| LCA CASE NUMBER | I-200-21091-191151 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-01 |
| DECISION DATE | 2021-04-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | FAMILY MEDICINE PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-09 |
| END DATE | 2024-08-08 |
| 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 | SPARTANBURG REGIONAL HEALTH SERVICES DISTRICT, INC. |
| TRADE NAME DBA | SPARTANBURG REGIONAL HEALTHCARE SYSTEM |
| EMPLOYER ADDRESS1 | 101 E WOOD STREET |
| EMPLOYER CITY | SPARTANBURG |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29303 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18889975488 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | BAKER |
| EMPLOYER POC FIRST NAME | KRISTIN |
| EMPLOYER POC JOB TITLE | SENIOR PHYSICIAN RECRUITER |
| EMPLOYER POC ADDRESS 1 | 101 E WOOD STREET |
| EMPLOYER POC CITY | SPARTANBURG |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18889975488 |
| EMPLOYER POC EMAIL | KBAKER@SRHS.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | CAUBLE |
| AGENT ATTORNEY FIRST NAME | ANN |
| AGENT ATTORNEY MIDDLE NAME | LOUISE BROWN |
| AGENT ATTORNEY ADDRESS1 | 300 N MAIN ST |
| AGENT ATTORNEY ADDRESS2 | STE 500 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29601 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18642405644 |
| AGENT ATTORNEY EMAIL ADDRESS | ANNLOUISE.CAUBLE@ODNSS.COM |
| LAWFIRM NAME BUSINESS NAME | OGLETREE DEAKINS |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF SC |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 801 WEST MAIN STREET |
| LCA CASE WORKLOC1 CITY | UNION |
| WORKSITE COUNTY | UNION |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29379 |
| LCA CASE WAGE RATE FROM | 168907 |
| LCA CASE WAGE RATE TO | 210000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 168907 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | MEDICAL GROUP MANAGEMENT ASSOCIATION |
| PW SURVEY NAME | MGMA: ACADEMIC COMPENSATION REPORT |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |