At 3,187 feet, located in Douthat State Park, Middle Mountain, Virginia is just about in the middle between mountains and high hills. It is a fairly typical Blue Ridge peak, with a long, steep ridge separated from other summits by low gaps. There are no clear, open summits on Middle Mountain, only a few rocky outcrops breaking the dense cover of mostly hardwood forests. There are very few evergreens on the mountain slopes, mostly isolated in the humid areas near the streams. Most springs, streams, and waterfalls in the area disappear during late summer and fall. To reach the summit, you will have to use a number of interconnecting trails, which make a 13-mile-long loop. The trailhead is at White Oak Campground.

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