Healthcare Provider Details

I. General information

NPI: 1083205249
Provider Name (Legal Business Name): JOSEPH STEVEN SNOOKS II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2021
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 TOWNE PARK DR STE 200
RINCON GA
31326-5167
US

IV. Provider business mailing address

210 E DERENNE AVE
SAVANNAH GA
31405-6736
US

V. Phone/Fax

Practice location:
  • Phone: 912-826-2533
  • Fax:
Mailing address:
  • Phone: 912-644-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number51447
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLL85898
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number111154
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number111154
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number111154
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: