Major Intersections
- Fort Fisher, North Carolina (southern end)
- U.S. Route 117 in Wilmington, North Carolina
- U.S. Route 17 / U.S. Route 74 / U.S. Route 76 in Wilmington
- Interstate 140 north of Wilmington
- U.S. Route 701 in Clinton, North Carolina
- U.S. Route 13 southeast of Dunn, North Carolina
- Interstate 95 at Dunn
- U.S. Route 301 at Dunn
- U.S. Route 401 at Lillington, North Carolina
- U.S. Route 1 / U.S. Route 15-501 in Sanford, North Carolina
- U.S. Route 64 at Siler City, North Carolina
- Interstate 85 at Greensboro, North Carolina
- Interstate 40 / Interstate 85 Business / U.S. Route 29 / U.S. Route 70 / U.S. Route 220 at Greensboro
- Interstate 73 at Greensboro
- Interstate 40 Business / U.S. Route 158 near Winston-Salem, North Carolina
- U.S. Route 52 / U.S. Route 311 at Winston-Salem
- U.S. Route 601 at Yadkinville, North Carolina
- U.S. Route 21 west of Yadkinville
- Interstate 77 west of Yadkinville
- U.S. Route 221 / U.S. Route 321 at Boone, North Carolina
- State Route 67 at Trade, Tennessee
- State Route 133 at Shady Valley, Tennessee
- State Route 394 at Bristol, Tennessee
Read more about this topic: U.S. Route 421
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—C. Wright Mills (19161962)