 US 19 and US 460 become a freeway through the town of Tazewell that has diamond interchanges with SR 16 Alternate (Fairground Road) and SR 16 (Tazewell Avenue).The freeway crosses the railroad and the Clinch River at its partial cloverleaf interchange with SR 61 (Riverside Drive).North of Tazewell, US 19 and US 460 have a partial cloverleaf interchange with SR 645 (Cauitts Creek Road) and SR 678 (Market Street) before meeting the eastern end of the U.S.