Exhibit 23.1​

Consent of Independent Registered Public Accounting Firm

Otelco Inc.
Oneonta, Alabama

We hereby consent to the incorporation by reference in the Registration Statements on Form S-8 (Nos. 333-196002 and 333-224878) of Otelco Inc. of our report dated March 8, 2019, relating to the consolidated financial statements of Otelco Inc. and its subsidiaries, which appears in this Form 10-K.

/s/ BDO USA, LLP

Atlanta, Georgia
March 8, 2019