Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Shore Fun Pediatrics

Organization Pediatrics Physician · NPI 1750420428

Shore Fun Pediatrics provides Pediatrics Physician services 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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