| LCA CASE NUMBER | I-200-21180-432250 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-29 |
| DECISION DATE | 2021-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-01 |
| END DATE | 2024-07-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | GEORGETOWN PHYSICIAN SERVICES, LLC |
| TRADE NAME DBA | TIDELANDS HEALTH |
| EMPLOYER ADDRESS1 | 4033 HIGHWAY 17 BYPASS |
| EMPLOYER ADDRESS2 | SUITE 104 |
| EMPLOYER CITY | MURRELLS INLET |
| EMPLOYER STATE | SC |
| EMPLOYER POSTAL CODE | 29576 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18436528225 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | HARPER |
| EMPLOYER POC FIRST NAME | JAMES |
| EMPLOYER POC MIDDLE NAME | F. |
| EMPLOYER POC JOB TITLE | EXECUTIVE VICE PRESIDENT & CHIEF HUMAN RESOURCES OFFICER |
| EMPLOYER POC ADDRESS1 | 4033 HIGHWAY 17 BYPASS |
| EMPLOYER POC ADDRESS2 | SUITE 104 |
| EMPLOYER POC CITY | MURRELLS INLET |
| EMPLOYER POC STATE | SC |
| EMPLOYER POC POSTAL CODE | 29576 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18436528225 |
| EMPLOYER POC EMAIL | JHARPER@TIDELANDSHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BURWELL |
| AGENT ATTORNEY FIRST NAME | HENRY |
| AGENT ATTORNEY MIDDLE NAME | MCADEN |
| AGENT ATTORNEY ADDRESS1 | 2 W. WASHINGTON ST |
| AGENT ATTORNEY ADDRESS2 | SUITE 400 |
| AGENT ATTORNEY CITY | GREENVILLE |
| AGENT ATTORNEY STATE | SC |
| AGENT ATTORNEY POSTAL CODE | 29201 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 18643732212 |
| AGENT ATTORNEY EMAIL ADDRESS | BUZZ.BURWELL@NELSONMULLINS.COM |
| LAWFIRM NAME BUSINESS NAME | NELSON MULLINS RILEY & SCARBOROUGH, LLP |
| STATE OF HIGHEST COURT | SC |
| NAME OF HIGHEST STATE COURT | SUPREME |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 606 Black River Road |
| LCA CASE WORKLOC1 CITY | Georgetown |
| WORKSITE COUNTY | GEORGETOWN |
| LCA CASE WORKLOC1 STATE | SC |
| WORKSITE POSTAL CODE | 29440 |
| LCA CASE WAGE RATE FROM | 275000 |
| LCA CASE WAGE RATE TO | 365000 |
| 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 | 2 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
