Myron Bennett's Emergency Response Profile

The information below is designed to provide vital information to First Resonders and Emergency Personnel about Myron Bennett in the event that he is unable to convey this information himself due to injury or illness.

Name and Vital Statistics

Name: Myron R. Bennett
Born: February, 1970
Blood Type: A+
Organ Donar: Yes

Primary Address

1430 Forest Hill Dr.
Milledgeville, GA 31061
USA

Emergency Contacts

Donna Bennett (wife)
Address: 1430 Forest Hill Dr., Milledgeville, GA 31061
Home Phone: 478-750-7136
Cell: 478-387-8024

Scott Bennett (father)
Address: 711 S. Race St., Urbana, IL 61801
Home Phone: 217-367-9896
Cell: 217-419-3754

Health Insurance Information

Carrier: Blue Cross Blue Shield
Member ID: XKC212A54535-11
Group Number: IPH1184002
Phone: 1-800-722-6614

Primary Physican Contact Info

Dr. John R. Barrett
641 West Thomas Street, Milledgeville, GA 31061
Phone: 478-453-0662

Medical Profile

Allergies: Shellfish, Aspirin, Ibuprofen
Medication: Not currently taking any medications (last updated 8/12/08)
Health Issues: No known health issues