Tennessee State Route 67 (Main Street), which intersects US-421 near the center of town, connects Mountain City with Elizabethton via a winding route along the shores of Watauga Lake.
At the small, mountainous community of Hampton, the four-laned SR 67 veers left off U.S. Highway 19-E and begins as a two-lane segment, briefly passing by commercial areas with Hampton (including a U.S. post office, a Dollar General store and a non-attended public vehicle parking area for Appalachian Trail hikers arriving or entering the "AT" at Hampton), and then exiting Hampton over a high ridge.
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