Provider Demographics
NPI:1053118489
Name:DRUM, SIDNEY TAYLOR (PA-C)
Entity type:Individual
Prefix:MRS
First Name:SIDNEY
Middle Name:TAYLOR
Last Name:DRUM
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 18TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-5362
Mailing Address - Country:US
Mailing Address - Phone:812-372-8680
Mailing Address - Fax:549-781-2373
Practice Address - Street 1:2326 18TH ST STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-5362
Practice Address - Country:US
Practice Address - Phone:812-372-8680
Practice Address - Fax:812-373-5497
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program