The U.S. Highway curves east again and meets US 460 (Governor George C. Peery Highway) at Claypool Hill. US 19 and US 460 parallel the Clinch River and Norfolk Southern Railway's Clinch Valley District through Pounding Mill and Cliffield to the hamlet of Pisgah, where US 19 Bus. and US 460 Bus.
The U.S. Highway curves east again and intersects US 460 (Governor George C. Peery Highway) at Claypool Hill. US 19 and US 460 run parallel to the Clinch River and Norfolk Southern Railway's Clinch Valley District through Pounding Mill and Cliffield to the hamlet of Pisgah, where US 19 Bus. and US 460 Bus.