Narrows Knob is named for the narrow ridges that lead to the top. Most of the hike to the summit is in forested areas, although there are some lovely views near the summit, where trees have difficulty growing. The mountain is located within Pisgah National Forest in the Mackey Mountain Roadless Area, and is partially accessible via the Mackey Mountain Trail. Unfortunately, the trail ends almost 2 miles from the summit, so access is limited to those who are comfortable with bushwhacking. As it is national forest land, camping is permitted anywhere in the area, although campers should be aware that bears are quite prominent in the region.

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