Junction List
- U.S. Highway 43 and U.S. Highway 278 and unsigned State Route 171 at Hamilton
- State Route 5 and State Route 13 at Natural Bridge
- Interstate 65 in Cullman
- U.S. Highway 31 and unsigned State Route 3 in Cullman
- State Route 157 in Cullman
- U.S. Highway 231 and unsigned State Route 53 west of Snead
- State Route 79 west of Snead
- State Route 75 at Snead
- State Route 132 at Walnut Grove
- U.S. Highway 431 and unsigned State Route 1 at Attalla. Routes 278, 431, 1 and 74 overlap until they split at Gadsden
- U.S. Highway 11 and unsigned State Route 7 at Attalla
- Interstate 59 at Gadsden
- U.S. Highway 411 and unsigned State Route 25 at Gadsden.
- State Route 9 at Piedmont
Read more about this topic: U.S. Route 278 In Alabama
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