To me knoxville and cleveland are east tn,nashville west to ky lake is middle tn,clarksville just above nashville is on the cumberland river,ky lake is a 45 min drive from there and barkley 1/2 hr,old hickory and another at nashille ,along with the tn river.
You will find most of the doctor specialists in the larger cities like nashville.Terrain is hilly not mountainous.
Im actually in west tn just other side of ky lake
Do a study online of each area mentioned in all the replies,not just how the fishing is but cost of living ,etc.
I picked my location via the computer had never been here,am retired so best cities for or to retire in came to mind.LBL to paris is high on that list in the top 20 in the nation.
There is a higher tax somewhat on goods purchased ,but no state income tax,and personal property like cars trucks etc are taxed only when you buy them if moving here they just transfer it no tax,drivers lic trade in your old and take an eye test,does require proof of living here,like two bills addressed to you and a birth cert.
In short it will have to suit you,but regardless where you land if its in Tn its hard to go wrong.
if you desire flatter than Buchanan,ky lake el 400 to 600 terrain from here to nashville is simular but gets a tad higher farther east,in places,but not all over.
West tn from paris to the miss river is rather flat in comparisson.



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