Provider Demographics
NPI:1053284091
Name:SALEM GUNN ENTERPRISES
Entity type:Organization
Organization Name:SALEM GUNN ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-541-6130
Mailing Address - Street 1:514 FRANKLIN AVE
Mailing Address - Street 2:UNIT 108
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811
Mailing Address - Country:US
Mailing Address - Phone:410-973-1030
Mailing Address - Fax:410-973-1029
Practice Address - Street 1:514 FRANKLIN AVE
Practice Address - Street 2:UNIT 108
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-973-1030
Practice Address - Fax:410-973-1029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty