Step into a rare opportunity to build your dream dermatology practice in a vibrant, underserved North Carolina city. With a guaranteed base salary of $815,000+ and full clinical autonomy, you’ll have the freedom to design a schedule and service mix that fits your ideal career. Whether your passion is Mohs surgery, general dermatology, cosmetics—or all three—this physician-led, PE-free practice empowers you to do things your way. A long-overdue need in the area, you’ll inherit a 90-minute referral radius with eager patients and limited local competition. This is a place where leadership is welcome, and new ideas are embraced—especially with a new medical school opening in 2026. 

Position & Compensation Highlights: 

• $815,000+ guaranteed base salary with uncapped production 
• $50,000 sign-on bonus, retention bonus, and PSLF eligibility 
• Build your practice: Mohs, general derm, cosmetics—your call 
• 4-day workweek with customizable schedule and daily patient load 
• Full clinical autonomy—no private equity influence or quotas 
• Current local demand far exceeds supply—patients are waiting 
• Medical directorship opportunity with stipend available 
• Teaching opportunities through new medical school (2026) 
• Executive-level benefits and personalized contract structure 

Thrive in a Scenic and Welcoming Southern Metro 

This wooded North Carolina metro of over 400,000 residents blends urban convenience with Southern charm and a strong sense of community. With excellent schools, vibrant arts, and a thriving culinary scene, it’s easy to see why families and professionals alike are planting roots here. Enjoy the perfect balance of city energy and outdoor access with lakes, trails, and cultural attractions all within reach. Whether you’re raising a family or carving out your personal haven, this community offers safety, affordability, and lifestyle diversity in every direction. From downtown lofts to quiet countryside estates, your ideal home awaits. 

Community Highlights: 

• Metro area of 400K+ with wooded neighborhoods and diverse housing 
• Top-tier schools, including STEAM, polytechnic, and faith-based options 
• Mandarin and Spanish immersion programs in K-12 settings 
• Local rivers and lakes for boating, kayaking, and family outings 
• Cultural offerings: symphony, theater, museums, art walks, vineyards 
• Culinary destination with Southern comfort food and global fusion 
• Non-stop flights to Charlotte and Atlanta for easy travel 
• Cost of living 21% less than Charlotte, 33% less than Atlanta 
• Easy access to beaches, mountains, and regional metros 
• Live your way—from vibrant urban lofts to spacious estates 

Make your mark in a community that’s ready for you—with leadership, lifestyle, and lasting impact.