From Boone:

1. Start out going Southwest on US-321 toward NC-105. (34.67 miles)
2. Turn RIGHT onto NC-194. (4.13 miles)
3. Turn LEFT onto US-19E. (6.44 miles)
4. Turn LEFT onto Altapass Hwy.
5. Turn LEFT onto Hospital Drive.

Total Distance: 45.24 miles   Total Estimated Time: 1 hour, 26 minutes

From Asheville:

1. Start out going South on US-25 toward I-240 E/US-70 E/US-74 ALT E. (0.17 mile)
2. Turn LEFT onto I-240 E/US-70 E/US-74 ALT E. (0.08 mile)
3. Turn SLIGHT LEFT to take the I-240 E/US-74-ALT E/US-70 E ramp. (0.10 mile)
4. Merge onto I-240 E. (0.07 mile)
5. Take the US-70 E exit (exit number 5B) toward NC-694/US-74 E/CHARLOTTE ST.  (0.15 mile)
6. Turn LEFT onto US-70/US-74 ALT. (0.12 mile)
7. Turn LEFT to take the I-240 W/US-74-ALT W/US-70 W ramp. (0.16 mile)
8. Merge onto I-240 W. (1.08 miles)
9. Take the US-19 N/US-23 N/US-70 W exit toward WEAVERVILLE. (0.10 mile)
10. Merge onto US-19 N. (3.68 miles)
11. Stay straight to go onto US-19 BYP N. (5.47 miles)
12. US-19 BYP N becomes US-19 N. (20.44 miles)
13. US-19 N becomes US-19 E. (19.39 miles)
14. Turn RIGHT onto Altapass Hwy.
15. Turn LEFT onto Hospital Drive.

Total Distance: 51.01 miles   Total Estimated Time: 1 hour, 35 minutes

From Bakersville:

1. Start out going Southeast on NC-261 toward NC-226. (0.02 mile)
2. NC-261 becomes NC-226. (10.01 miles)
3. Stay straight to go onto WARD ST. (0.72 mile)
4. Turn RIGHT onto US-19 E. (0.27 mile)
5. Turn RIGHT onto Altapass Hwy.
6. Turn LEFT onto Hospital Drive.

Total Distance: 11.02 miles   Total Estimated Time: 44 minutes

From Newland:

1. Start out going South on NC-194 toward NC-181. (12.98 miles)
2. Turn LEFT onto US-19 E. (6.44 miles)
3. Turn LEFT onto Altapass Hwy.
4. Turn LEFT onto Hospital Drive.

Total Distance: 19.42 miles   Total Estimated Time: 46 minutes