It is located in Graham County in far western North Carolina, near Robbinsville, and is approximately 20 miles in length.

Its headwaters are in the Appalachian Mountains where it flows northwest near Robbinsville, to the Lake Santeetlah and flows towards the Tennessee border with a terminus at the Little Tennessee between the Cheoah Dam and Lake Calderwood.

According to the Geographic Names Information System, it has also been known historically as:[4]

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