Healthcare Provider Details

I. General information

NPI: 1235215211
Provider Name (Legal Business Name): DARLENE ALEXANDRA MCNULTY D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DARLENE KROT D.O.

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 MAYFIELD RD STE 203
MILTON GA
30009-3012
US

IV. Provider business mailing address

4800 N SCOTTSDALE RD STE 2500
SCOTTSDALE AZ
85251-7630
US

V. Phone/Fax

Practice location:
  • Phone: 470-805-5040
  • Fax: 678-268-4550
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number66551
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: