| LCA CASE NUMBER | I-200-23102-926967 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-04-12 |
| DECISION DATE | 2023-04-19 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-30 |
| END DATE | 2026-07-29 |
| 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 | Tift Regional Health System, Inc. |
| TRADE NAME DBA | Tift Regional Medical Center |
| EMPLOYER ADDRESS1 | 901 East 18th Street |
| EMPLOYER CITY | Tifton |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31794 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12293827120 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Dorman |
| EMPLOYER POC FIRST NAME | Christopher |
| EMPLOYER POC MIDDLE NAME | K |
| EMPLOYER POC JOB TITLE | President & CEO |
| EMPLOYER POC ADDRESS1 | 901 East 18th Street |
| EMPLOYER POC CITY | Tifton |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31794 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12293827120 |
| EMPLOYER POC EMAIL | chris.dorman@tiftregional.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Weinstock |
| AGENT ATTORNEY FIRST NAME | Karen |
| AGENT ATTORNEY ADDRESS1 | 1827 Independence Square |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30338 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 17709130800 |
| AGENT ATTORNEY EMAIL ADDRESS | dol@visa-pros.com |
| LAWFIRM NAME BUSINESS NAME | Weinstock Immigration Lawyers, P.C. |
| STATE OF HIGHEST COURT | NY |
|
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 901 East 18th Street |
| LCA CASE WORKLOC1 CITY | Tifton |
| WORKSITE COUNTY | TIFT |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31794 |
| LCA CASE WAGE RATE FROM | 254000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
