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 is a Specialist 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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