| LCA CASE NUMBER | I-200-20318-912299 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-11-13 |
| DECISION DATE | 2020-11-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | UTILIZATION MANAGEMENT PHYSICIAN ADVISOR |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2020-12-15 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | HATTIESBURG CLINIC, P. A. |
| EMPLOYER ADDRESS1 | 415 SOUTH 28TH AVENUE |
| EMPLOYER CITY | HATTIESBURG |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39401 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16015795340 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | THORNTON |
| EMPLOYER POC FIRST NAME | TOMMY |
| EMPLOYER POC MIDDLE NAME | G. |
| EMPLOYER POC JOB TITLE | EXECUTIVE DIRECTOR |
| EMPLOYER POC ADDRESS 1 | 415 SOUTH 28TH AVENUE |
| EMPLOYER POC CITY | HATTIESBURG |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39401 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16015795340 |
| EMPLOYER POC EMAIL | glenda.sharp@hattiesburgclinic.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | WALKER |
| 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 | 16628410629 |
| AGENT ATTORNEY EMAIL ADDRESS | danane@walker-immigration.com |
| LAWFIRM NAME BUSINESS NAME | BARRY J WALKER ATTY P A |
| STATE OF HIGHEST COURT | MS |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT OF MISSISSIPPI |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | FORREST GENERAL HOSPITAL |
| WORKSITE ADDRESS1 | 6051 U. S. HIGHWAY 49 |
| LCA CASE WORKLOC1 CITY | HATTIESBURG |
| WORKSITE COUNTY | FORREST |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39401 |
| LCA CASE WAGE RATE FROM | 175 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 10/08/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | JOE |
| PREPARER BUSINESS NAME | BARRY J WALKER ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
