| LCA CASE NUMBER | I-200-21210-491518 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-07-29 |
| DECISION DATE | 2021-08-31 |
| ORIGINAL CERT DATE | 2021-08-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Hospitalist |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-31 |
| END DATE | 2024-08-30 |
| 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 | Wellstar Medical Group LLC |
| EMPLOYER ADDRESS1 | 793 Sawyer Road |
| EMPLOYER CITY | Marietta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30062 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14706440100 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Akopov |
| EMPLOYER POC FIRST NAME | Valery |
| EMPLOYER POC JOB TITLE | Senior Vice President, Specialty Division |
| EMPLOYER POC ADDRESS1 | 793 Sawyer Road |
| EMPLOYER POC CITY | Marietta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30062 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14706440100 |
| EMPLOYER POC EMAIL | valery.akopov@wellstar.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Garvish |
| AGENT ATTORNEY FIRST NAME | Elizabeth |
| AGENT ATTORNEY MIDDLE NAME | Leigh Anne |
| AGENT ATTORNEY ADDRESS1 | 2970 Peachtree Road NW |
| AGENT ATTORNEY ADDRESS2 | Suite 525 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30305 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18009514980 |
| AGENT ATTORNEY EMAIL ADDRESS | egarvish@goimmigrationlaw.com |
| LAWFIRM NAME BUSINESS NAME | Garvish Immigration Law Group LLC |
|
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Georgia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 601 South 8th Street |
| LCA CASE WORKLOC1 CITY | Griffin |
| WORKSITE COUNTY | SPALDING |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 30224 |
| LCA CASE WAGE RATE FROM | 282500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
