| Rank | City | 2003 Population (Est.) | Growth Rate (Annual) |
|---|---|---|---|
| 1 | Charlotte | 590,857 | 1.8% |
| 2 | Raleigh | 313,829 | 4.0% |
| 3 | Greensboro | 231,415 | 0.6% |
| 4 | Winston-Salem | 207,556 | 1.3% |
| 5 | Fayetteville | 199,994 | 0.1% |
| 6 | Durham | 196,432 | 2.0% |
| 7 | Cary | 100,640 | 1.6% |
| 8 | Wilmington | 91,395 | 0.9% |
| 9 | High Point | 90,925 | 2.5% |
| 10 | Asheville | 72,336 | -0.4% |
| 11 | Jacksonville | 68,720 | 2.2% |
| 12 | Gastonia | 67,526 | -0.1% |
| 13 | Greenville | 66,270 | 2.7% |
| 14 | Rocky Mount | 58,579 | -0.2% |
| 15 | Concord | 58,257 | 1.4% |
| 16 | Chapel Hill | 48,778 | 0.8% |
| 17 | Burlington | 46,559 | 0.7% |
| 18 | Wilson | 45,826 | 0.8% |
| 19 | Goldsboro | 39,625 | -0.7% |
| 20 | Hickory | 39,391 | 2.2% |
| 21 | Kannapolis | 38,173 | 1.0% |
| 22 | Salisbury | 30,737 | 0.3% |
| 23 | Huntersville | 30,578 | 8.1% |
| 24 | Monroe | 28,182 | 1.4% |
| 25 | Apex | 25,308 | 9.2% |
| 26 | Thomasville | 25,183 | 1.4% |
| 27 | Sanford | 24,466 | 2.1% |
| 28 | Statesville | 24,023 | 1.0% |
| 29 | New Bern | 23,916 | 1.4% |
| 30 | Matthews | 23,840 | 1.6% |
| 31 | Kinston | 23,178 | -1.4% |
| 32 | Asheboro | 22,751 | 1.2% |
| 33 | Havelock | 22,529 | 0.1% |
| 34 | Lumberton | 20,920 | -0.5% |
| 35 | Shelby | 20,884 | 0.1% |
| 36 | Garner | 20,553 | 4.5% |
| 37 | Lexington | 19,992 | 0.2% |
| 38 | Mooresville | 19,864 | 0.9% |
| 39 | Kernersville | 19,759 | 2.4% |
| 40 | Lenoir | 17,989 | -0.4% |
| 41 | Carrboro | 17,553 | -0.4% |
| 42 | Mint Hill | 17,442 | 0.5% |
| 43 | Elizabeth City | 17,370 | 0.4% |
| 44 | Morganton | 17,191 | -0.7% |
| 45 | Roanoke Rapids | 16,590 | -1.2% |
| 46 | Cornelius | 16,429 | 7.7% |
| 47 | Henderson | 16,215 | -0.4% |
| 48 | Clemmons | 15,940 | 0.4% |
| 49 | Albemarle | 15,770 | -0.8% |
| 50 | Eden | 15,668 | -0.6% |
| 51 | Laurinburg | 15,551 | -1.3% |
| 52 | Wake Forest | 14,985 | 7.1% |
| 53 | Reidsville | 14,920 | 0.9% |
| 54 | Indian Trail | 14,456 | 3.0% |
| 55 | Graham | 13,503 | 1.0% |
| 56 | Boone | 13,419 | -0.4% |
| 57 | Spring Lake | 12,814 | 1.3% |
| 58 | Newton | 12,765 | 0.2% |
| 59 | Hope Mills | 12,314 | 0.5% |
| 60 | Holly Springs | 12,124 | 9.4% |
| 61 | Lewisville | 11,839 | 0.5% |
| 62 | Hendersonville | 11,510 | 0.3% |
| 63 | Southern Pines | 11,406 | 1.3% |
| 64 | Smithfield | 11,327 | 1.3% |
| 65 | Clayton | 10,890 | 12.6% |
| 66 | Tarboro | 10,839 | -1.7% |
| 67 | Mount Airy | 10,782 | -0.5% |
| 68 | Kings Mountain | 10,453 | 0.8% |
| 69 | Pinehurst | 10,345 | 2.7% |
| 70 | Lincolnton | 10,068 | -0.2% |
| 71 | Washington | 9,665 | -0.3% |
| 72 | Mount Holly | 9,656 | -0.1% |
| 73 | Waynesville | 9,576 | -0.0% |
| 74 | Dunn | 9,490 | 1.1% |
| 75 | Fuquay-Varina | 9,257 | 6.3% |
| 76 | Rockingham | 9,254 | -1.6% |
| 77 | Archdale | 9,020 | -0.4% |
| 78 | Belmont | 8,914 | 0.1% |
| 79 | Roxboro | 8,736 | 0.2% |
| 80 | Clinton | 8,557 | -0.4% |
| 81 | Oxford | 8,477 | 0.4% |
| 82 | Mebane | 8,096 | 2.9% |
| 83 | Morrisville | 8,088 | 20.5% |
| 84 | Morehead City | 7,967 | 0.5% |
| 85 | Davidson | 7,768 | 3.4% |
| 86 | Siler City | 7,612 | 3.6% |
| 87 | Black Mountain | 7,543 | -0.0% |
| 88 | Stallings | 7,382 | 1.2% |
| 89 | Forest City | 7,356 | -1.2% |
| 90 | Weddington | 7,296 | 3.8% |
| 91 | Elon | 7,127 | 2.2% |
| 92 | Summerfield | 6,950 | 0.6% |
| 93 | Oak Island | 6,853 | 1.4% |
| 94 | Marion | 6,841 | -0.2% |
| 95 | Conover | 6,841 | 0.6% |
| 96 | Trinity | 6,722 | -0.0% |
| 97 | Brevard | 6,720 | -0.7% |
| 98 | Butner | 6,531 | 0.6% |
| 99 | Knightdale | 6,391 | 0.6% |
| 100 | Selma | 6,328 | 1.9% |
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