Provider Demographics
NPI:1043744147
Name:KAPSALIS, CHRISTINA (MD)
Entity type:Individual
Prefix:MISS
First Name:CHRISTINA
Middle Name:
Last Name:KAPSALIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:795 JOHNSON FERRY ROAD NE
Mailing Address - Street 2:100
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-7040
Mailing Address - Country:US
Mailing Address - Phone:404-785-7792
Mailing Address - Fax:
Practice Address - Street 1:975 JOHNSON FERRY RD STE 100
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1618
Practice Address - Country:US
Practice Address - Phone:404-785-7792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1045902086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery