Provider Demographics
NPI:1467938456
Name:GREVEN, ALEXANDER CRAIG MCCONNELL
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:CRAIG MCCONNELL
Last Name:GREVEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EMORY UNIVERSITY SCHOOL OF MEDICINE
Mailing Address - Street 2:100 WOODRUFF CIRCLE, SUITE P375
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022
Mailing Address - Country:US
Mailing Address - Phone:404-727-5655
Mailing Address - Fax:404-727-0045
Practice Address - Street 1:EMORY HEALTHCARE 1364 CLIFTON ROAD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-712-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program