| LCA CASE NUMBER | I-200-24172-132770 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-06-20 |
| DECISION DATE | 2024-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1221.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-07-15 |
| END DATE | 2027-07-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Crisp Regional Hospital, Inc. |
| EMPLOYER ADDRESS1 | 902 7th St N |
| EMPLOYER CITY | Cordele |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 31015 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12292719900 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Gautney |
| EMPLOYER POC FIRST NAME | Steven |
| EMPLOYER POC MIDDLE NAME | L |
| EMPLOYER POC JOB TITLE | CEP/ President |
| EMPLOYER POC ADDRESS1 | 902 7th St N |
| EMPLOYER POC CITY | Cordele |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 31015 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12292719900 |
| EMPLOYER POC EMAIL | sgautney@crispregional.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Moody |
| AGENT ATTORNEY FIRST NAME | Meghan |
| AGENT ATTORNEY MIDDLE NAME | D |
| AGENT ATTORNEY ADDRESS1 | 1028 Oakhaven Rd |
| AGENT ATTORNEY CITY | Memphis |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 38119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19016826455 |
| AGENT ATTORNEY EMAIL ADDRESS | mmoody@visalaw.com |
| LAWFIRM NAME BUSINESS NAME | Siskind Susser PC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 408 E 3rd Avenue |
| LCA CASE WORKLOC1 CITY | Cordele |
| WORKSITE COUNTY | CRISP |
| LCA CASE WORKLOC1 STATE | GA |
| WORKSITE POSTAL CODE | 31015 |
| LCA CASE WAGE RATE FROM | 260000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 138611 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Schaffler |
| PREPARER FIRST NAME | Macrae |
| PREPARER BUSINESS NAME | Siskind Susser PC |
| PREPARER EMAIL | mschaffler@visalaw.com |