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North Carolina Summary of State Laws & Regulations
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Who can own a medical spa?

North Carolina prohibits the "corporate practice of medicine,” meaning that

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Can a nurse, esthetician, PA or NP own a med spa by employing a medical director?

Under N.C. Gen. Stat. 55B-4, a licensed professional may form a corporation to render professional services. There is nothing in that law prohibiting

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Can a nurse, esthetician, PA, or NP take a commission for administering laser treatments or injectables like Botox?

North Carolina’s fee-splitting laws

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Does a doctor have to examine every new patient before the patient is treated? What about PAs and NPs—can they see new patients or does it have to be a physician?

If a PA or NP is offering services within the scope of their practice,

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Can a physician delegate medical tasks and duties to non-physicians?

A physician’s ability to delegate and the supervisory requirements vary widely depending

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Does a physician have to be present at the med spa at all times?

This is entirely dependent on the

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Who can perform laser treatments?

North Carolina considers the use of lasers for hair and tattoo removal to be surgery, and therefore the practice of medicine.

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Can estheticians perform laser treatments?

Provided that a physician

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Botox and other injectable fillers: who can inject?

A physician may delegate injections to

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The information and answers contained in these frequently asked questions provide a general guide to certain laws that apply to "medical spas” in this particular state. The information contained on this site is for general reference only. This information is not intended to provide legal advice, and it should not be relied upon as legal advice. This information is not intended to create, and receipt of it does not constitute, an attorney-client relationship. Readers: You should not act upon this information without seeking knowledgeable legal counsel that takes the laws of your jurisdiction into account. All uses of the content of this site, other than personal uses, are prohibited.

Summary updated June 2014

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