Ownership rules
Non-physicians may own; physician supervision required for injectable services.
Corporate Practice of Medicine
Lenient; non-physician ownership permitted if physician supervision and delegation are documented.
The medical-director angle
Required for medical spa operations; physician supervision of delegated tasks is mandatory. Ownership and the medical-director requirement are usually two sides of the same compliance coin.
What to verify in North Carolina
Establish a written delegation agreement with a supervising physician and document all protocols for RN/NP/PA injector oversight.
Primary source: North Carolina Medical Board / Board of Nursing
General business information for North Carolina medical-spa owners, current as of 2026 — not legal advice. State boards update rules often; confirm specifics with the North Carolina board (and your own counsel) before you act.