September 2nd, 2023
| Place | Name | Bib # | Age | Gender | Hometown | Time | Pace | Age Group Result |
|---|---|---|---|---|---|---|---|---|
| 65 | Meiwah Cheng | 116 | 50 | F | Harlan KY | 3:36:42.4 | 13:21/M | 1:F 50-54 |
| 90 | Virginia Daniel | 132 | 54 | F | Cary NC | 4:00:12.3 | 15:00/M | 2:F 50-54 |
| 93 | Aline Lloyd | 181 | 52 | F | Mebane NC | 4:03:28.1 | 15:13/M | 3:F 50-54 |
| 95 | Megg Henry | 156 | 54 | F | Blowing Rock NC | 4:03:43.4 | 15:13/M | 4:F 50-54 |
| 118 | Angie Cowden | 124 | 50 | F | Kingsport TN | 4:47:36.5 | 17:57/M | 5:F 50-54 |
| 120 | Sue Lunt | 182 | 54 | F | Lynchburg VA | 4:51:12.3 | 18:12/M | 6:F 50-54 |
| 123 | Jodi Lambert | 174 | 52 | F | Chesapeake VA | 4:55:13.0 | 18:26/M | 7:F 50-54 |
| 126 | Kelly Shelton | 220 | 51 | F | Kingsport TN | 5:14:47.7 | 19:39/M | 8:F 50-54 |