| LCA CASE NUMBER | I-200-21165-394998 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-14 |
| DECISION DATE | 2021-06-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Staff Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-30 |
| END DATE | 2022-07-29 |
| 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 | Carolina Health Centers, Inc. |
| EMPLOYER ADDRESS1 | 313 Main Street |
| EMPLOYER ADDRESS2 | Suite B |
| EMPLOYER CITY | Greenwood |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29646 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18643980301 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Veer |
| EMPLOYER POC FIRST NAME | Evadne |
| EMPLOYER POC MIDDLE NAME | Sue |
| EMPLOYER POC JOB TITLE | President and CEO |
| EMPLOYER POC ADDRESS 1 | 313 Main Street |
| EMPLOYER POC ADDRESS 2 | Suite B |
| EMPLOYER POC CITY | Greenwood |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29646 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18433880301 |
| EMPLOYER POC EMAIL | sveer@carolinahealthcenters.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Azallion Kenny |
| AGENT ATTORNEY FIRST NAME | Melissa |
| AGENT ATTORNEY MIDDLE NAME | Lynne |
| AGENT ATTORNEY ADDRESS1 | Post Office Drawer 3 |
| AGENT ATTORNEY CITY | Hilton Head Island |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29938 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18437852171 |
| AGENT ATTORNEY EMAIL ADDRESS | makenny@burr.com |
|
| LAWFIRM NAME BUSINESS NAME | Burr & Forman LLP |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | South Carolina Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 113 Liner Drive |
| LCA CASE WORKLOC1 CITY | Greenwood |
| WORKSITE COUNTY | GREENWOOD |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29646 |
| LCA CASE WAGE RATE FROM | 160000.1 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131206 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 |
