Fiscal Year

2023

Case Number

A-22177-78458

Case Status

Withdrawn

Received Date

2022-07-21

Decision Date

2022-10-20

Refile

N

Original File Date

2023-01-01 18:17:29

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Clinch County Hospital Authority

Employer Name Slug

clinch-county-hospital-authority

Employer Address 1

1050 Valdosta Highway

Employer Address 2

Employer City

Homerville

Employer City Slug

homerville

Employer State

GEORGIA

Employer State Slug

georgia

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

31634

Employer Phone

9124875211

Employer Number of Employees

135

Employer Year Commenced Business

1957

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Angela Ammons

Employer Contact Address 1

1050 Valdosta Highway

Employer Contact Address 2

Employer Contact City

Homerville

Employer Contact State/Province

GEORGIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

31634

Employer Contact Phone

9124875211

Employer Contact Email

aammons@clinchmh.org

Agent Attorney Name

T. Mills Fleming

Agent Attorney Firm Name

Hunter, Maclean, Exley Dunn, P.C.

Agent Attorney Phone

9122360261

Agent Attorney Address 1

200 E. Saint Julian Street

Agent Attorney Address 2

Agent Attorney City

Savannah

Agent Attorney State/Province

GEORGIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

31401

Agent Attorney Email

mfleming@huntermaclean.com

PW Track Number

P10021294659799

PW SOC Code

29-1063

PW SOC Title

Internists, General

PW Skill Level

Level I

PW Wage

166837.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2022-04-23

PW Expiration Date

2022-07-22

Wage Offer From

290000.00

Wage Offer To

0.00

Average Salary

290000.00

Wage Unit of Pay

Year

Worksite Address 1

1050 Valdosta Highway

Worksite Address 2

Worksite City

Homerville

Worksite City Slug

homerville

Worksite State

GEORGIA

Worksite Postal Code

31634

Job Title

Internal Medicine Physician

Job Title Slug

internal-medicine-physician

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Doctor of Medicine M.D. from an accredited medicalbr school in the U.S. or foreign equivalent; passage of all parts of the U.S. Medical Licensing Examination USMLE; certification by the Educational Commission for Foreign Medical Graduates ECFMG; completion of a three 3 year U.S. residency in internal medicine; board eligibility or certification in internal medicine; and an active Georgia medical license.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2022-05-12

SWA Job Order End Date

2022-06-11

Sunday Edition Newspaper

N

First Newspaper Name

Clinch County News

First Advertisement Start Date

2022-05-25

Second Newspaper Ad Name

Clinch County News

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-06-01

Employer Website From Date

2022-06-01

Employer Website To Date

2022-06-15

Professional Organization Ad From Date

2023-01-01 18:17:29

Professional Organization Advertisement To Date

2023-01-01 18:17:29

Job Search Website From Date

2022-06-01

Job Search Website To Date

2022-06-15

Employee Referral Program From Date

2023-01-01 18:17:29

Employee Referral Program To Date

2023-01-01 18:17:29

Local Ethnic Paper From Date

2022-05-25

Local Ethnic Paper To Date

2022-06-01

Radio/TV Ad From Date

2023-01-01 18:17:29

Radio/TV Ad To Date

2023-01-01 18:17:29

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

CANADA

Foreign Worker Birth Country

AZERBAIJAN

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2015

Foreign Worker Institution of Education

MEDICAL UNIVERSITY OF THE AMERICAS

Foreign Worker Education Institution Address 1

5CVQ7F CAMPS CHARLESTOWN

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

NEVIS

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

ST KITTS AND NEVIS

Foreign Worker Education Institution Postal Code

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

T. Mills Fleming

Preparer Title

Attorney

Preparer Email

mfleming@huntermaclean.com

Employer Information Declaration Name

Angela Ammons

Employer Information Declaration Title

Chief Executive Officer