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Randolph County is located in the center of North Carolina, a part of the Piedmont Triad region, a twelve-county area whose central location puts it within 90 miles of the Blue Ridge Mountains to the west and within 200 miles of the Atlantic Ocean to the east. The county sits in the middle of the Eastern Seaboard, within 500 miles of half of the nation's population and largest markets. The region is united by the Piedmont Triad International Airport, six interstate highways, a score of colleges and universities, and a rich cultural life.

Located in the heart of North Carolina, halfway along the Interstate 85 Crescent, Randolph County is adjacent to Greensboro, one hour west of Raleigh and the Research Triangle Park, and 90 miles north of Charlotte. Three international airports are located in less than a two-hour drive.