| LCA CASE NUMBER | I-200-21082-166474 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-23 |
| DECISION DATE | 2021-03-30 |
| 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 | 2021-06-29 |
| END DATE | 2024-06-28 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Harbin Clinic, LLC |
| EMPLOYER ADDRESS1 | 1825 Martha Berry Boulevard |
| EMPLOYER CITY | Rome |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30165 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17062351000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Hice |
| EMPLOYER POC FIRST NAME | Robin |
| EMPLOYER POC JOB TITLE | Physician Recruiter |
| EMPLOYER POC ADDRESS 1 | 221 Technology Parkway |
| EMPLOYER POC CITY | Rome |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30165 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17622351027 |
| EMPLOYER POC EMAIL | rhice@harbinclinic.com |
| 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 | 1825 Martha Berry Boulevard |
| LCA CASE WORKLOC1 CITY | Rome |
| WORKSITE COUNTY | FLOYD |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30165 |
| LCA CASE WAGE RATE FROM | 230000 |
| LCA CASE WAGE RATE TO | 250000 |
| 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 | 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, Exley & Dunn, P.C. |
| PREPARER EMAIL | mrussell@huntermaclean.com |
