NC 124 is a two-lane road which primarily runs through a rural area of Eastern North Carolina.

From the intersection, the highway turns to the east and leaves the town limits of Macclesfield near Moore Street.

It returns to a rural region and travels 2.2 miles (3.5 km) until reaching US 258 in the unincorporated community of Crisp.

[1][4][5] The North Carolina Department of Transportation (NCDOT) measures average daily traffic volumes along many of the roadways it maintains.

[6] No section of NC 124 is included within the National Highway System, a network of highways in the United States which serve strategic transportation facilities, nor does it connect to the system at any point.

The highway travelled approximately six miles (9.7 km) along a gravel, sand-clay, and topsoil roadway, through Macclesfield, to its eastern terminus at US 258 and NC 12 in Crisp.