| West Branch | rises in central Madison County and flows SE into Walnut Creek. |
| West Branch | rises in N Mecklenburg County and flows SE into Rocky River. |
| West Branch | rises in W Warren County and flows N into Malones Creek. |
| West Buffalo Creek | rises in SW Graham County and flows NE into Hooper Mill Creek. Also known as Little Buffalo Creek. |
| West Buies Creek | rises in N Harnett County and flows S and SE into Buies Creek. |
| West Canton | suburban area of the city of Canton in E Haywood County. |
| West Concord | unincorporated outskirts of city of Concord, central Cabarrus County. |
| West Cove | extends SW in E Haywood County between Wilson Cove and Long Branch. |
| West Crossroads | See Spiveys Corner. |
| West Double Creek | rises in S Surry County and flows SE to join East Double Creek in forming Double Creek. |