Fiscal Year

2020

Case Number

A-19291-72726

Case Status

Certified

Received Date

2019-11-15

Decision Date

2020-04-13

Refile

N

Original File Date

2020-01-01 08:10:11

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

SOUTHEASTERN REGIONAL PHYSICIAN SERVICES

Employer Name Slug

southeastern-regional-physician-services

Employer Address 1

300 WEST 27TH STREET

Employer Address 2

Employer City

LUMBERTON

Employer City Slug

lumberton

Employer State

NORTH CAROLINA

Employer State Slug

north-carolina

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

28358

Employer Phone

910-671-5050

Employer Number of Employees

360

Employer Year Commenced Business

2009

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Lorna Clothier

Employer Contact Address 1

300 West 27th Street

Employer Contact Address 2

Employer Contact City

Lumberton

Employer Contact State/Province

NORTH CAROLINA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

28358

Employer Contact Phone

910-735-8792

Employer Contact Email

clothi01@srmc.org

Agent Attorney Name

Dayna Kelly

Agent Attorney Firm Name

Law Offices of Dayna Kelly, P.C.

Agent Attorney Phone

(919) 969-7200

Agent Attorney Address 1

250 E Winmore Avenue

Agent Attorney Address 2

Agent Attorney City

Chapel Hill

Agent Attorney State/Province

NORTH CAROLINA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

27516

Agent Attorney Email

info@dkelly.com

PW Track Number

P10019113992645

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level I

PW Wage

77230.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-08-16

PW Expiration Date

2020-06-30

Wage Offer From

210400.00

Wage Offer To

385250.00

Average Salary

297825.00

Wage Unit of Pay

Year

Worksite Address 1

4901 Dawn Drive

Worksite Address 2

Worksite City

Lumberton

Worksite City Slug

lumberton

Worksite State

NORTH CAROLINA

Worksite Postal Code

28360

Job Title

Pediatric Neurologist

Job Title Slug

pediatric-neurologist

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

Medical degree or foreign equivalent. Complete 3year Child Neurology residency program. Able to obtain North Carolina medical license prior to commencement of employment.

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

2019-08-13

SWA Job Order End Date

2019-09-18

Sunday Edition Newspaper

Y

First Newspaper Name

The Fayetteville Observer

First Advertisement Start Date

2019-08-25

Second Newspaper Ad Name

The Fayetteville Observer

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-09-01

Employer Website From Date

2019-07-29

Employer Website To Date

2019-08-30

Professional Organization Ad From Date

2020-01-01 08:10:11

Professional Organization Advertisement To Date

2020-01-01 08:10:11

Job Search Website From Date

2019-07-29

Job Search Website To Date

2019-08-30

Employee Referral Program From Date

2020-01-01 08:10:11

Employee Referral Program To Date

2020-01-01 08:10:11

Local Ethnic Paper From Date

2020-01-01 08:10:11

Local Ethnic Paper To Date

2020-01-01 08:10:11

Radio/TV Ad From Date

2020-01-01 08:10:11

Radio/TV Ad To Date

2020-01-01 08:10:11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

DOMINICAN REPUBLIC

Foreign Worker Birth Country

DOMINICAN REPUBLIC

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2006

Foreign Worker Institution of Education

INSTITUTO TECNOLOGICO DE SANTO DOMINGO

Foreign Worker Education Institution Address 1

49 LOS PROCERES AVENUE

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

SANTO DOMINGO

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

DOMINICAN REPUBLIC

Foreign Worker Education Institution Postal Code

10602

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

Dayna Kelly

Preparer Title

Attorney

Preparer Email

info@dkelly.com

Employer Information Declaration Name

Joann Anderson

Employer Information Declaration Title

CEO