| LCA CASE NUMBER | I-200-21034-053090 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-03 |
| DECISION DATE | 2021-02-10 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Gastroenterologist |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Georgetown Physician Services, LLC |
| TRADE NAME DBA | Tidelands Health |
| EMPLOYER ADDRESS1 | 4033 Highway 17 Bypass |
| EMPLOYER ADDRESS2 | Suite 104 |
| EMPLOYER CITY | Murrells Inlet |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29576 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18436528225 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Harper |
| EMPLOYER POC FIRST NAME | Jan |
| EMPLOYER POC JOB TITLE | Executive Vice President & Chief HR Officer |
| EMPLOYER POC ADDRESS 1 | 4033 Highway 17 Bypass |
| EMPLOYER POC ADDRESS 2 | Suite 104 |
| EMPLOYER POC CITY | Murrells Inlet |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29576 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18435277118 |
| EMPLOYER POC EMAIL | jharper@tidelandshealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Burwell |
| AGENT ATTORNEY FIRST NAME | Henry |
| AGENT ATTORNEY MIDDLE NAME | McAden |
| AGENT ATTORNEY ADDRESS1 | 2 W. Washington St |
| AGENT ATTORNEY ADDRESS2 | Suite 400 |
| AGENT ATTORNEY CITY | Greenville |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18643732212 |
|
| AGENT ATTORNEY EMAIL ADDRESS | buzz.burwell@nelsonmullins.com |
| LAWFIRM NAME BUSINESS NAME | Nelson Mullins Riley & Scarborough, LLP |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1011 N. Frasier Street |
| LCA CASE WORKLOC1 CITY | Georgetown |
| WORKSITE COUNTY | GEORGETOWN |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29440 |
| LCA CASE WAGE RATE FROM | 400000 |
| LCA CASE WAGE RATE TO | 532400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Burwell |
| PREPARER FIRST NAME | Henry |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Nelson Mullins Riley & Scarborough LLP |
| PREPARER EMAIL | buzz.burwell@nelsonmullins.com |
