Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shore Fun Pediatrics

Organization Pediatrics Physician · NPI 1750420428

Shore Fun Pediatrics is a Pediatrics Physician in Supply, North Carolina. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

14 Doctors Cir Ste 3
Supply, NC 28462-4097
Phone: (910) 754-7075
Fax: (910) 754-2158
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1750420428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brucie Spivey-Cochran — Practice Manager · (910) 754-7075
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address14 Doctors Cir, Suite 3, Supply, NC 28462-4097

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