The stream curves to the east and runs through Grayson Gap in Knobly Mountain.
It heads in a northeasterly direction towards the community of Markwood where Mill Creek parallels the Northwestern Turnpike (U.S. Route 50).
The stream flows east through Mill Creek Country Club and to the rear of Travelers Rest.
Mill Creek continues its eastern course to the south of US 50 where it is fed by Dry and Sugar Runs.
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