| Middle Valley to Staro Nagoricane | 5,381.60 mi (8,660.84 km) |
| Middle Valley to Stip | 5,415.75 mi (8,715.80 km) |
| Middle Valley to Struga | 5,376.20 mi (8,652.16 km) |
| Middle Valley to Strumica | 5,446.81 mi (8,765.79 km) |
| Middle Valley to Studenicani | 5,381.09 mi (8,660.04 km) |
| Middle Valley to Sveti Nikole | 5,400.14 mi (8,690.68 km) |
| Middle Valley to Tearce | 5,354.71 mi (8,617.57 km) |
| Middle Valley to Tetovo | 5,354.15 mi (8,616.67 km) |
| Middle Valley to Valandovo | 5,448.51 mi (8,768.53 km) |
| Middle Valley to Vasilevo | 5,445.14 mi (8,763.10 km) |
| Middle Valley to Veles | 5,399.49 mi (8,689.64 km) |
| Middle Valley to Vevcani | 5,370.03 mi (8,642.24 km) |
| Middle Valley to Vinica | 5,422.61 mi (8,726.85 km) |
| Middle Valley to Vrapciste | 5,357.83 mi (8,622.60 km) |
| Middle Valley to Zelenikovo | 5,384.62 mi (8,665.70 km) |
