The 19.3-mile (31.1 km) highway provides a more direct route between Troy and Asheboro, via I-73/I-74/US 220 or US 220 Bus.

NC 134 is a predominantly two-lane rural highway that begins in downtown Troy at the intersection of North Main Street and East Main Street.

Going north, it travels next to Denson Creek Golf Course before becoming the eastern edge of the Uwharrie National Forest.

A couple of times the national forest goes over the eastern side of the road but not many.

At Dawson Miller Road, NC 134 ends, just 600 feet (180 m) from the I-73/I-74/US 220 interchange.