Organization
GUARDIAN LIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIQUA POWELL (CEO/OWNER)
(229) 338-0602
Entity
Organization
Contact information
Practice address
547 E LEE ST, DAWSON, GA 39842-1555
(229) 310-1438
Mailing address
PO BOX 41, DAWSON, GA 39842-0041
(229) 310-1438
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/18/2026
Last updated
04/18/2026
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