| LCA CASE NUMBER | I-200-21053-093139 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-22 |
| DECISION DATE | 2021-03-01 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-14 |
| END DATE | 2024-07-13 |
| 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 | Southeast Georgia Health System, Inc. |
| EMPLOYER ADDRESS1 | 415 Parkwood Drive |
| EMPLOYER CITY | Brunswick |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31520 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19124667000 |
| NAICS CODE | 62211 |
| EMPLOYER POC LAST NAME | Lawrence |
| EMPLOYER POC FIRST NAME | Sube |
| EMPLOYER POC JOB TITLE | Manager, Physician Recruitment |
| EMPLOYER POC ADDRESS 1 | 2415 Parkwood Drive |
| EMPLOYER POC CITY | Brunswick |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31520 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19124667681 |
| EMPLOYER POC EMAIL | slawre1@sghs.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fleming |
| AGENT ATTORNEY FIRST NAME | T. Mills |
| AGENT ATTORNEY ADDRESS1 | 200 East Saint Julian Street |
| AGENT ATTORNEY CITY | Savannah |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 31401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19122360261 |
| AGENT ATTORNEY EMAIL ADDRESS | mfleming@huntermaclean.com |
| LAWFIRM NAME BUSINESS NAME | Hunter Maclean Exley & Dunn PC |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | U.S. District Court For Southern District of Georgia |
| WORKSITE WORKERS | 1 |
|
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3025 Shrine Road |
| WORKSITE ADDRESS2 | Suite 290 |
| LCA CASE WORKLOC1 CITY | Brunswick |
| WORKSITE COUNTY | GLYNN |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31520 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160243 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Russell |
| PREPARER FIRST NAME | Mary |
| PREPARER MIDDLE INITIAL | B. |
| PREPARER BUSINESS NAME | Hunter Maclean |
| PREPARER EMAIL | mrussell@huntermaclean.com |
