| LCA CASE NUMBER | I-200-21118-264348 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-27 |
| DECISION DATE | 2023-07-24 |
| ORIGINAL CERT DATE | 2021-05-04 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | GENERAL SURGEON |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | FORREST GENERAL HOSPITAL |
| TRADE NAME DBA | HIGHLAND COMMUNITY HOSPITAL |
| EMPLOYER ADDRESS1 | 130 HIGHLAND PARKWAY |
| EMPLOYER CITY | PICAYUNE |
| EMPLOYER STATE | MS |
| EMPLOYER POSTAL CODE | 39466 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16013589400 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | MAXIE |
| EMPLOYER POC FIRST NAME | BRYAN |
| EMPLOYER POC MIDDLE NAME | K. |
| EMPLOYER POC JOB TITLE | REGIONAL ADMINISTRATOR |
| EMPLOYER POC ADDRESS1 | 130 HIGHLAND PARKWAY |
| EMPLOYER POC CITY | PICAYUNE |
| EMPLOYER POC STATE | MS |
| EMPLOYER POC POSTAL CODE | 39466 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16013589400 |
| EMPLOYER POC EMAIL | mtoruno@highlandch.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 | False |
| WORKSITE ADDRESS1 | 130 HIGHLAND PARKWAY |
| LCA CASE WORKLOC1 CITY | PICAYUNE |
| WORKSITE COUNTY | PEARL RIVER |
| LCA CASE WORKLOC1 STATE | MS |
| WORKSITE POSTAL CODE | 39466 |
| LCA CASE WAGE RATE FROM | 425000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 107245 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Employment |
| PREPARER LAST NAME | WALKER |
| PREPARER FIRST NAME | BARRY |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | BARRY J WALKER, ATTY P A |
| PREPARER EMAIL | danane@walker-immigration.com |
