It stretches from its headwaters at a spring near Blowing Rock and the Eastern Continental Divide and meanders northward along the northwestern face of the Blue Ridge Mountains through the eastern and central portions of Watauga County and then Ashe County in northwestern North Carolina, passing through the town of Boone.

The Middle Fork runs between the towns of Blowing Rock and Boone and is fed by tributaries including the Aho Branch Creek (AY-ho).

Due to industrial usage and highway widening projects in the 1970s, much of the Middle Fork was severely ecologically degraded.

You can help Wikipedia by expanding it.This article about a location in Ashe County, North Carolina is a stub.

You can help Wikipedia by expanding it.This article about a location in Watauga County, North Carolina is a stub.