAGE RATE FROM | 210000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
