Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

University Dermatology, PLLC

Organization Specialist · NPI 1588711584

University Dermatology, PLLC provides Specialist services in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3006 Baucom Rd Ste 100
Charlotte, NC 28269-6762
Phone: (704) 596-1787
Fax: (704) 596-6230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 39997 (NC)

Record details

NPI number1588711584
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Shafran — Managing Physician · (704) 596-1787
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJune 21, 2018
Mailing address3006 Baucom Rd, Suite 100, Charlotte, NC 28269-6762

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